Indah Handriani (2015) Pengaruh Proses Rujukan Emergency Obstetric Terhadap Kematian Ibu Di Rsud Sidoarjo Tahun 2014. Thesis thesis, UNIVERSITAS AIRLANGGA.

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Abstract

Maternal Mortality Rate (MMR) in East Java was still high. In 2013, MMR in Sidoarjo district has readed 96.27 per 100,000 live birth. This aim of this study was to the effect of the referral process to maternal mortality in RSUD Sidoarjo. This research was analytic observational with case control design. The Samples of this study were 25 pregnant women who were referred to RSUD Sidoarjo and death. The case controls were 50 pregnant women who were referred to RSUD Sidoarjo who did not experience death. Techniques of data collection using secondary data from the register book Maternal and Neonatal Emergency (MNE) and medical records and interviews with the mother / family / husband of respondents.The data was analyzed by using univariable, bivariable and multivariable analysis with logistic regression. The results of this study confirmed that the referral process was poor (OR=3,551,95% CI: 1,258 to 10,027, p=0,017) and the complications (OR=147,429,95%CI: 17,105 to 1270,702, p=0,000) the incidence maternal mortality increased. The variables that enter age (p=0,334), parity (p=0,712), spacing of pregnancy (p=0,562) and response time, which has not showed any effect on the maternal mortality. The conclusion of this study is the referral process and the complications to maternal mortality affect the occurrence of maternal mortality. Midwives need to conduct health education should be given to women in their productive age,increase the participation of families, communities and cadres in the process of early detection of complications during pregnancy, childbirth and postpartum, the quality of Antenatal Care (ANC) and the quality of referrals should be improved by creating a close referral system in a region associated with a high risk pregnant women were detected inventoried and scheduled control / termination and monitored (follow-up) so that high risk always monitored.

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