DETERMINAN KEJADIAN PENYULIT PERSALINAN DI RSIA PERTIWI MAKASSAR
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Abstract
Tingginya angka kematian ibu di Indonesia sebagian besar disebabkan oleh timbulnya penyulit persalinan yang tidak dapat segera dirujuk ke fasilitas pelayanan kesehatan yang lebih mampu. Penelitian ini bertujuan mengetahui hubungan keterlambatan dengan kejadian penyulit persalinan. Jenis penelitian ini adalah observasional analitik dengan rancangan penelitian kasus kontrol. Besar sampel sebanyak 30 kasus, yaitu ibu yang mengalami penyulit persalinan dan 90 kontrol yang tidak mengalami penyulit persalinan yang diambil dengan cara consequtive sampling. Analisis data dilakukan uji chi square, odds ratio dan metode regresi logistik berganda. Hasil penelitian menunjukkan risiko mengalami penyulit persalinan pada ibu yang mengalami keterlambatan dalam mencapai fasilitas kesehatan 3,1 kali lebih besar dibandingkan ibu yang tidak mengalami keterlambatan (OR=3,1; 95% CI:1,30-7,14), dan risiko mengalami penyulit persalinan pada ibu yang mengalami keterlambatan dalam mendapatkan pertolongan medis 6,5 kali lebih besar dibandingkan yang tidak mengalami keterlambatan (OR=6,54; 95% CI:1,76-24,29). Disarankan bagi anggota keluarga dan masyarakat untuk dapat mengenali secara dini tanda-tanda terjadinya komplikasi selama kehamilan, persalinan dan nifas sehingga komplikasi dapat segera ditangani oleh petugas kesehatan dan mencegah terjadinya keterlambatan rujukan.
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