Hubungan Macam Rujukan Dengan Keluaran Maternal Dan Neonatal
Leri Septiani, Lina HerlinaAbstract
The increasing maternal and neonatal mortality rate is partly due to delays in emergency obstetric referrals. The referral system plays a crucial role in early detection of high-risk maternal outcomes to prevent fatal complications. This study aimed to determine the factors associated with maternal neonatal outcomes using LBPR and the success of the referral system at the Ciasem Community Health Center, Subang Regency. An observational cross-sectional study using a non-probability total sampling method was conducted on 47 women who were pregnant, in labor, or experiencing an obstetric emergency postpartum. After collecting data from surveys and medical records, the chi-square test was used for analysis. Maternal neonatal outcomes were associated with the type of referral, as indicated by an Asymp.Sig value of 0.000 < 0.05. Respondents' awareness of health workers' recommendations was also high, supporting the role of LBPR in optimizing emergency care. It was concluded that the use of LBPR is effective in early high-risk detection, increases referral success, and has the potential to reduce maternal and infant mortality.
Keywords
Full Text:
PDFReferences
GS T, Chawla N, Kapur A, BS P, Badal K, Puri M. Factors Determining The Delay in Access to Appropriate Emergency Obstetric Care During The Lockdown Period of The COVID-19 Pandemic: An Observational Study at A Tertiary Referral Centre. J Epidemiol Public Heal. 2024;9(3):300–6.
Daryanti MS. Hubungan Deteksi Dini Kehamilan Berisiko dengan Kepatuhan Kunjungan Antenatal Care di Rumah Sakit Umum Daerah Wonosari. Menara J Heal Sci. 2022;1(4):380–91.
Sihotang J, Hidayatullah A. Kartu Skor Poedji Rochyati in the Indonesian Maternal Referral System. Maj Obstet Ginekol. 2024;32(1):44–53.
Mahyul I, Muhammad Ardian Cahya Laksana, Budi Prasetyo. Analysis of determinant factors of referral to maternal mortality in Indonesia: a retrospective cross-sectional study. Bali Med J. 2024;13(2):564–70.
Suparji S. Commentary High maternal mortality rate in Indonesia : a challenge to be addressed immediately. 2024;
RI K. Hasil Riset Kesehatan Dasar. Kementrian Kesehatan RI. Jakarta; 2023.
Yulfira. Implementasi Program Kesehatan Ibu dalam Upaya Penurunan Angka Kematian Ibu dan Beberapa Permasalahannya ( Studi Kasus di Kabupaten Solok , Provinsi Sumatera Barat ). J Kebijak Pembang. 2018;13:39–48.
Tirtaningrum, AD, Sriatmi, A, Suryoputro, A. 2018. Analisis Response Time Penatalaksanaan Kegawatdaruratan Obstetri Ibu Hamil. Jurnal MKMI, Vol. 14 No. 2, Juni 2018.
Susiloningtyas L. Sistem Rujukan Dalam Sistem Pelayanan Kesehatan Maternal Perinatal Di Indonesia Refferal System in Maternal Perinatal Health. J Sist Rujukan Dalam Sist Pelayanan. 2020;6–16.
Rinaldo R, Pujiastuti E, Sukimin. yogie,+1+Ridho. Semarang Law Riview [Internet]. 2020;1 no 1(Implikasi Pengaturan Sistem Rujukan Berjenjang tehadap Pelayanan Kesehatan Peroranan):1–15. Available from: journal.usm.ac.id/index.php/slr/article/view/2345/1556
Irianto SE, Djamil A, Aryono AC. Pembelajaran Implementasi Sistem Rujukan Terintegrasi (SISRUTE) di Rumah Sakit Umum Daerah. J Peduli Masy. 2021;3(4):527–42.
Statistik BP. Badan Pusat Statistik. Profil kesehatan Ibu dan Anak 2022. Jakarta; 2022.
Agrawal N, Patel S, Badkur M. Three delay model: to find out the reason for maternal deaths. Int J Res Med Sci. 2020;8(4):1273.
Puspitaningtyas A, Indarwati, Kartikasari D. Pelaksanaan Sistem Rujukan Di Rsud Banyudono. Gaster | J Ilmu Kesehat. 2014;11(2):25–36.
Sismadi E, Kurniawati D. Penggunaan Lembar Stabilisasi Rujukan Untuk Meningkatkan Kualitas Rujukan Di Puskesmas Dampingan Program Emas Kabupaten Karawang. 2017;(2):64–6.
Dwi Permata E, Khodijah Parinduri S, Fathimah R. Faktor-Faktor Yang Memengaruhi Besarnya Angka Rujukan Pasien Peserta Badan Penyelenggara Jaminan Sosial (Bpjs) Di Puskesmas Sindang Barang Kota Bogor Tahun 20202. Promotor. 2021;5(1):12–21.
Fardiansyah A, Dwi Helynarti Syurandhari Mk, Asih Media Yuniarti Mk, Himawan Saputra MM, Elyana Mafticha Me, STIKes Majapahit M. Manajemen Kesehatan Penerbit STIKes Majapahit Mojokerto 2022. 2022. 1–207 p.
Addinni T, Fakultas. Evaluasi Sistem Rujukan Pelayanan Kesehatan sebagai Bentuk Penyelenggaraan Upaya Kesehatan di Indonesia. J FKM UI. 2020;(December):1–9.
Kemenkes RI. Pedoman Sistem Rujukan Nasional. Jakarta : Direktorat Jenderal Bina Upaya Kesehatan Kementerian Kesehatan RI ; 2012.
Niken, Risanawati. Pengaruh penyuluhan dengan lembar balik terhadap penanggulangan kejadian diare. J KESMAS. Vol. 7 (3): 2015.
Karim F, Soepardan S, Komalaningsih S, Wijayanegara H, Sastramiardja H, Rowawi R. Pengaruh Penerapan Pra Rujukan Menggunakan Lembar Balik Terhadap Peningkatan Pengetahuan dan Sikap Bidan Dalam Deteksi Dini RisikoTinggi Maternal di Beberapa Puskesmas Kabupaten Subang. Jsk. 2019;5(2):54–8.
Karim F, Sari MM. Deteksi Dini Risiko Tinggi Menggunakan Media Promosi Lembar Balik Kesehatan Maternal Terhadap Pengetahuan Dan Sikap Ibu Hamil Di Wilayah Kerja J Sist Kesehat. 2021;6(1):20–5.
Septiani L, Wijayanegara H, Herlina L. Pre-Referral Program Development. 2025;8(1):44–60.
Ayu RM, Sinaga R, Zahra IA, Azizah N, Seriati T. Analysis Of The Referral System Process In Maternal And Neonatal Emergencies In The Working Area Of The Beutong Kec Health Center . The Cab . The Name Of Aceh Year 2024. 2025;5.
Nigussie ZY, Zemicheal NF, Tiruneh GT, Bayou YT, Teklu GA, Kibret ES, et al. Using mhealth to improve timeliness and quality of maternal and newborn health in the primary health care system in ethiopia. Glob Heal Sci Pract. 2021;9(3):668–81.
Putri AP, Hanifah L, AM AI, Lu YY. Maternal health literacy among pregnant women in Indonesia: A qualitative study. Int J Nurs Heal Serv. 2023;6(6):354–64.
Novianti H, Safitri YI, Munjidah A. Hubungan Macam Rujukan Kegawatdaruratan Dengan Keluaran Maternal Neonatal Dalam Masa Pandemi Covid-19. J Keperawatan dan Kesehat Masy Cendekia Utama. 2022;11(1):65.
Banuwati A, Kusumawati H, Sutono. Gambaran Kepuasan Tenaga Kesehatan Terhadap Penggunaan Sistem Rujukan Terintegrasi Instalasi Gawat Darurat. Binawan Student J. 2023;5(3):1–8.
Sastrawan S, Sulaiman L, Erawati E. An analysis of the maternal health referral system: a case study of the BAKSOKUDA system in Central Lombok, Indonesia. Int J Public Heal Sci. 2025;14(2):740.
Nestelita D, Suryoputro A, Kusumastuti W. Proses Sistem Rujukan Dalam Pelayanan Kegawatdaruratan Obstetri Dan Neonatal Di Puskesmas Sayung 2 Kabupaten Demak. Media Kesehat Masy Indones. 2019;18(4):159–63.
Sulistyoningrum IS, Budihastuti UR, Sulaeman ES. Expanded Maternal and New Born Survival Program on Strengthening Mother and Child Health Referral System in Cilacap, Indonesia. J Matern Child Heal. 2016;01(01):19–24.
Laksana MAC, Damayanti NA, Habibie PH, Suhargono MH, Dewi ER, Santoso B, et al. Strengthening maternal referral systems during public health emergencies: insights from Indonesia’s COVID-19 response. J Ners. 2025;20(2):192–200.
Handriani I, Melaniani S. Pengaruh Proses Rujukan Dan Komplikasi Terhadap Kematian Ibu. J Berk Epidemiol. 2015;Vol.3(No3 September):400–11.
Suarni L, Rahmayati E, Kodri. Maternal and neonatal referral system in rural North Lampung: a qualitative study of referral system readiness. Healthc Low-Resource Settings. 2024;12(4).
Malpica WA. Analisis Sistem Rujukan Maternal Di Wilayah Kerja Puskesmas Wulur Kecamatan Damer Kabupaten Maluku Barat Daya. Block Caving – A Viable Altern [Internet]. 2020;21(1):1–9.
Article metrics
Abstract views : 436
| 
views : 310
Refbacks
- There are currently no refbacks.
Copyright (c) 2025 Madu : Jurnal Kesehatan
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