Analisis Faktor Determinan Kematian Ibu di Kabupaten Sukoharjo Jawa Tengah Indonesia

https://doi.org/10.22146/jkr.43463

Supriyadi Hari Respati(1), Sri Sulistyowati(2*), Ronald Nababan(3)

(1) Bagian Obgin FK UNS/ RSUD Dr. Moewardi Surakarta
(2) Bagian Obgin FK UNS/ RSUD Dr. Moewardi Surakarta
(3) Bagian Obgin FK UNS/ RSUD Dr. Moewardi Surakarta
(*) Corresponding Author

Abstract


LatarBelakang: Kematian ibu di kabupaten Sukoharjo masih cukup tinggi. Hal ini disebabkan oleh beberapa faktor seperti 4 “terlalu” ,komplikasi kehamilan, persalinan dan nifas,terlambat mengambil keputusan, merujuk dan mendapat pelayanan kesehatanserta sosioal ekonomi yang rendah.

Metode: Observasional analitik dengan case control study. Jumlah sampel 16 kasus dan 32 kontrol dengan teknik simple random sampling. Analisis dilakukan secara univariat, bivariat dengan chi square test, multivariat dengan metode regresi logistik.

Hasil: Terdapat hubungan yang bermakna antara komplikasi kehamilan (p<0.034) (OR=4,200; 95% CI : 1,064 – 16,584), komplikasi persalinan (p<0.001) (OR=9,533; 95% CI : 2,397 – 37,909), komplikasi nifas (p<0.000), keterlambatan penanganan petugas (p=0,011),paritas (OR=0,035; 95% CI : 0,004 – 0,300; p=0,000) dan ibu bekerja (p=0,017)(OR=4.592; 95% CI : 1.257 – 16.771) terhadap kematian maternal. Dengan faktor  risiko di atas kemungkinan kematian maternal meningkat sebanayak 88,9 %.

Kesimpulan: Komplikasi kehamilan, persalinan, nifas ,keterlambatan penanganan petugas, paritas dan ibu bekerja meningkatkan risiko kematian maternal

Keywords


faktor determinan; kematian maternal; kabupaten sukoharjo

Full Text:

PDF


References

  1. Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia tahun 2014. Jakarta: Kementerian Kesehatan RI. 2015.
  2. WHO. Maternal Mortality. 2016 [updated November 2016; cited 2017 21 February]. Available from: http://www.who.int/mediacentre/factsheets/fs348/en/.
  3. Epuu KG. Determinants of Maternal Morbidity and Mortality Turkana District Kenya. Royal tropical institute; 2010. http://www.bibalex.org/search4dev/files/354431/192355.pdf
  4. Astuti SK, Aziz MA, Arya IFD. Maternal Mortality Risk Factors in Dr. Hasan Sadikin General Hospital, Bandung in 2009−2013. International Journal of Integrated Health Sciences. 2017;5(2):52-6
  5. Savadogo LGB, Zombra A, Tamini C, Kinda M, Donnen P. Maternal Mortality Risk Factors in Regional Hospital of Burkina Faso. Open Journal of Epidemiology. 2014;4:57-62
  6. Muthoharoh NA, Purnomo I, NurLatif V. Faktor – Faktor yang Berhubungan dengan Kematian Maternal di Kabupaten Batang. Jurnal Pena Medika. 2016; 6(1):1 - 18
  7. Halder A, Vijayselvi R, Jose R. Changing Perspectives of Infectious Causes of Maternal Mortality. J Turk Ger Gynecol Assoc. 2015;16(4):208–213
  8. Illah E, Mbaruku G, Masanja H, Kahn K. Causes and risk factors for maternal mortality in rural Tanzania--case of Rufiji Health and Demographic Surveillance Site (HDSS). Afr J Reprod Health. 2013 Sep;17(3):119-30
  9. Kozuki N, Lee ACC, Silveira MF, et al. The Associations of Parity and Maternal Age With Small-For-Gestational-Age, Preterm, and Neonatal and Infant Mortality: a Meta-Analysis. BMC Public Health. 2013; 13(Suppl 3):S2
  10. Jayanti KD, Basuki H, Wibowo A. Faktor yang Memengaruhi Kematian Ibu (Studi Kasus di Kota Surabaya). Jurnal Wiyata. 2016; 3(1):46-53
  11. Ojofeitimi EO, Ogunjuyigbe PO, Sanusi, et al. Poor Dietary Intake ofEnergy: and Retinol among Pregnant Women: Implications for PregnancyOutcome in Southwest Nigeria. Pak. J. Nutr. 2008;7(3):480-48.
  12. Oyerinde K. Can Antenatal Care Result in Significant Maternal Mortality Reduction in Developing Countries?. J Community Med Health Educ. 2013;3(2)
  13. Yego F, D’Este C, Byles J, Williams JS, Nyongesa P. Risk Factors for Maternal Mortality in a Tertiary Hospital in Kenya: a Case Control Study. BMC Pregnancy and Childbirth. 2014;14(38).
  14. Kemenkes RI. Riset Kesehatan Dasar. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI; 2013.
  15. Kumar N. Postpartum Hemorrhage; a Major Killer of Woman: Review of Current Scenario. Obstet Gynecol Int J. 2016;4(4): 00116
  16. Aeni N. Faktor Risiko Kematian Ibu. Jurnal Kesehatan Masyarakat Nasional. 2013;7(10):453-9
  17. Bauserman M, Lokangaka A, Thorsten V, et al. Risk factors for maternal death and trends in maternal mortality in low- and middle-income countries: a prospective longitudinal cohort analysis. Reprod Health. 2015;12 Suppl 2:S5
  18. Nair M, Knight M, Kurinczuk JJ. Risk factors and newborn outcomes associated with maternal deaths in the UK from 2009 to 2013: a national case-control study. BJOG. 2016 Sep;123(10):1654-62



DOI: https://doi.org/10.22146/jkr.43463

Article Metrics

Abstract views : 15669 | views : 30396

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 The Author(s)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Kesehatan Reproduksi Indexed by:

 

 



SEKRETARIAT JURNAL KESEHATAN REPRODUKSI
Departemen Obstetri dan Ginekologi, FK-KMK, UGM/RS Dr. Sardjito
Jl. Kesehatan No. 1, Sekip Utara, Yogyakarta 55281
Tlp: (0274) 511329 / Faks: (0274) 544003
Email: jurnal.kesehatanreproduksi@ugm.ac.id
Cp: Dwi Astuti +6281802698043