Prevalensi Kematian Ibu Dan Faktor Risiko Yang Mempengaruhinya

 Zul Fikar Ahmad, St. Surya Indah Nurdin

Abstract


Maternal mortality is one of the significant maternal and child health problems in Indonesia. Maternal death not only affects the quality of life of the baby but also the family. This study aims to research the prevalence and risk factors for high maternal mortality. The type of research used was analytical observational with a case-control study design. The sample size of cases and controls used a ratio of 1:2. The instrument used was a questionnaire. Odd Ratio assessed the magnitude of risk. Anaemia during pregnancy, type of delivery, pregnancy complications, delivery complications, and delay in referral were found to have a statistically significant association with maternal mortality. Maternal education, maternal age, family socioeconomics, parity, pregnancy spacing, history of miscarriage, ANC examination, nutritional status of pregnant women, history of maternal illness, puerperal complications, access to health services, clean and healthy living behaviour, and exposure to cigarette smoke were found to have no statistically significant association with maternal mortality. In the future, it is necessary to improve facilities and infrastructure to support maternal and neonatal emergency services.

Keywords


Anemia, Kematian ibu, Komplikasi, Persalinan, Rujukan

Full Text:

PDF

References


Kemenkes. Situasi Kesehatan Ibu. Jakarta; 2014.

UNICEF. Kematian Ibu [Internet]. UNICEF. 2023 [cited 2024 Jun 14]. Available from: https://data.unicef.org/topic/maternal-health/maternal-mortality/

Kemenkes. Profil Kesehatan Tahun 2020. Jakarta; 2021.

McCarthy J, Maine D. A framework for analyzing the determinants of maternal mortality. Stud Fam Plann. 1992;23(1):23–33.

Joseph KS, Boutin A, Lisonkova S, Muraca GM, Razaz N, John S, et al. Maternal mortality in the United States: recent trends, current status, and future considerations. Obstetrics & Gynecology. 2021;137(5):763–71.

James AH. Iron deficiency anemia in pregnancy. Obstetrics & Gynecology. 2021;138(4):663–74.

Garzon S, Cacciato PM, Certelli C, Salvaggio C, Magliarditi M, Rizzo G. Iron deficiency anemia in pregnancy: novel approaches for an old problem. Oman Med J. 2020;35(5):e166.

Shi H, Chen L, Wang Y, Sun M, Guo Y, Ma S, et al. Severity of anemia during pregnancy and adverse maternal and fetal outcomes. JAMA Netw Open. 2022;5(2):e2147046–e2147046.

Means RT. Iron deficiency and iron deficiency anemia: implications and impact in pregnancy, fetal development, and early childhood parameters. Nutrients. 2020;12(2):447.

Jayanti KD, Wibowo A. Faktor yang memengaruhi kematian ibu (studi kasus di kota Surabaya). Jurnal Wiyata: Penelitian Sains dan Kesehatan. 2017;3(1):46–53.

Harrison RK, Lauhon SR, Colvin ZA, McIntosh JJ. Maternal anemia and severe maternal morbidity in a US cohort. Am J Obstet Gynecol MFM. 2021;3(5):100395.

Allen VM, Baskett TF, O’Connell CM. Type of labour in the first pregnancy and cumulative maternal morbidity. Journal of Obstetrics and Gynaecology Canada. 2015;37(8):688–95.

Buchmann EJ, Stones W, Thomas N. Preventing deaths from complications of labour and delivery. Best Pract Res Clin Obstet Gynaecol. 2016;36:103–15.

Hutton EK, Reitsma A, Simioni J, Brunton G, Kaufman K. Perinatal or neonatal mortality among women who intend at the onset of labour to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: a systematic review and meta-analyses. EClinicalMedicine. 2019;14:59–70.

Intan Salfariani M, Nasution SS. faktor Pemilihan Persalinan Sectio Caesarea Tanpa Indikasi Medis Di RSU Bunda Thamrin Medan. Jurnal Keperawatan Universitas Sumatra Utara. 2016;

Liu S, Liston RM, Joseph KS, Heaman M, Sauve R, Kramer MS. Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term. Cmaj. 2007;176(4):455–60.

Esteves-Pereira AP, Deneux-Tharaux C, Nakamura-Pereira M, Saucedo M, Bouvier-Colle MH, Leal M do C. Caesarean delivery and postpartum maternal mortality: a population-based case control study in Brazil. PLoS One. 2016;11(4):e0153396.

Deneux-Tharaux C, Carmona E, Bouvier-Colle MH, Bréart G. Postpartum maternal mortality and cesarean delivery. Obstetrics & Gynecology. 2006;108(3 Part 1):541–8.

Nair M, Kurinczuk JJ, Brocklehurst P, Sellers S, Lewis G, Knight M. Factors associated with maternal death from direct pregnancy complications: a UK national case–control study. BJOG. 2015;122(5):653–62.

Ramos S, Karolinski A, Romero M, Mercer R. A comprehensive assessment of maternal deaths in Argentina: translating multicentre collaborative research into action. Bull World Health Organ. 2007;85:615–22.

Saccone G, Gragnano E, Ilardi B, Marrone V, Strina I, Venturella R, et al. Maternal and perinatal complications according to maternal age: A systematic review and meta‐analysis. International Journal of Gynecology & Obstetrics. 2022;159(1):43–55.

Ahmad Z, Nurdin SSI. Faktor Risiko Kejadian Preeklamsia Di Rsia Siti Khadijah Gorontalo. Akademika. 2019;8(2):150–62.

Nurdin SSI, Dunggio R, Batiti S, Sondakh L, Ahmad ZF. Determinan Kejadian Preeklampsia pada Ibu Hamil. Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo. 2021;7(1):31.

Respati SH, Sulistyowati S, Nababan R. Analisis Faktor Determinan Kematian Ibu di Kabupaten Sukoharjo Jawa Tengah Indonesia. Jurnal Kesehatan Reproduksi. 2019;6(2):52–9.

Prabamurti PN, Purnami CT, Widagdo L, Setyono S. Analisis Faktor Risiko Status Kematian Neonatal. Jurnal Promosi Kesehatan Indonesia. 2006;3(1).

Kwast BE. Obstructed labour: its contribution to maternal mortality. Midwifery. 1992;8(1):3–7.

Lindquist AC, Hastie RM, Hiscock RJ, Pritchard NL, Walker SP, Tong S. Risk of major labour-related complications for pregnancies progressing to 42 weeks or beyond. BMC Med. 2021;19:1–8.

Kassebaum NJ, Bertozzi-Villa A, Coggeshall MS, Shackelford KA, Steiner C, Heuton KR, et al. Global, regional, and national levels and causes of maternal mortality during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet. 2014;384(9947):980–1004.

Ien TAH, Fibriana AI. The Kejadian Kematian Maternal di RSUD Dr. Soesilo Slawi. HIGEIA (Journal of Public Health Research and Development). 2017;1(4):36–48.

Kumar A, Agrawal N. Brought in dead: an avoidable delay in maternal deaths. The Journal of Obstetrics and Gynecology of India. 2016;66:60–6.

Combs Thorsen V, Sundby J, Malata A. Piecing together the maternal death puzzle through narratives: the three delays model revisited. PLoS One. 2012;7(12):e52090.

Hapsari D, Dharmayanti I, Kusumawardani N. Faktor-faktor yang berpengaruh terhadap risiko kehamilan “4 terlalu (4-T)” pada wanita usia 10-59 tahun (analisis Riskesdas 2010). Media Penelitian dan Pengembangan Kesehatan. 2014;24(3):143–52.

Aeni N. Faktor risiko kematian ibu. Kesmas. 2013;7(10):453–9.


DOI: http://dx.doi.org/10.31314/mjk.13.1.9-17.2024

Article metrics

Abstract views : 618 | views : 446

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Madu : Jurnal Kesehatan

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

Publisher : Program Studi D-IV Kebidanan, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Gorontalo