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Dewi Susanti
Jurusan Teknik Kimia, Fakultas Teknik, Universitas Wahid Hasyim Jl. Menoreh Tengah X/22, Sampangan, Semarang 50236
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Journal : Jurnal Ners

 1 
Analysis of Risk Factors for Pregnancy Complications Based on Maternal and Child Health Data in Primary Midwifery Services Susanti, Dewi
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55558

Abstract

Pregnancy complications remain a major challenge in maternal health care, particularly in the obstetric referral system from primary health care facilities. The high number of referrals often reflects the presence of undetected or inadequately managed maternal risk factors from the outset. This study aims to identify maternal risk factors associated with pregnancy complications in obstetric referral cases from Basic Emergency Obstetric and Neonatal Care (PONED) facilities throughout 2025. This study used a quantitative approach with an analytical observational design based on secondary data, which was analyzed through bivariate tests and multivariate logistic regression to identify independent risk factors. The results showed that severe preeclampsia was the most dominant referral indication, while hypertension in pregnancy, maternal anemia, gestational age less than 37 weeks, and a history of obstetric complications were significantly associated with the occurrence of pregnancy complications. After controlling for confounding variables, hypertension in pregnancy and maternal anemia remained the most consistent risk factors. These findings confirm that maternal clinical conditions play an important role in determining the level of obstetric urgency and the need for referral. Conceptually and practically, these results contribute to strengthening the risk-based antenatal care approach at the primary care level and provide an empirical basis for strengthening early detection, referral decision-making, and efforts to prevent pregnancy complications to improve maternal safety
Co-Authors ', Zulirfan Abdul Rozaq Achmad, Himawan Adi Rahmat Adinugraha, Yudha Afrida Harahap, Dedek Afrida, Dede Alsri Windra Doni Amriani Amir Anggalia, Revikha Anjani, Fidha Merry Annurrahman, Annurrahman Anugrah Ayumaharani Anugrah Ayumaharani Widianingsih, Anugrah Ayumaharani Ariesta, Ria Arnetty, Arnetty Arono Aslan Sari M.Si SP. Thesiwati Astriningrum, Dita Ayu, Yusmaini Ayumaharani Widyaningsih, Anugrah Dewi Mulyani Dinaryanti, Ratna Sari Dita Astriningrum Drs. H.Damanhuri Daud, Drs. H.Damanhuri Drs. Ridwan Ahmad Dwi Lantiani Elda Yusefni Elly Junalia, Elly Eni Nuraeni Eni Nuraeni Erwani Erwani, Erwani Evi Hasnita Fahira, Alya Hanifa Faizah, Rahma Fakhruddin Z Fatiatun, Fatiatun Fitri Husni Mardiyah Gustimal Witri Hafizhurrahman, Muhammad Reza Handayani, Sri Harahap, Dedek Afrida Hardinto, Raden Kelik Hardisman Hariati Hariati Hasanah, Nadhatul Nurul Hasanah, Nursifa Hayat, Silvia Salsabila Hayati, Neni Fitra Hermanto, Andryan Maulana Husni Mardiyah, Fitri I Nyalung, Yanson Ifitri, Ika Ifriqia, Fartika Irwani Zawawi Khoerunnisa, Rani Siti Khofifah, Rosa Nur Kusnadi Kusumandari, Rahma Kusumastuti, Mimin Nurjhani Kusumawardani, Diny lantiany, dwi Lesmana, Belda Nurmultiefa Listiani, Cynthia Yoga Maharani, Anisa Mahdalena Mahdalena Maimunah Maimunah Masniladevi, Masniladevi Masythah, Irma Maulana, Akmal Meilansari, Putri Indah Mrs Sariwulan Diana Mrs Yanti Hamdiyati Mudjiran Mudjiran Muhammad Faisal Muhammad Faizal Muhsinin, Siti Zuraida Mumtaz, Hana Murwantoko . Musa, Ahmad Musniati, Musniati Nani S. Rahayu Nastasya, Ricca Olivia Niken Titi Pratitis Nofasari, Erlinda Nofriani Fajrah, Nofriani novianto, hendri Nurlia, Restu Vivy Nursyamsiar Tirtowati Oemar, Fahmi Oktavia, Alfonsa Reni Otang Kurniaman Panjaitan, Arop Ria Saulina Patriantoro . Pitaloka, Mawar Diah Ponda, Aprizal Pratiwi, Esti Rizkiana Pujilestari, Mey Purba, Neni Marlina BR Putri, Rinta Twin Utami rahman, hafit Rahmat Kartolo Rahmi Andrita Yuda Rahmi, Nurfadhilah Ramadhan , Fikri Ramadhani Rini Setyowati, Rini Rizaldyaji, Aldinanda Rizanda Machmud Rohaetin, Sri Rois, Moh. Roosita Diana Rotua Sumihar Sitorus Rustam, Yefrida Sari, Wulan Mayang Sefna Rismen Sibarani, Asni Sinambela, Megawati Sirait , Reni Aprinawaty Sirait, Reni Aprinawaty Siti Khoerunnisa, Rani Soebiantoro, Ugy Sri Hartati Sudarmiani Sudarmiani, Sudarmiani Sugiyono . Sulistio, Retno Suparman, S Suprapto, Wasis Supriyanti, Lily supriyanto, dedy irawan SUTIKNO Sutopo A. Wibowo Syarifah Nur Siregar Syarifah, Syifa Tri Suratno Tri Wardani, Rianti Triana, Heny TRIANINGSIH, DEVI Trisna, Eva Triyono Triyono Utomo, Muhamad Tridhal Dadi Verawati, Anisa Victor Trismanjaya Hulu Villia Anggraini Wahyudi, Agung Susilo Warman, Anses Widaningsih, Wiwin widuri, kinanti kusuma Wijaya, Ferry Winedar, Chusma Candra Yanti, Meyi Yantri Maputra Yundari, Yundari Yusrawati Yusrawati Zurianti, Renita Eka Zuryanty, Zuryanty