1Midwifery Lecture, University of Muhammadiyah
2Publich Health Lecture, University of Muhammadiyah, Semarang
*Corresponding author: Dewi Puspitaningrum Email: dewipuspita@unimus.ac.id Phone: +6282136001683 Kedungmundu Raya Street No.18, Semarang, Central Java, Indonesia
Online published on 7 December, 2018.
Maternal Mortality Rate (MMR) is among health indicators in Indonesia. According to IDHS, in 2012 MMR increased to 359 maternal deaths per 100, 000 live births but according to SUPAS in 2015, MMR decreased to 305 maternal deaths per 100, 000 live births. Maternal Mortality Rate (MMR) in Semarang city is mostly (77%) caused by puerperium. The purpose of this study is to investigate factors affecting maternal mortality in pregnancy, labor and high risk particularly in Semarang City.
This study was conducted in Semarang City of 37 Puskesmas, conducted surveys and observations by using screening for pregnancy women, labor, postpartum and analyzed bivariate and multivariate with logistic regression.
The factors correlations with premarital screening were maternal secondary infertility risk p-value 0.013 and postpartum haemorrhage with placental retention with p-value of 0.04. The most influential factors with premarital screening that were only partially weakly affected were pregnant with chronic hypertension (OR = 0.39), delivery with history of SC (OR = 0.14), postpartum with placental retention (OR = 0.09) and secondary infertility (OR = 0.05)
Factors influencing high risk for women an effect on morbidity and mortality, in this case are infections in postpartum women with a frequency of 92.4%. So it is very necessary promotion and preventive efforts with appropriate health care for women preconception. As well as the existence of a comprehensive program premarital with attention to patient privacy and approval of both patients.
Pregnancy, Labor, Postpartum, High Risk, Screening
