Correlation between Maternal Age and Cesarean Section


Mail Mastina Mastina(1*)
Mail Herlin Fitriani K(2)
Mail Murdani Murdani(3)

(1) Universitas ‘Aisyiyah Yogyakarta, Jl. Siliwangi No. 63 Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta, Indonesia
(2) Universitas ‘Aisyiyah Yogyakarta, Jl. Siliwangi No. 63 Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta, Indonesia
(3) Universitas Negeri Yogyakarta Jl. Colombo No.1, Santren, Caturtunggal, Kec. Depok, Kabupaten Sleman, Daerah Istimewa Yogyakarta, Indonesia
(*) Corresponding Author
10.31101/jkk.849| Abstract views : 1108 | PDF views : 409


Maternal age at risk has increased over the past few decades, this is the same as the rate of labor in the cesarean section (WHO, 2014) the development of this trend reflects the views of women and advanced societies. Because there are many career and educational choices, women are motivated to continue pursuing their professional goals (Ramachandran et al., 2015). The purpose of this study was the correlation between medical indications and cesarean section delivery. The type of research used in this study was quantitative with a cross-sectional approach. Simple random sampling technique. Univariate analysis and bivariate analysis using the statistical test Chi-Square with a confidence level of 95% (α=0,05). After analysis using a Chi-Square statistical test with a confidence level of 95% (α=0,05) obtained p-value=0,004 which means that there is a correlation between the age of the mother with cesarean section delivery.


maternal age; cesarean section; Advanced maternal age

Full Text:



Aiken, C. E., Bchir, M. B., Aiken, A. R., Bchir, M. B., Cole, J. C., Brockelsby, J. C., & Bamber, J. H. (2016). HHS Public Access. HHS Public Access, 35(9), 695–699. https://doi.org/10.1038/jp.2015.62.Maternal

Australian Institute of Health and Welfare. (2013). Australia’s mothers and babies 2013—In brief. Canberra AIHW, Perinatal statistics series No. 31. Cat No. PER 72.

Badan Penelitian dan Pengembangan. (2010). Reset Kesehatan Dasar. Reset Kesehatan Dasar. https://doi.org/1 December 2013

Begum, T., Rahman, A., Nababan, H., Emdadul Hoque, D. M., Khan, A. F., Ali, T., & Anwar, I. (2017). Indications and determinants of cesarean section delivery: Evidence from a population-based study in Matlab, Bangladesh. PLoS ONE, 12(11), 1–16. https://doi.org/10.1371/journal.pone.0188074

Betrán, A. P., Ye, J., Moller, A., Zhang, J., & Gülmezoglu, A. M. (2016). The Increasing Trend in Caesarean Section Rates : Global, Regional, and National Estimates : 1990-2014. PLoS ONE, 1–12. https://doi.org/10.1371/journal.pone.0148343

Blomberg, M., Tyrberg, R. B., & Kjølhede, P. (2014). Impact of maternal age on the obstetric and neonatal outcome with emphasis on primiparous adolescents and older women : a Swedish Medical Birth Register Study. BMJ Open. https://doi.org/10.1136/bmjopen-2014-005840

Chung, S., Seol, H., Choi, Y., & Oh, S. (2014). Changes in the Cesarean Section Rate in Korea ( 1982 – 2012 ) and a Review of the Associated Factors. JKMS (2003), 1341–1352.

Dekel, S., Ein-dor, T., Berman, Z., Barsoumian, I. S., Agarwal, S., & Pitman, R. K. (2019). Delivery mode is associated with maternal mental health following childbirth. Springer.

Dodd, J., Crowther, C., Grivell, R., & Deussen, A. (2017). Elective repeat cesarean section versus induction of labor for women with a previous cesarean birth ( Review ). Cochrane Database of Systematic Reviews, (7). https://doi.org/10.1002/14651858.CD004906.pub5.www.cochranelibrary.com

Faisal-cury, A., Menezes, P. R., Quayle, J., Santiago, K., & Matijasevich, A. (2017). The relationship between indicators of socioeconomic status and cesarean section in public hospitals. Rev Saúde Pública, 1–11.

Hamilton, B., Martin, J., Osterman, M., & Et, A. (2015). Births: Final data for 2014. National Vital Statistics Reports.

Herstad, L., Klungsøyr, K., Skjærven, R., Tanbo, T., Forsén, L., & Åbyholm, T. (2016). Elective cesarean section or not ? Maternal age and risk of adverse outcomes at term : a population-based registry study of low- risk primiparous women. BMC Pregnancy and Childbirth, 1–11. https://doi.org/10.1186/s12884-016-1028-3

Kemenkes RI. (2013). RISET KESEHATAN DASAR. Jakarta.

Liu, X., Landon, M. B., Cheng, W., & Chen, Y. (2015). Cesarean delivery on maternal request in China : what are the risks and benefits ? The American Journal of Obstetrics & Gynecology, 212(6), 817.e1-817.e9. https://doi.org/10.1016/j.ajog.2015.01.043

Ming, Y., Huang, R., Zhou, W., Wang, B., Yu, H., Zhang, J., & Birth, S. (2019). Are age and socioeconomic status associated with preference for birth mode in nulliparous women in China ? Archives of Gynecology and Obstetrics, (123456789). https://doi.org/10.1007/s00404-019-05140-w

Morogoro, F. J., Mshana, S. E., Mirambo, M. M., Kidenya, B. R., & Gumodoka, B. (2014). Incidence and predictors of surgical site infections following cesarean sections at

Bugando Medical Centre, Mwanza, Tanzania. Antimycobacterial Resistance & Infection Control, 3(1), 1–10.


Mylonas, I., & Friese, K. (2015). Indications for and Risks of Elective Cesarean Section. Medicine. https://doi.org/10.3238/arztebl.2015.0489

Ogawa, K., Urayama, K. Y., Tanigaki, S., Sago, H., Sato, S., & Saito, S. (2017). Association between very advanced maternal age and adverse pregnancy outcomes : a cross-sectional Japanese study. BMC Pregnancy and Childbirth, 1–10. https://doi.org/10.1186/s12884-017-1540-0

Ramachandran, N., Sethuraman, D., Nachimuthu, V., & Natrajan, T. (2015). Obstetric and perinatal outcome of elderly mothers aged 35 years and above : a comparative study. International Journal of Research in Medical Sciences, 3(1), 214–219. https://doi.org/10.5455/2320-6012.ijrms20150138

Richards, M. K., Littman, A. J., Burke, A. K., & Callegari, L. S. (2016). Primary cesarean section and adverse delivery outcomes among women of very advanced maternal age. Journal of Perinatology, (May 2015), 1–6. https://doi.org/10.1038/jp.2015.204

Siabani, S., Jamshidi, K., & Mohammadi, M. M. (2019). The attitude of pregnant women towards Normal delivery and factors driving the use of caesarian section in Iran ( 2016 ). Siabani et Al. BioPsychoSocial Medicine, 1–7.

Song, G., Wei, Y. M., Zhu, W. W., & Yang, H. X. (2017). Cesarean Section Rate in Singleton Primiparae and Related Factors in Beijing, China. Chinese Medical Journal, 130(20), 2395–2401. https://doi.org/10.4103/0366-6999.216415

Straface, G., Scambia, G., Zanardo, V., Straface, G., Scambia, G., & Zanardo, V. (2016). Does the ST analysis of fetal ECG reduce the cesarean section rate for fetal distress ? Does the ST analysis of fetal ECG reduce the cesarean section rate for fetal distress ? Maternal-Fetal Neonatal Medicine, 7058(September). https://doi.org/10.1080/14767058.2016.1226794

Wang, J., Sun, H., Huang, K., Zheng, X., & Tao, F. (2017). The trend of cesarean section rate and puerpera characteristics: based on Robson classification. Wanfang Med Online.

Wang, L., Xu, X., Baker, P., Tong, C., & Zhang, L. (2016). Patterns and Associated Factors of Caesarean Delivery Intention among Expectant Mothers in China : Implications from the Implementation of China ’ s New National Two-Child Policy. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph13070686

WHO. (2014). World Health Organization. European health for all databases (HFA-DB. Retrieved from http://data.euro.who.int/hfadb/

Winkel, S., Einsle, F., Pieper, L., Höfler, M., Wittchen, H. U., & Martini, J. (2015). Associations of anxiety disorders, depressive disorders, and body weight with hypertension during pregnancy. Archives of Women’s Mental Health, 18(3), 473–483. https://doi.org/10.1007/s00737-014-0474-z

World Health Organization. (2015). WHO Statement on Caesarean Section Rates Caesarean section rates at the hospital level and the need for a universal classification system. WHO, 8. https://doi.org/10.1016/j.rhm.2015.07.007

Yoshioka-Maeda, K., Ota, E., Ganchimeg, T., Kuroda, M., & Mori, R. (2016). Cesarean section by maternal age group among singleton deliveries and primiparous Japanese women: A secondary analysis of the WHO Global Survey on Maternal and Perinatal Health. BMC Pregnancy and Childbirth, 16(1), 2–7. https://doi.org/10.1186/s12884-016-0830-2

Zhang, H., Wu, J., & Norris, J. (2017). Predictors of preference for caesarean delivery among pregnant women in Beijing. Journal of International Medical Research. https://doi.org/10.1177/0300060517696217

DOI: https://doi.org/10.31101/jkk.849

Article Metrics

Abstract view : 1108 times
PDF - 409 times

Cited By


  • There are currently no refbacks.

Copyright (c) 2019 Jurnal Kebidanan dan Keperawatan Aisyiyah

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Indexing by:

Google Schoolar Sinta Logo DOAJ Portal Garuda Crossref Jurnal Kebidanan dan Keperawatan 'AisyiyahJurnal Kebidanan dan Keperawatan 'Aisyiyah

Jurnal Kebidanan dan Keperawatan 'Aisyiyah
Universitas 'Aisyiyah (UNISA) Yogyakarta
Kampus Terpadu: Jalan Siliwangi (Ring Road Barat) No. 63, Nogotirto, Gamping, Sleman, Yogyakarta 55292, Indonesia
Telepon: (+62274) 4469199
Fax.: (+62274) 4469204
Email: jkk@unisayogya.ac.id

Lisensi Creative Commons
Jurnal Kebidanan dan Keperawatan 'Aisyiyah is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License..