Article Sidebar
Main Article Content
Abstract
Latar Belakang: Indonesia berada di posisi pertama dengan Angka Kematian Ibu (AKI) di ASEAN, yakni 305 per 100.000 kelahiran hidup. Kabupaten Polewali Mandar hanya menjadi salah satu penyumbang AKI terbanyak di Provinsi Sulawesi Selatan. Tujuan: Mengetahui besar risiko usia ibu, pendidikan ibu, pendidikan suami, paritas, jenis kelamin, status anemia, riwayat penyakit, Antenatal Care, teknik bersalin, dan penolong persalinan terhadap kematian ibu. Metode: Jenis penenelitian ini adalah analitik observasional dengan desain studi case control. Sampel kasus sebanyak 39 dan kontrol sebanyak 117. Pengambilan sampel kontrol secara simpel random sampling. Penelitian dilaksanakan pada Mei-Juli 2023 di 12 Puskesmas di Polewali Mandar. Analisis data meliputi analisis univariat dan bivariat menggunakan analisis Odds Rasio. Hasil: Usia ibu (OR=2,69 CI: 1,11-6,38), pendidikan ibu (OR=2,56 CI: 1,11-5,68), paritas (OR= 3,32 CI: 1,03-10,18), jarak kehamilan (OR=4,31 CI: 1,45-12,60), riwayat penyakit (OR=40,06 CI: 11,41-175,13). Antenatal Care (OR=4,48 CI: 1,93-10,28), dan teknik bersalin (OR=7,46 CI: 2,91-19,11) merupakan faktor risiko kematian ibu dan bermakna secara statistik. Sedangkan pendidikan suami (OR=1,73 CI: 0,78-3,85), status anemia (OR=1,41 CI: 0,35-4,80), dan penolong persalinan (OR=2,55 CI: 0,49-11,51) secara statistik bukan merupakan faktor risiko kematian ibu. Kesimpulan: Usia ibu, pendidikan ibu, paritas, jarak kehamilan, riwayat penyakit, antenatal care, dan teknik bersalin merupakan determinan kematian ibu. Pemerintah harus meningkatkan kualitas layanan kesehatan ibu dan anak, penginputan dan penyimpanan data menggunakan teknologi, dan diharapkan ibu hamil untuk melakukan kunjungan antenatal secara teratur.
Keywords
Article Details
Copyright (c) 2024 by author
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- Every manuscript submitted to must observe the policy and terms set by the Hasanuddin Journal of Public Health (HJPH).
- Publication rights to manuscript content published by the Journal of Public Health is owned by the journal with the consent and approval of the author(s) concerned. (download copyright agreement)
- Complete texts of electronically published manuscripts can be accessed free of charge if used for educational and research purposes according to copyright regulations.
Hasanuddin Journal of Public Health Universitas Hasanuddin is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
References
- Maternal Mortality Evidence Brief. World Health Organization (WHO); 2019.
- Lim JH. ASEAN Sustainable Development Goals Indicators Baseline Report 2020. ASEAN Secretariat; 2020.
- Laporan Akuntabilitas Kinerja Instansi Pemerintah (LkjIP). Polewali Mandar: Dinas Kesehatan Provinsi Sulawesi Barat; 2022.
- Rencana Strategis Perangkat Daerah Tahun 2023-2026. Polewali Mandar: Dinas Kesehatan Provinsi Sulawesi Barat; 2022.
- Adriani R. Pencegahan Kematian Ibu Saat Hamil dan Melahirkan Berbasis Komunitas. Yogyakarta: Deepublish; 2019.
- Fink DA, et al. Trends in Maternal Mortality and Severe Maternal Morbidity During Delivery-Related Hospitalizations in the United States, 2008 to 2021. JAMA Network Open. 2023: 1-16.
- Kea AZ, et al. Variation in maternal Mortality in Sidama National Regional State, Southern Ethiopia: A Population Based Cross Sectional Household Survei. PLoS ONE. 2023:1-21.
- Sudirman SA, Puspitawati H, and Muflikhati I, et al. Peran Suami dalam Menentukan Kesejahteraan Subjektif Istri pada Saat Hamil dan Melahirkan. Jurnal Ilmu Keluarga dan Konsumen. 2022: 26-37.
- Bauserma M, et al. The Relationship between Birth Interval and Adverse Maternal and Neonatal Outcomes in Six Low and Lower-Middle Income Countries. BioMed Central Reproductive Health. 2020: 1-10.
- Kabir MA, Rahman MM, and Khan MN. Maternal Anemia and Risk of Adverse Maternal Health and Birth Outcomes in Bangladesh: A Nationwide Population-Based Survei. PloS ONE. 2022: 1-15.
- Jeong BH, et al. Association of Primary Postpartum Hemorrhage with Interpregnancy Interval in Urban South Ethiopia: A Matched Nested Case-Control Study. Journal of Environmental Research and Public Health. 2020: 1-13.
- Ien AH and Fibriana, AI. Kejadian Kematian Maternal di RSUD dr. Soesilo Slawi. Higeia Journal of Public Health Research and Development. 2017: 36-48.
- Manyeh AK, Nathan R, and Nelson G. Maternal Mortality un Ifaraka Health and Demographic Surveillance System: Spatial Patterns, Trends and Risk Factors. PloS ONE. 2018: 1-19.
- Tanaka H, et al. High Maternal Mortality Rate Associated with Advanced Maternal Aged in Japan. Scientific reports. 2023.
- Horwood G, et al. Risk Factors for Maternal Mortality Among 1.9 Million Women in Nine Empowered Action Group State in India: Secondary Analysis of Annual Health Survei Data. BMJ open. 2020: 1-12.
- Rosyida DAC. Buku Ajar Kesehatan Reproduksi Remaja dan Wanita. Yogyakarta: PT. Pustaka Baru; 2019.
- Moyo N, et al. Access factors linked to maternal deaths in Lundazi district, Eastern Province of Zambia: A Case Control Study Analysing Maternal Death Reviews. BMC Pregnancy and Childbirth. 2018: 1-10.
- Jungari S and Paswan B. What He Knows about Her And How it Affects Her? Husband’s Knowledge of Pregnancy Complications and Maternal Health Care Utilization Among Tribal Population in Maharashtra, India. BMC Pregnancy and Childbirth. 2019: 1-3.
- Robert E, Black, Neff W, et al. Reproductive, Maternal, Newborn, and Child Health The World Bank: 2020.
- Tesema GA, et al. Assessing The Effects of Duration of Birth Interval on Adverse Pregnancy Outcomes in Sub-Saharan Africa: A Propensity Score-Matched Analysis. BMJ Open. 2023: 1-21.
- Akbarani R and Assa AM. Faktor yang Mempengaruhi Terjadinya Komplikasi Obstetri Saat Persalinan pada Ibu Hamil Risiko Rendah di Rsud. Dr. H. Moch Ansari Saleh Banjarmasin. Kendedes Midwifery Journal. 2018.
- Smith C, et al. Maternal and Perinatal Morbidity and Mortality Associated with Anemia in Pregnancy. Obstetrics and Gynecology. 2019: 1234-1244.
- Metcalfe A, Wick J, an Ronksley P. Racial Disparities in Comorbidity and Severe Maternal Morbidity/Mortality in The United States: An Analysis Of Temporal Trends. Acta Obstetricia et Gynecologica Scandinavica. 2018. .
- Ramazani IBE, et al. Maternal Mortality Study in the Eastern Democratic Republic of the Congo. BMC Pregnancy and Childbirth. 2022. 1-15.
- WHO Recommendations on Antenatal Care for A Positive Pregnancy Experience. World Health Organization (WHO); 2016.
- Alemu H, et al. Proportion and Associated Factors of Maternal Complications of Cesarean Sections Among Mothers Who Deliver at Bahir Dar City Public Specialized Hospitals, Bahir Dar, Ethiopia. BMC Women’s Health. 2019: 1-9.
- Nugroho T. Obsgyn: Obstetri dan Ginekologi untuk Mahasiswa Kebidanan dan Keperawatan. Yogyakarta: Nuha Media; 2012.
- Egal JA, et al. A Lack of Reproductive Agency in Facility-Based Births Makes Home Births A First Choice Regardless of Potential Risks and Medical Needs—A Qualitative Study Among Multiparous Women in Somaliland. Global Health Action. 2022.
References
Maternal Mortality Evidence Brief. World Health Organization (WHO); 2019.
Lim JH. ASEAN Sustainable Development Goals Indicators Baseline Report 2020. ASEAN Secretariat; 2020.
Laporan Akuntabilitas Kinerja Instansi Pemerintah (LkjIP). Polewali Mandar: Dinas Kesehatan Provinsi Sulawesi Barat; 2022.
Rencana Strategis Perangkat Daerah Tahun 2023-2026. Polewali Mandar: Dinas Kesehatan Provinsi Sulawesi Barat; 2022.
Adriani R. Pencegahan Kematian Ibu Saat Hamil dan Melahirkan Berbasis Komunitas. Yogyakarta: Deepublish; 2019.
Fink DA, et al. Trends in Maternal Mortality and Severe Maternal Morbidity During Delivery-Related Hospitalizations in the United States, 2008 to 2021. JAMA Network Open. 2023: 1-16.
Kea AZ, et al. Variation in maternal Mortality in Sidama National Regional State, Southern Ethiopia: A Population Based Cross Sectional Household Survei. PLoS ONE. 2023:1-21.
Sudirman SA, Puspitawati H, and Muflikhati I, et al. Peran Suami dalam Menentukan Kesejahteraan Subjektif Istri pada Saat Hamil dan Melahirkan. Jurnal Ilmu Keluarga dan Konsumen. 2022: 26-37.
Bauserma M, et al. The Relationship between Birth Interval and Adverse Maternal and Neonatal Outcomes in Six Low and Lower-Middle Income Countries. BioMed Central Reproductive Health. 2020: 1-10.
Kabir MA, Rahman MM, and Khan MN. Maternal Anemia and Risk of Adverse Maternal Health and Birth Outcomes in Bangladesh: A Nationwide Population-Based Survei. PloS ONE. 2022: 1-15.
Jeong BH, et al. Association of Primary Postpartum Hemorrhage with Interpregnancy Interval in Urban South Ethiopia: A Matched Nested Case-Control Study. Journal of Environmental Research and Public Health. 2020: 1-13.
Ien AH and Fibriana, AI. Kejadian Kematian Maternal di RSUD dr. Soesilo Slawi. Higeia Journal of Public Health Research and Development. 2017: 36-48.
Manyeh AK, Nathan R, and Nelson G. Maternal Mortality un Ifaraka Health and Demographic Surveillance System: Spatial Patterns, Trends and Risk Factors. PloS ONE. 2018: 1-19.
Tanaka H, et al. High Maternal Mortality Rate Associated with Advanced Maternal Aged in Japan. Scientific reports. 2023.
Horwood G, et al. Risk Factors for Maternal Mortality Among 1.9 Million Women in Nine Empowered Action Group State in India: Secondary Analysis of Annual Health Survei Data. BMJ open. 2020: 1-12.
Rosyida DAC. Buku Ajar Kesehatan Reproduksi Remaja dan Wanita. Yogyakarta: PT. Pustaka Baru; 2019.
Moyo N, et al. Access factors linked to maternal deaths in Lundazi district, Eastern Province of Zambia: A Case Control Study Analysing Maternal Death Reviews. BMC Pregnancy and Childbirth. 2018: 1-10.
Jungari S and Paswan B. What He Knows about Her And How it Affects Her? Husband’s Knowledge of Pregnancy Complications and Maternal Health Care Utilization Among Tribal Population in Maharashtra, India. BMC Pregnancy and Childbirth. 2019: 1-3.
Robert E, Black, Neff W, et al. Reproductive, Maternal, Newborn, and Child Health The World Bank: 2020.
Tesema GA, et al. Assessing The Effects of Duration of Birth Interval on Adverse Pregnancy Outcomes in Sub-Saharan Africa: A Propensity Score-Matched Analysis. BMJ Open. 2023: 1-21.
Akbarani R and Assa AM. Faktor yang Mempengaruhi Terjadinya Komplikasi Obstetri Saat Persalinan pada Ibu Hamil Risiko Rendah di Rsud. Dr. H. Moch Ansari Saleh Banjarmasin. Kendedes Midwifery Journal. 2018.
Smith C, et al. Maternal and Perinatal Morbidity and Mortality Associated with Anemia in Pregnancy. Obstetrics and Gynecology. 2019: 1234-1244.
Metcalfe A, Wick J, an Ronksley P. Racial Disparities in Comorbidity and Severe Maternal Morbidity/Mortality in The United States: An Analysis Of Temporal Trends. Acta Obstetricia et Gynecologica Scandinavica. 2018. .
Ramazani IBE, et al. Maternal Mortality Study in the Eastern Democratic Republic of the Congo. BMC Pregnancy and Childbirth. 2022. 1-15.
WHO Recommendations on Antenatal Care for A Positive Pregnancy Experience. World Health Organization (WHO); 2016.
Alemu H, et al. Proportion and Associated Factors of Maternal Complications of Cesarean Sections Among Mothers Who Deliver at Bahir Dar City Public Specialized Hospitals, Bahir Dar, Ethiopia. BMC Women’s Health. 2019: 1-9.
Nugroho T. Obsgyn: Obstetri dan Ginekologi untuk Mahasiswa Kebidanan dan Keperawatan. Yogyakarta: Nuha Media; 2012.
Egal JA, et al. A Lack of Reproductive Agency in Facility-Based Births Makes Home Births A First Choice Regardless of Potential Risks and Medical Needs—A Qualitative Study Among Multiparous Women in Somaliland. Global Health Action. 2022.