PENYEBAB KEMATIAN IBU DI KABUPATEN KULON PROGO YOGYAKARTA
PENYEBAB KEMATIAN IBU DI KABUPATEN KULON PROGO YOGYAKARTA
2015-11-30
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Article
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Indonesia’s maternal mortality was about 246/100,000 live births in 2007. It was still far from the target of achieving the MDG ‘s in 2015 that is 125 /100,000 live births . Data were obtained from the Department of Family Health Section Kulon Progo. It was found that maternal mortality in Kulon Progo was rising , although it was still below than the figure of Yogyakarta Province , namely 70/100,000 live births in 2010 , it was rising to 105/100,000 live births, and in the year to 2012 it was declined to 53/100,000 live births , and it was increased again to 132/100,000 live births in 2013 .
The aimed of this study was to describe the maternal mortality that occurred in Kulon Progo regency ranging from years 2009 – 2013 which it was included obstetric complications , reproductive factors , socio-economic and health services .
This study was using descriptive study with cross sectional, it was conducted in Kulon Progo Regency Health Office . The subjects were women who died during pregnancy until 42 days after giving birth regions in Kulon Progo in the years 2009-2013 . The collection of data were obtained from the Perinatal Maternal Audit report . This study was using descriptive analysis of the data revealed .
During the years of 2009-2013 there were 30 cases of maternal mortality in Kulon Progo . The most direct obstetric causes of maternal death were obtained preeclampsia / eclampsia ( 23.34 % ), and than infection ( 16.67 % ), amniotic fluid embolism ( 6.67% ), atonic ( 6.67% ) and bleeding ( 3.33%) . Most obstetric complications was not directly caused by heart disease ( 20 % ) . Based on the maternal reproductive factors , most maternal died on healthy reproductive age ( 20-30 years ) as much as 66.67 % and the risk parity ( 1 and > 3 ) as much as 70 % , Socio-economic terms , the majority of mothers basic education (elementary / junior high school equivalent) is 50% . Mothers who died in health facilities as much as 96.67 % and largely attended by health workers is 96.67 % .
Most maternal mortality were occurred in health facilities , assisted by skilled health personnel , mostly routine antenatal care , died at the age of 20-30 years with parity 1 or > 3 , most maternal mortality with basic education , and poor families , most of them have a history of illness . The main cause were preeclampsia / eclampsia and heart disease .
Keywords : Causes of maternal mortality , maternal mortality.