Maternal Age and Perinatal Mortality in Indonesia: An Analysis of Indonesia Demographic Health Survey 2017
DOI:
https://doi.org/10.31154/isc12.v12i1.117.108-120Keywords:
Maternal Age, Perinatal Mortality, DHSAbstract
Perinatal mortality remains an important public health problem, particularly in low- and middle-income countries (LMICs); preventable deaths continue to occur at unacceptable levels. The present study examines the relationship between maternal age and perinatal mortality in Indonesia. Perinatal mortality or perinatal death is the number of foetal deaths in the third trimester of pregnancy and deaths among live births within 7 days after birth (stillbirths and live births). The effect of maternal age at delivery has always been an important etiological factor for pregnancy outcomes, and both extremes of the reproductive age have been associated with higher chances of poor perinatal outcomes. This analysis drew data from a secondary source, the 2017 Indonesia Demographic and Health Survey (DHS), which is a broadly representative national survey designed to gather demographic and maternal and child health information. This analysis found that mother's age was a predictor for perinatal mortality in Indonesia, statistically significant as a determinant of perinatal mortality, with the risk estimates for mother's age at birth age 20 – 29 and 30 – 39 making perinatal mortality lower compared to < 20-year-old mothers (OR: 0.52, 0.38 – 0.71; OR: 0.59, 0.43 – 0.81), while age at first cohabitation (OR: 0.97, 0.95 – 1.00) and age at first birth made perinatal mortality higher when the age increased (OR: 0.99, 0.96 - 1.01). Finally, a more comprehensive strategy, encompassing social, economic, and clinical initiatives, is crucial to tackle the risks associated with advanced maternal age and further strengthen Indonesia’s commitment to reducing perinatal deaths and achieving national and global health benchmarks, such as the Sustainable Development Goals (SDGs). Additional studies are necessary to understand the underlying mechanisms and contextual factors associated with these age-specific risks, to inform maternal and child health policies in Indonesia.
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