Faktor determinan kematian ibu di Kabupaten Sintang periode Agustus 2021 – 2022

Author(s): Dian Ika Pratiwi, Heru Subaris Kasjono, Gunarmi Gunarmi, R.Soerjo Hadijono, Yunida Haryanti, Lea Masan
DOI: 10.30867/gikes.v4i2.1140

Abstract

Background: indicators of maternal health in a country can be seen through the high and low Maternal Mortality Rate (MMR). Sintang District in 2021 will be the second highest contributor to MMR in West Kalimantan Province. The determinants of maternal mortality are inconclusive and show different results in each region according to the method of collecting maternal mortality data.

Objectives: the general objective of this research is to find out the Determinant Factors for Maternal Mortality in Sintang District for the period August 2021 – August 2022.

Methods: using a mix of quantitative and qualitative methods with sequential explanatory. Quantitative research samples totaled 16 cases and qualitative informants amounted to 40 informants with indepth interview method. .

Results: quantitative proxy determinant of maternal death caused by complications of childbirth (37.5%) 6 cases, determinant intermediate age > 35 years (68.75%) 11 cases and ANC examination (68.75%) 11 cases, contextual determinant geographical area (75%) 12 cases. The qualitative results of the proxy determinants of maternal death were cases of retained placenta bleeding, the determinant intermediate the risk factors for maternal age > 35 years, high maternal parity ≥ 3 times giving birth and incomplete ANC examinations < 6 times. The determinant is far because it is in a rural area.

Conclusion: the causes of maternal death in Sintang district are very complex and multifactor. Assistance for high-risk pregnant women by health personnel and monitoring periodic evaluations of the Program Birth Planning and Complication Prevention (P4K) must be carried out to reduce MMR in Sintang District.

Keywords

Maternal death, Complication, Determinant

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References

Aden, J. A., Ahmed, H. J., & Ostergren, P. (2019). Causes and contributing factors of maternal mortality in Bosaso District of Somalia . A retrospective study of 30 cases using a Verbal Autopsy approach. Global Health Action, 12(1). https://doi.org/10.1080/16549716.2019.1672314

Al Rahmad, A. H. (2019). Pengaruh Penyuluhan 1000 Hari Pertama Kehidupan (HPK) pada Pasangan Usia Subur di Perkotaan dan Perdesaan. Jurnal Kesehatan, 10(1), 147-152.

Al Rahmad, A. H., Khazanah, W., Erwandi, E., Novita, R., Iskandar, I., & Hijriah, U. (2022). Media booklet sebagai media edukasi gizi terhadap peningkatan perilaku ibu dalam penanganan bayi Berat Badan Lahir Rendah. Ghidza: Jurnal Gizi dan Kesehatan, 6(1), 47-55.

Amini Rarani, M., Mansouri, A., & Nosratabadi, M. (2021). Decomposing educational inequality in maternal mortality in Iran Decomposing educational inequality in maternal mortality in Iran. Women & Health Taylor & Francis, 61(3), 244–253. https://doi.org/10.1080/03630242.2020.1856294

Andriani, R. (2019). Pencegahan Kematian Ibu Saat Hamil dan Melahirkan Berbasis Komunitas (pertama). CV.Budi Utama.

Ashrafi, R., & Curtis, S. L. (2017). Heart Disease and Pregnancy. Cardiol Ther, 6(2), 157–173. https://doi.org/10.1007/s40119-017-0096-4

Aukes, A. M., Arion, K., Bone, J. N., Li, J., Vidler, M., Bellad, M. B., Charantimath, U., Goudar, S. S., Hoodbhoy, Z., Katageri, G., Macuacua, S., Mallapur, A. A., Munguambe, K., Qureshi, R. N., Sacoor, C., Sevene, E., Sheikh, S., Valá, A., Lewis, G., … Adetoro, O. O. (2021). Causes and circumstances of maternal death: a secondary analysis of the Community-Level Interventions for Pre-eclampsia (CLIP) trials cohort. The Lancet Global Health, 9(9), e1242–e1251. https://doi.org/10.1016/S2214-109X(21)00263-1

BKKBN. (2014). Buku Panduan Praktek Pelayanan Kontrasepsi (Edisi 3). BKKBN.

Bomela, N. J. (2020). Maternal mortality by socio-demographic characteristics and cause of death in South Africa : 2007 – 2015. BMC Public Health, 1–20. https://doi.org/https://doi.org/10.1186/s12889-020-8179-x

Cameron, L., Suarez, D. C., & Cornwell, K. (2019). Understanding the determinants of maternal mortality : An observational study using the Indonesian Population Census. PLoS ONE, 1–18. https://doi.org/https://doi.org/10.1371/journal. pone.0217386

Creswell. (2019). Research Design Pendekatan Metode Kualitatif, Kuantitatif dan Campuran (cetakan 4). PUSTAKA PELAJAR.

Dashraath, P., Nielsen-Saines, K., Madhi, S. A., & Baud, D. (2020). COVID-19 vaccines and neglected pregnancy. The Lancet Global Health, 396(January). https://doi.org/10.1016/S0140-6736(20)31822-5

Dinkes Kabupaten Sintang. (2021). Profil Dinas Kesehatan Kabupaten Sintang.

Dinkes Propinsi Kalbar. (2020). Profil Kesehatan Propinsi Kalbar.

Escobar, M. F., Echavarría, M. P., Zambrano, M. A., Ramos, I., & Kusanovic, J. P. (2020). Maternal sepsis. American Journal of Obstetrics and Gynecology MFM, 2(3), 100149. https://doi.org/10.1016/j.ajogmf.2020.100149

Feitosa-Assis, A. I., & Santana, V. S. (2020). Occupation and maternal mortality in Brazil. Rev Saude Publica, 1–11. https://doi.org/10.11606/s1518-8787.2020054001736

Garland, J., & Little, D. (2018). Maternal Death and Its Investigation. Academic Forensic Pathology, 8(4), 894–911. https://doi.org/10.1177/1925362118821485

Hanif, M., Khalid, S., Rasul, A., & Mahmood, K. (2021). Maternal Mortality in Rural Areas of Pakistan: Challenges and Prospects. Intechopen. https://doi.org/10.5772/intechopen.96934

Ien, T. A. H., & Fibriana, A. I. (2017). Kejadian Kematian Maternal di RSUD DR.Soesilo Slawi. HIGEIA (Journal of Public Health Research and Development), 1(4), 36–48.

Jessica L. Bienstock, M.D., M. P. H., Ahizechukwu C. Eke, M.D., P. D., & Nancy A. Hueppchen, M. D. (2021). Postpartum Hemorrhage. The New England Journal of Medicine, 1635–1645. https://doi.org/10.1056/NEJMra1513247

Kawungezi, P. C., Akiibua, D., Aleni, C., Chitayi, M., Kazibwe, A., Sunya, E., Mumbere, E. W., Mutesi, C., Kasangaki, A., & Nakubulwa, S. (2015). Attendance and Utilization of Antenatal Care (ANC) Services: Multi-Center Study in Upcountry Areas of Uganda. Open J Prev Med., 5(3), 132–142. https://doi.org/10.4236/ojpm.2015.53016.Attendance

Kemenkes RI. (2020). Pedoman pelayanan antenatal, persalinan, nifas, dan bayi baru lahir di Era Adaptasi Kebiasaan Baru. KEMENKES.

Kemenkes RI. (2021). Profil Kesehatan Indonesia. KemenKes RI.

Kemenkes RI. (2022). Juknis Bumil Sehat .Kementrian Kesehatan RI.

Londero, A. P., Rossetti, E., Pittini, C., Cagnacci, A., & Driul, L. (2019). Maternal age and the risk of adverse pregnancy outcomes: A retrospective cohort study. BMC Pregnancy and Childbirth, 19(1), 1–10. https://doi.org/10.1186/s12884-019-2400-x

Masturoh, Pamuji, S. E. B., & Siswati. (2018). Path Analisis : Tiga Keterlambatan Penyebab Kematian Maternal di Kabupaten Brebes. Jurnal Kesehatan Pena Medika, 8(1), 1–8.

Mgawadere, F., Unkels, R., Kazembe, A., & van den Broek, N. (2017). Factors associated with maternal mortality in Malawi: Application of the three delays model. BMC Pregnancy and Childbirth, 17(1), 1–9. https://doi.org/10.1186/s12884-017-1406-5

Mohammed, M. M., Gelany, S. El, Eladwy, A. R., Ali, E. I., Gadelrab, M. T., Ibrahim, E. M., Khalifa, E. M., Abdelhakium, A. K., Fares, H., Yousef, A. M., Hassan, H., Goma, K., Ibrahim, M. H., Gamal, A., Khairy, M., Shaban, A., Amer, S., Abdelraheim, A. R., & Abdallah, A. A. (2020). A Ten Year Analysis of Maternal Deaths in a Tertiary Hospital Using The Three Delays Model. BMC Pregnancy and Childbirth, 7, 1–8. https://doi.org/https://doi.org/10.1186/s12884-020-03262-7

Mokoagow, G. C., Bawiling, N., & Toar, J. (2020). Faktor Determinan Ibu dalam Pemilihan Penolong Persalinan di Wilayah Kerja Puskesmas Rawat Inap Adow Bolaang Mongondow Selatan Tahun 2017. Epidemia Jurnal Kesehatan Masyarakat UNIMA, 01(01). https://doi.org/https://doi.org/10.53682/ejkmu.v1i3.94

Nurrizka, R. H. (2019). Kesehatan Ibu dan Anak Dalam Upaya Kesehatan Masyarakat. Rajagrafindo Persada.

Nyflot, L. T., Sandven, I., Stray-pedersen, B., Pettersen, S., Al-zirqi, I., Rosenberg, M., Jacobsen, A. F., & Vangen, S. (2017). Risk factors for severe postpartum hemorrhage : a case-control study. BMC Pregnancy and Childbirth, 1–9. https://doi.org/10.1186/s12884-016-1217-0

Oats, J., & Abraham, S. (2017). Liewenllyn-Jones Fundamentals of Obstetrics and Gynaecology (10 th edit). Elsevier. https://doi.org/10.1136/pgmj.62.733.1069-c

Octaviani, D. A., Husin, F., Wirakusumah, F. F., Susiarno, H., Sukandar, H., & Susandi, D. (2019). Analisis Penyebab Kematian Maternal Di Kabupaten Garut (Studi Epidemiologi dalam Upaya Menurunkan Kematian Maternal di Provinsi Jawa Barat). Jurnal Kebidanan, 9(1), 30–42. https://doi.org/10.31983/jkb.v9i1.3953

Prawirohardjo, S. (2020). Ilmu Kebidanan (Edisi 4). PT.Bina Pustaka Sarwono Prawirohardjo.

Prihesti, U. S., Nurdiati, D. S., & Ganap, E. P. (2019). Tren dan Faktor Risiko Kematian Maternal di RSUP Dr . Sardjito. Jurnal Kesehatan Reproduksi, 6, 21–24. https://doi.org/10.22146/jkr.46609

Purba, N. H. (2020). Analisis dan Pencatatan Pelaporan Kematian Maternal. HIGEIA (Journal of Public Health Research and Development), 4(3), 411–422. https://doi.org/https://doi.org/10.15294/higeia.v4i3.35591

Respati, S. H., Sulistyowati, S., & Nababan, R. (2019). Analisis Faktor Determinan Kematian Ibu di Kabupaten Sukoharjo Jawa Tengah Indonesia. Jurnal Kesehatan Reproduksi, 6(2), 52. https://doi.org/10.22146/jkr.43463

Respati, S. H., Taufiq, A. C., & Sulistyowati, S. (2018). Determinant Factors affecting Maternal Death in Boyolali District. Journal of South Asian Federation of Obstetrics and Gynaecology, 10(June), 149–153. https://doi.org/10.5005/jp-journals-10006-1579

Sugiyono. (2020). Metode Penelitian Kuantitatif, Kualitatif dan Kombinasi (Mixed Methods). ALFABETA.

Sulistyono, A., & Joewono, H. T. (2020). Maternal mortality from eclampsia at tertiary referral hospital, Surabaya, Indonesia. EurAsian Journal of BioSciences, 1709–1713. https://repository.unair.ac.id/99829/1/maternal-mortality-from-eclampsia-at-tertiary-referral-hospital-surabaya-indonesia-7688.pdf

Utari, D., & Al Rahmad, A. H. (2022). Pengetahuan dan sikap ibu hamil dengan pola kepatuhan mengonsumsi tablet tambah darah di Kabupaten Aceh Timur. Jurnal SAGO Gizi dan Kesehatan, 4(1), 8-13.

Varouxaki, N., Gnanasambanthan, S., Datta, S., & Amokrane, N. (2018). Antepartum Haemorrhage. Obstetric Gynaecology and Reproductive Medicine, 28(8), 237–242. https://doi.org/https://doi.org/10.1016/j.ogrm.2018.07.001

WHO. (2020). Maternal mortality Evidence brief. 1, 1–4.

Zalvand, R., Tajvar, M., Pourreza, A., & Asheghi, H. (2019). Determinants and causes of maternal mortality in Iran based on ICD-MM: A systematic review. Reproductive Health, 16(1), 1–15. https://doi.org/10.1186/s12978-019-0676-y

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