Harita Khasun (2014) Upaya Menurunkan Angka Kematian Ibu di RSUD Ibnu Sina Kabupaten Gresik Melalui Optimalisasi Sistem Rujukan Maternal. Thesis thesis, UNIVERSITAS AIRLANGGA.

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Abstract

Maternal Mortality Rate (MMR) in Gresik increased in the last three years. Increasing of maternal mortality at the only referral hospital for basic obstetric and neonatal emergency service in Gresik, Ibnu Sina Public Hospital and derived from referral was the issue of this research. The general purpose of this research was composing recommendation strategy to optimize maternal referral system in attempt to reduce MMR in Ibnu Sina Public Hospital Gresik. Observational research with retrospective approach was this research's type. This research was conducted from November 2013 until April 2014 in Gresik and using mothers who give birth at January-October 2013 as research's population. There was influence of midwife's knowledge about obstetric and neonatal emergency service and maternal referral system towards die pregnant, maternal and puerperal women also the midwife's knowledge in Gresik was good. Coordination of the maternal referral system in Gresik which was pooled type and mutual adjustment coordination mechanism hasn't run well. There was influence of coordination dependence type and coordination mechanism in maternal referral system towards maternal death risk in Ibnu Sina Public Hospital Gresik. Some recommendations were generated in this research to reduce MMR in Ibnu Sina Public Hospital Gresik, that were increasing active role of District Health Office, Ibnu Sin a Public Hospital, and Indonesian Midwife Association, and standardization of maternal referral system's SOP. While suggestions from this research were training for midwifes and obstetric and neonatal emergency service, reinforcement of basic obstetric and neonatal emergency service health center, and organizing Ibnu Sina Public Hospital Gresik to be referral hospital of comprehensive obstetric and neonatal emergency service ready 24 hours.

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