Proceedings of the 1st International Conference on Health Science, ICHS 2020, 26-27 October 2020, Jakarta, Indonesia

Research Article

Elective Cesarean Section or Not? Risk of Advance Maternal Age at First Birth

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  • @INPROCEEDINGS{10.4108/eai.26-10-2020.2311319,
        author={Ika  Saptarini and Anissa  Rizkianti and Teti  Tejayanti},
        title={Elective Cesarean Section or Not? Risk of Advance Maternal Age at First Birth},
        proceedings={Proceedings of the 1st International Conference on Health Science, ICHS 2020, 26-27 October 2020, Jakarta, Indonesia},
        publisher={EAI},
        proceedings_a={ICHS},
        year={2021},
        month={8},
        keywords={advanced maternal age elective c-section indonesia},
        doi={10.4108/eai.26-10-2020.2311319}
    }
    
  • Ika Saptarini
    Anissa Rizkianti
    Teti Tejayanti
    Year: 2021
    Elective Cesarean Section or Not? Risk of Advance Maternal Age at First Birth
    ICHS
    EAI
    DOI: 10.4108/eai.26-10-2020.2311319
Ika Saptarini1,*, Anissa Rizkianti1, Teti Tejayanti1
  • 1: National Institute of Health Research and Development, Ministry of Health
*Contact email: dr.ikasaptarini@gmail.com

Abstract

The existing literature suggests that the increase of cesarean section (c-section) is predominantly due to advanced maternal age (AMA), particularly in nulliparous women. We examined the association between AMA and elective c-section in primiparous women with singleton pregnancy. This study used data from the 2017 Indonesia Demographic and Health Survey (IDHS). Multinomial logistic regression was performed to examine the relationship between AMA and elective c-section. The final sample analysis comprises 4,988 observations. This study found that AMA at birth significantly associated with elective c-section among primiparous women with singleton pregnancy (RRR: 7.98; 95% CI 4.85-13.11). The possible explanation of this finding is pre-pregnancy morbidities, abnormal labor, and uterine dysfunction among the AMA group. Despite the comprehensive dataset, the study has limitations. The design does not allow for a causal interpretation of the associations studied. Further research through cohort studies including biological variables and maternal preferences are recommended.