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Collaborative Intervention Assistance Model In An Effort To Increase The Quality Of Pregnant Women Services To Reduce Maternal Mortality In Padang City Adnani, Syahredi; Rizanda Machmud; Dwiana Ocviyanti
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 2 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.2.667-674.2024

Abstract

Background : Maternal death, as defined by WHO, includes deaths during pregnancy or within 42 days postpartum due to pregnancy-related causes. The Maternal Mortality Rate (MMR) quantifies maternal deaths per 100,000 live births. A key target of the Millennium Development Goals (MDGs) was reducing the MMR by three-quarters between 1990 and 2015, aiming for a global rate under 70 per 100,000 by 2030. In Indonesia, the 2012 Demographic and Health Survey reported an MMR of 359 per 100,000 live births, with West Sumatra at 212 per 100,000. Objective : This study employs a mixed-method approach, focusing on pregnant women visiting health centers in Padang City, to assess an intervention model. Result : Maternal mortality in Indonesia is mainly caused by bleeding, eclampsia, and infections, with contributing factors including delayed care access, socio-cultural, educational, and economic challenges. Significant health issues include hypertensive disorders, diabetes, acute kidney injury, jaundice, and thyroid disease. Low educational and economic levels in rural areas correlate with higher maternal morbidity and mortality. Government efforts, such as the Maternity Guarantee (Jampersal) and the Maternal and Child Health (KIA) Handbook, aim to improve maternal health but face challenges due to poor resource utilization. Conclusion : Indonesia struggles to meet maternal mortality reduction targets, with rates high compared to other Asian countries. Effective interventions must address both direct and indirect causes of maternal deaths, improve education and economic conditions, and enhance healthcare access. Government programs show promise but require better implementation and community engagement to reduce maternal mortality rates effectively.
Factors Associated with Maternal Mortality in The Central General Hospital Dr. M. Djamil Padang 2020-2021 Saddam, Fuad; Adnani, Syahredi
Andalas Obstetrics And Gynecology Journal Vol. 6 No. 2 (2022)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.147-151.2022

Abstract

Objective: To Know factors of cause maternal mortality at Dr. M. Djamil Central General Hospital in Padang during the period January 1st , 2020 - December 31st, 2021. Method: This study used a retrospective analytic design with a cross sectional study design and used logistic regression to know the role of factors maternal mortality. Determination of the sample using total sampling. Conducted review using a reference register book, medical records, for 2 years from January 1st, 2020 – December 31st, 2021 at the Department of Obstetrics and Gynecology, Dr. M. Djamil. Results: Selection of variables with chi-square bivariate analysis (p < 0.25) between maternal mortality with; obstetric emergency (p=0.039), comorbidities (p=0.587), maternal age (p=0.064), maternal education (p=0.920), parity (p=0.735), intensive care (p=0.000), and operative procedure. (p=0. 000). Multivariate analysis (p<0.05) to determine the most dominant factor; obstetric emergency (p=0.143), maternal age (p=0.269), intensive care (p=0.753) and operative procedures (p=0.000). Then test by removed the intensive care, and maternal age factors, the results of the operative procedure were obtained before (p=0.000, OR=161.158, 95% CI=12,343-2104,177) and after (p=0.000, OR= 133,368). Conclusion: obstetrics emergency, maternal age, intensive care, and operative procedure are factors that cause maternal mortality at Dr. M. Djamil Central General Hospital in Padang. Operative procedure is the most dominant factor causing 161 times greater maternal mortality.