MATERNAL DELIVERY COMPLICATIONS AMONG HIGH-RISK MOTHERS
EVIDENCE FROM THE 2023 INDONESIAN HEALTH SURVEY
DOI:
https://doi.org/10.31983/jahmt.v8i1.14787Keywords:
childbirth complications, maternal age, parity, high-risk pregnancy, IndonesiaAbstract
Maternal mortality remains a significant public health challenge in Indonesia, with childbirth complications being a primary contributing factor. This cross-sectional study examined the relationship between maternal age and parity and the occurrence of childbirth complications using data from the 2023 Indonesian Health Survey. A total of 64,000 mothers (weighted sample: 17,956,052) who delivered between 2018 and 2023 were included, with complex sample weighting applied to ensure national representativeness. Bivariable analysis using chi-square tests and multivariable logistic regression were performed to identify independent risk factors for childbirth complications. The prevalence of childbirth complications was 21.22%. Multivariable analysis revealed that mothers aged >35 years had higher odds of experiencing complications (AOR = 1.359; 95% CI: 1.248–1.480) compared to those aged 20–35 years. Conversely, nulliparous and primiparous mothers showed the highest complication rates (21.01%), while multiparous mothers had significantly lower odds (AOR = 0.715; 95% CI: 0.629–0.776). Geographic factors, antenatal care (ANC) frequency, and access to healthcare facilities also demonstrated significant associations with childbirth complications. Advanced maternal age (>35 years) and low parity significantly increase the risk of childbirth complications in Indonesia. Strengthening family planning programs, enhancing the quality of antenatal care, and improving healthcare access are essential strategies to reduce maternal morbidity and mortality.
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