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Indonesian Mothers’ Perspective on Children’s Health After Caesarean Delivery: A Descriptive Exploration

Perspektif Ibu-Ibu Indonesia tentang Kesehatan Anak Setelah Persalinan Sesar: Sebuah Eksplorasi Deskriptif

Immunity Dysbiosis Cesarean Public health

Authors

  • Zakiudin Munasir Division of Allergy Immunology, Department of Child Health, Medical Faculty of Universitas Indonesia, Jakarta, Indonesia
  • Febriansyah Darus Division of Fetomaternal, Department of Obstetrics and Gynecology, Gatot Soebroto Presidential Army Hospital, Jakarta, Indonesia
  • Edwin Kinesya Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia
  • Melissa Stephanie Kartjito Department of Health Nutrition, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Tonny Sundjaya
    s_ton77@yahoo.com
    Department of Epidemiology, Faculty of Public Health, Universitas Indonesia, Jakarta, Indonesia https://orcid.org/0000-0002-9111-661X
12 September 2025

Background: Cesarean section incidence increases over time in both emergency and elective cases, or with medical indication and social factors. Despite the usefulness of C-section, parents need to be aware of its effect to child health and the countermeasure.

Objectives: This study aims to explore mothers’ perspectives about the health effects of C-section to children.

Methods: An open-ended survey was conducted on Indonesian mothers as participants in a cross-sectional study. A compilation of descriptive responses was collected at an online parenting community focused on children’s health. The questions are later classified into six particular categories and given an analysis.

Results: A total of 175 inquiries were collected and categorized into 6 groups. In declining pattern, we found parental concern regarding the effect of C-section on the child's immune system (57.14%), nutrition and prebiotics/ probiotics/ synbiotic (22.28%), growth and development (8%), and gastrointestinal system (6.28%). A total of 42 questions (24%) can be categorized into more than one category.

Conclusions: More than half of parents are concerned about the effect of C-section on children’s immune system, and one out of five mothers is concerned about the role of nutrition for their children’s health. However, the awareness and concern regarding C-section health impact on growth and development, and gastrointestinal system are still very low.