<![CDATA[Maternal mortality is still a priority problem that has not yet found an effective solution that makes it a patent formula in preventing maternal mortality in every region in Indonesia. Cases of late referrals are one of the main problems of maternal and infant mortality in Indonesia. Maternal and infant deaths can be caused by services in health facilities that have not been maximized, there are delays in referral services, resulting in very late patients arriving at referral service facilities. The purpose of the study was to determine the determinants of referral decisions by families in high-risk pregnant women. By knowing the factors causing the delay in referral, interventions can be carried out. In this study using the Systematic Literature Review method. 6 articles from 20 articles were found that fit the journal's selection inclusion and exclusion criteria, with a search period of 2019 to 2022. From these journals, it can be analyzed that the factors causing the delay in family decisions for referral of high-risk pregnant women include: f knowledge actors, f economic actors, f motivational / desire actors, f socio-cultural actors, actors access to health services , f Actors of health care officers and facilities.]]>
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