Please use this identifier to cite or link to this item: http://localhost:8080/xmlui/handle/123456789/2407
Title: Maternal Death Risk Factors In Wahidin Sudirohusodo Hospital And Its Affi liates
Authors: Jusuf, Elizabet C.
Gunawan, Witono
Bangsawan, Nurbani
Keywords: age
haemorrhage
hypertension
maternal death
risk factors
Issue Date: Oct-2019
Abstract: Maternal Death Risk Factors In Wahidin Sudirohusodo Hospital And Its Affi liates. Faktor Risiko Kematian Maternal di Rumah Sakit Umum Pusat Wahidin Sudirohusodo dan Jejaringnya Abstract Elizabet C. Jusuf, Witono Gunawan, Nurbani Bangsawan Department Obstetrics and Gynecology Faculty of Medicine, Hasanuddin University Dr. Wahidin Sudirohusodo Hospital, Makassar Objective : To identify maternal death risk factors in Wahidin Sudirohusodo Hospitals and its affi liates between 1 January - 31 December 2017. Methods : This study is an observational case-control study that includes all cases of maternal death and considerable numbers of pregnancy without complications that occurred in Wahidin Sudirohusodo Hospital and its affi liates between 1 January 2016 and 31 December 2017. Data were then be analysed using chi-square and logistic regression test to know the correlations between risk factors and maternal death. Results : There are 28 cases of maternal death in Wahidin Sudirohusodo Hospital and its affi liates which mostly occurred at age 20-35 years old (60.7%) and antenatal care in primary health care (71.4%). Hypertension (39.3%) and haemorrhage (35.7%) were the most frequent complications of maternal death. Age under 20 years old and older than 35 years old (odds ratio 3.882; 95% CI, 1.056-14.276; P<0.05), education level less than 9 years (odds ratio 3.178; 95% CI, 0.987-10.228; P<0.05), age and education level did not seem to affect incidence of maternal death when analysed simultaneously (odds ratio 1.842; 95% CI, P > 0.05). Conclusions : Hypertension and haemorrhage were the most frequent causes of maternal death. Age under 20 years old and older than 35 years old as well as education level less than nine years increased the risk of maternal deaths independently. Parity, frequency of antenatal care, and location of antenatal care did not show any signifi cant role in maternal death occurrence. Keywords : age, haemorrhage, hypertension, maternal death, risk factors. Abstrak Tujuan : Untuk mengetahui faktor-faktor risiko kematian maternal di Rumah Sakit Umum Pusat Wahidin Sudirohusodo dan jejaringnya periode 1 Januari – 31 Desember 2016. Metode : Penelitian ini adalah penelitian studi observasional case control dengan mengambil seluruh data kematian maternal yang terjadi di Rumah Sakit Umum Pusat Wahidin Sudirohusodo dan jejaringnya selama periode 1 Januari – 31 Desember 2016. Data dianalisis dengan Uji chi square dan regresi logistik untuk melihat faktor risiko yang diteliti dengan terjadinya kematian maternal. Hasil : Ada 28 kasus kematian maternal di Rumah Sakit Umum Wahidin Sudirohusodo dan jejarignya yang sebagian besar terjadi pada kelompok usia 20-35 tahun (60,7%) dan lokasi asuhan antenatal di puskesmas (71,4%). Komplikasi kehamilan terbanyak ialah hipertensi (39,3%) dan perdarahan (35,7%). Kelompok usia kurang dari 20 tahun dan lebih dari 35 tahun (odds ratio 3.882; 95% CI, 1.056-14.276; P<0.05) dan pendidikan kurang dari 9 tahun (odds ratio 3.178; 95% CI, 0.987-10.228; P<0.05) memiliki pengaruh signifi kan terhadap terjadinya kematian maternal. Usia dan tingkat pendidikan secara simultan tidak mempengaruhi terjadinya angka kematian maternal (odds ratio 1.842; 95% CI; P> 0.05). Kesimpulan : Hipertensi dan perdarahan merupakan penyebab utama terjadinya kematian maternal. Kelompok usia kurang dari 20 dan lebih dari 35 tahun serta tingkat pendidikan ≤ 9 tahun secara independen berisiko meningkatkan jumlah kematian maternal. Paritas, frekuensi asuhan antenatal, dan lokasi asuhan antenatal tidak memiliki peran signifi kan dalam terjadinya kematian maternal. Kata kunci : faktor risiko, hipertensi, kematian maternal, perdarahan, usia
URI: http://localhost:8080/xmlui/handle/123456789/2407
Appears in Collections:1. Indonesian Journal Of Obstetrics and Gynecology (INAJOG)

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