<![CDATA[Latar Belakang: Rujukan maternal merupakan bagian penting dalam pelayanan kesehatan untuk mencegah kesakitan dan kematian ibu. Jumlah rujukan maternal di Puskesmas PONED Bunder periode 2023–2025 masih cukup tinggi sehingga perlu diketahui faktor yang berhubungan. Tujuan: Menganalisis faktor-faktor yang berhubungan dengan kejadian rujukan maternal di Puskesmas PONED Bunder Kecamatan Susukan Kabupaten Cirebon periode 2023–2025. Metode: Penelitian kuantitatif dengan desain observasional pendekatan cross sectional menggunakan data sekunder rekam medis. Sampel sebanyak 344 rekam medis diambil dengan teknik total sampling dan dianalisis menggunakan uji Chi-Square pada α=0,05. Hasil: Ditemukan 168 kasus rujukan (48,8%). Terdapat hubungan antara usia (p=0,025), paritas (p=0,034), tingkat pendidikan (p=0,002), faktor klinis (p<0,001), dan keterlambatan (p<0,001) dengan rujukan maternal. Status pekerjaan tidak berhubungan signifikan (p=0,083). Kesimpulan: Faktor klinis dan keterlambatan merupakan faktor yang berhubungan dengan rujukan maternal. Diperlukan peningkatan skrining risiko, deteksi dini komplikasi, serta edukasi kepada ibu dan keluarga. Abstract Background: Maternal referral is an important component of health services to prevent maternal morbidity and mortality. The number of maternal referrals at Puskesmas PONED Bunder during 2023–2025 was relatively high, requiring identification of associated factors. Objective: To analyze factors associated with maternal referral at Puskesmas PONED Bunder, Susukan District, Cirebon Regency, during 2023–2025. Methods: A quantitative observational study with a cross-sectional approach used secondary medical-record data. A total of 344 records were selected using total sampling and analyzed using the Chi-Square test at α=0.05. Results: There were 168 maternal referrals (48.8%). Significant associations were found for age (p=0.025), parity (p=0.034), education level (p=0.002), clinical factors (p<0.001), and delays (p<0.001). Employment status was not significantly associated (p=0.083). Conclusion: Clinical factors and delays were associated with maternal referral. Risk screening, early detection of complications, and education for mothers and families should be strengthened.]]>
