RISK FACTOR FOR NEAR MISS AND MATERNAL MORTALITY AT TEACHING HOSPITAL MAKASSAR CITY PERIOD OCTOBER 2018-OCTOBER 2019

Authors

  • Stefannus Wibisono Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University, Makassar Author
  • Mardiah Tahir Social Obstetrics and Gynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University, Makassar Author
  • Deviana S Riu Maternal-Fetal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University, Makassar Author
  • Firdaus Hamid Department of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar Author
  • Umar Malinta Social Obstetrics and Gynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University, Makassar Author
  • Nursanty Padjalangi Social Obstetrics and Gynecology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University, Makassar Author

DOI:

https://doi.org/10.61841/dzhyqy71

Keywords:

Risk Factors, Near Miss, Maternal Mortality

Abstract

Maternal near miss has similar characteristics to the incidence of maternal death. Women who experience maternal near miss events can provide accurate information that describes the situation during pregnancy, childbirth, and postpartum complications. By examining near-miss events, information about risk factors and factors that need to be avoided can be identified so that it does not cause death. This study aims to assess the effect of labor risk factors on near misses and maternal mortality. The method is a hospital-based case control study to assess risk factors for near misses and maternal mortality. Data is taken from all mothers giving birth above 20 weeks of pregnancy who experienced near misses and maternal deaths in the education network hospital Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University, Makassar. A total sample of 76 people for inclusion criteria and 76 people as controls, namely mothers giving birth with mild to moderate complications. Controls were selected according to age and hospital for the same inclusion criteria. Data were collected using a questionnaire and analyzed logistic regression with SPSS. The results show there were 67 near-miss events and 9 maternal deaths from 10 October 2018 to 9 October 2019. Logistic regression analysis found that there was an influence of poor nutritional status (p <0.001), pre-existing disease (p <0.001), preterm gestational age (p <0.001), mode of delivery SSTP (p <0.001), less ANC visit (p <0.001), low level of education (p <0.001), and low socio-economic (p 0.01) for near miss and maternal mortality. This study concludes there is a relationship between poor nutritional status, pre-existing disease, preterm gestational age, mode of delivery SSTP, fewer ANC visits, low level of education, and low socio-economic status towards the incidence of near misses and maternal death. 

Downloads

Download data is not yet available.

References

1. Ali Abdelaziem et al. (2011). Maternal Near Miss In A Rural Hospital In

Sudan.http://www.biomedcentral.com/content/pdf/1471-2393-11-48.pdf, [online]. diakses tanggal 13

Januari 2020.

2. Badan Pusat Statistik provinsi Sulawesi Selatan. 2018. Provinsi Sulawesi Selatan dalam Angka 2018.

Makassar:

3. Chauhan, Prabha. et al. 2011. Rural Epidemiology of Maternal Mortality in Tribal women from Bastar

Chhattisgarh, India. http://www.biomedscidirect.com/journalf iles/IJBMRF2011382/rural_epi

emiology_of_maternal_mortality_in_trib al_women_from_bastar_chhattis arh_india.pdf [online]. diakses

tanggal 13 Januari 2020.

4. Cross, S., Bell, J. S., & Graham, W. J. 2010. What you count is what you target: The implications of

maternal death classification for tracking progress towards reducing maternal mortality in developing

countries. Bulletin of the World Health Organization.

5. Cunningham, F. G., Leveno, K. J., Bloom, S. L., Hauth, J. C., Gilstrap, L., & Wenstrom, K. D. (2014).

Pregnancy Hypertension. Dalam F. G. Cunningham, K. J. Leveno, S. L. Bloom, J. C. Hauth, L. Gilstrap,

& K. D. Wenstrom (Penyunt.), Williams Obstetrics (24th Edition ed.). New York: The McGraw-Hill

Companies.

6. Ewnetu Firdawek Liyew, Alemayehu Worku Yalew, and Birgitta Essén. 2018. Maternal near miss and

the risk of adverse perinatal outcomes : a prospective cohort study in selected public hospitals of Addis

Ababa, Ethiopia. BMC Pregnancy Childbirth. 2018; 18: 345.

7. Jahan, S., Begum, K., Shaheen, N., & Khandokar, M. 2006. Near-Miss/Severe acute maternal morbidity

(SAMM): A new concept in maternal care. Journal of Bangladesh College of Physicians and Surgeons,

24(1), 29–33.

8. Kementrian Kesehatan. 2015. Profil Data Kesehatan Indonesia Tahun 2015. Jakarta: Kementerian

Kesehatan RI.

9. Litorp H, Rööst M, Kidanto HL, Nyström L, Essén B. 2016. The effects of previous cesarean deliveries

on severe maternal and adverse perinatal outcomes at a university hospital in Tanzania. Int J Gynecol

Obstet. 2016;133(2):183–7.

10. Maswime, S., Buchmann, E.J. 2017. Why women bleed and how they are saved: a cross-sectional study

of caesarean section near-miss morbidity. BMC Pregnancy Childbirth. 2017; 17: 15.

11. Mekango DE, Alemayehu M, Gebregergs GB, Medhanyie AA, Goba G. 2017. Determinants of maternal

Near miss among women in public hospital maternity wards in Northern Ethiopia: A facility-based casecontrol study. PLoS One. 2017;12(9):e0183886. Published 2017 Sep 8.

doi:10.1371/journal.pone.0183886

12. Melissa Bauserman, Adrien Lokangaka, Vanessa Thorsten. 2015. Risk factors for maternal death and

trends in maternal mortality in low- and middle-income countries: a prospective longitudinal cohort analysis. Reproductive Health 2015, 12(Suppl 2):S5

13. Mulugeta Dile Worke, dkk. 2018. Magnitude of maternal near misses and the role of delays in Ethiopia: a hospital-based cross-sectional study. Worke et al. BMC Res Notes (2019) 12:585

14. Profil Dinas Kesehatan Provinsi Sulawesi Selatan tahun 2018

15. Profil Kesehatan Indonesia Tahun 2015. 2016. 2018 Jakarta: Kementerian Kesehatan Republik Indonesia

16. Say, L., Chou, D., Gemmill, A., Tunalpzge, Moller, A. B., Daniels, J.,... Alkema, L. 2014. Global causes of maternal death: A WHO systematic analysis. The Lancet Global Health, 2(6).

Downloads

Published

31.05.2020

How to Cite

Wibisono, S., Tahir, M., S Riu, D., Hamid, F., Malinta, U., & Padjalangi, N. (2020). RISK FACTOR FOR NEAR MISS AND MATERNAL MORTALITY AT TEACHING HOSPITAL MAKASSAR CITY PERIOD OCTOBER 2018-OCTOBER 2019. International Journal of Psychosocial Rehabilitation, 24(3), 3979-3990. https://doi.org/10.61841/dzhyqy71