Factors associated with caesarean section in women giving birth at RSUD dr. Abdul Rivai Berau


Wayan Luhwati
Dwi Hartati
Tuti Meihartati
Heni Purwanti


Caesarean section deliveries can result in a variety of consequences, so they become alternative procedures for childbirth. However, there has been an increase in caesarean section deliveries in the last three months at Dr Abdul Rivai Hospital Berau. It is necessary to know causal factors such as severe pre-eclampsia to address the high rate of caesarean section deliveries, premature rupture of membranes and history of caesarean section deliveries so future pregnant women can prevent caesarean section deliveries by overcoming the problems that occur. This study aimed to determine the factors associated with caesarean section in women giving birth. This study used an analytical survey and a retrospective design. The population was data from women giving birth at Dr Abdul Rivai Hospital Berau from June 01, 2023 to August 31, 2023, numbered 567 people. The Slovin formula obtained a sample of 235 people. Data analysis used chi-square. This study showed that 21.3% of women in labor experienced severe pre-eclampsia, 19.6% had a history of previous caesarean section, 18.3% experienced premature rupture of membranes and 52.3% of caesarean section deliveries. There was a relationship between severe pre-eclampsia and caesarean section (p = 0.001). There was a relationship between previous history of caesarean section and caesarean section (p = 0.006). There was a relationship between premature rupture of membranes and caesarean section (p = 0.043). This indicates Severe pre-eclampsia, premature rupture of membranes and history of caesarean section as factors causing caesarean section. Hospitals expect to provide counseling about maintaining good pregnancies to avoid caesarean sections for pregnant women who have regular health checks.


How to Cite
Luhwati, W., Hartati, D., Meihartati, T. and Purwanti, H. (2024) “Factors associated with caesarean section in women giving birth at RSUD dr. Abdul Rivai Berau”, Science Midwifery, 12(1), pp. 26-37. doi: 10.35335/midwifery.v12i1.1454.


Adnyanawati, NNS, Rosmiyati, R., & Iqmy, LO (2023). The Effect Of Hypno-Breastfeeding And Oxytocin Massage On Breast Milk Production In Postpartum Mothers. JKM (Malayayati Midwifery Journal), 9(4), 657–663.
AFRIANI, S., Andriani, L., Mizawati, A., Nugraheni, DE, & Widiyanti, D. (2021). Factors Associated with the Occurrence of Sectio Caesarea in Mothers Giving Birth at Argamakmur Regional Hospital in 2019. Health Polytechnic, Ministry of Health, Bengkulu.
Aminatubillah, VT, Widjajanegara, H., & Yuniarti, Y. (2019). The Relationship Between Maternal Age and Parity and the Incidence of Premature Rupture of Membranes at the Cingambul PONED Health Center, Majalengka Regency, 2016-2017.
Amrullah, HM (2020). Living Value Education for Children Based on the Koran. PTIQ Institute Jakarta.
Anggarini, IA, & Andriani, R. (2022). THE INFLUENCE OF ANXIETY ABOUT THE COVID-19 PANDEMIC ON POST PARTUM MOTHER'S MILK EXPLOSION. Pomegranate Hope Journal, 9(2), 95–100.
Aprilia, Y.R., & Ritchmond, B. (2011). Gentle Birth Gives Birth Without Pain. Jakarta: Gramedia Widiasarana Indonesia.
Aspiani, RY (2014). Textbook of Nursing Care for Clients with Cardiovascular Disorders NIC & NOC Application. Jakarta: EGC.
Asta, A., Aisyah, S., & Silaban, TDS (2023). ANALYSIS OF FACTORS ASSOCIATED WITH SECTIO CAEARIA DELIVERY. Aisyiyah Medika Journal, 8(1).
Astriana, W. (2017). The incidence of anemia in pregnant women is seen from parity and age. Aisyah Journal: Journal of Health Sciences, 2(2), 123–130.
Esta, F.A. (2020). Factors Associated with the Occurrence of Sectio Caesarea Birth at Rantauprapat Regional Hospital in 2017.
Fauziah, F., & Fitriana, F. (2018). Relationship between Early Mobilization Post Sectio Caesarea (Sc) and the Healing Process of Surgical Wounds in the Obstetrics Room at Regional Hospital. Abdul Wahab Sjahranie Samarinda 2018. Bunda Edu-Midwifery Journal (BEMJ), 1(1), 23–27.
Giang, HTN, Duy, DTT, Hieu, LTM, Vuong, NL, Ngoc, NTT, Phuong, MT, & Huy, NT (2022). Factors associated with the very high caesarean section rate in urban areas of Vietnam. Plos one, 17(8), e0273847.
Iffah, U., Marbun, RR, & Sinaga, SP (2020). FACTORS RELATED TO CAESAREA SECTIO DELIVERY AT RSU ARTHA MEDICA BINJAI. Lentera'Aisyiyah Health Journal, 3(1), 263–267.
Ministry of Health, RI (2018). Basic Health Research (Riskesdas) Health Research and Development Agency of the Ministry of the Republic of Indonesia in 2018.
Kibe, P.M., Mbuthia, G.W., Shikuku, D.N., Akoth, C., Oguta, J.O., Ng'ang'a, L., & Gatimu, S.M. (2022). Prevalence and factors associated with caesarean section in Rwanda: a trend analysis of Rwanda demographic and health survey 2000 to 2019–20. BMC pregnancy and childbirth, 22(1), 1–13.
Komariah, S., & Nugroho, H. (2020). The relationship between knowledge, age and parity with the incidence of pregnancy complications in third trimester pregnant women at the Aisyiyah Saminda Mother and Child Hospital. UWIGAMA HEALTH: Journal of Public Health, 5(2), 83.
Lenau, M., Hardiningsih, E.F., Hartati, D., & Sulistyorini, C. (2023). THE RELATIONSHIP OF ANEMIA IN PREGNANCY WITH POSTPARENT BLEEDING AND LBW AT RSUD dr. ABDUL RIVAI. Humantech: Indonesian Multidisciplinary Scientific Journal, 2(5), 861–878.
Lestari, RT (2021). Informed Choice and Informed Consent in Family Planning Services in Independent Practice Midwives. SOEPRA, 7(1), 88–106.
Nedberg, I.H., Rylander, C., Skjeldestad, F.E., Blix, E., Ugulava, T., & Anda, E.E. (2020). Factors associated with cesarean section among primiparous women in Georgia: a registry-based study. Journal of Epidemiology and Global Health, 10(4), 337.
Organization, W.H. (2023). Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division: executive summary.
Oxorn, H., & Forte, W.R. (2010). Obstetrics: pathology and physiology of childbirth. Andi Publisher.
Prawirohardjo, S. (2018). Gynecology 4th edition. Jakarta: PT bina library.
Putri, EM (2019). The effect of giving abdominal breathing relaxation therapy on post caesarean section pain with spinal anesthesia in PKU Muhammadiyah Gamping. Yogyakarta Ministry of Health Polytechnic.
Rahmawati, EN (2011). Practical knowledge of midwifery. Surabaya: Victory Inti Cipta, 229–231.
Ramandanty, PF (2019). Nursing Care for Mothers Post Sectio Caesarea Surgery in the Mawar Room at AW Sjahranie Hospital, Samarinda.
Suciawati, A., Carolin, BT, & Pertiwi, N. (2023). Factors Associated with the Decision to Sectio Caesarea in Birthing Women. Journal of Professional Nursing Research, 5(1), 59–68.
Sudarsih, I., Agustin, A., & Ardiansyah, A. (2023). The Relationship between Pregnancy Complications and Childbirth History on Sectio Caesarea Procedures. Journal of Professional Nursing Research, 5(4), 1567–1576.
Syara, AM (2018). The Effect of Chewing Gum on Intestinal Peristalsis in Post Appendectomy Patients. Journal of Medical Nursing Research, 1(1), 15–19.
Wahyuningsih, S. (2019). Maternity Nursing Textbook.
Yuniwati, C. (2019). Effectiveness of Respiratory Relaxation Techniques and Foot and Hand Massage Techniques in Post-Caesarean Section (SC) Patients at Langsa Regional Hospital, Aceh. Indonesian Journal for Health Sciences, 3(1), 32–36.