Conclusion
The C-section rate increased steadily in the past two decades in
Indonesia. Women’s socioeconomic status and health system factors were
associated with the increase in the use of C-section. Further studies
are needed to understand the reasons why C-section is considered
desirable by socially advantaged women and to investigate health system
facilitators and barriers to mitigate unnecessary C-section to propose
adapted interventions to optimize the use of C-section in Indonesia.