scholarly journals An Analysis of Maternal Death’ Cause in Bandung City (Epidemiology Study in Efforts to Lower Maternal Mortality Rate in West Java Province)

2020 ◽  
Vol 9 (2) ◽  
pp. 1370-1379
Author(s):  
Hartinah Hartinah ◽  
Innama Sakinah ◽  
Tita Husnitawati Madjid ◽  
Hadi Susiarno ◽  
Sukandar Hadyana ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Epidemiology Study ◽  
Factors Associated ◽  
Danger Signs ◽  
History Of ◽  
Low Levels ◽  
Level Of Understanding ◽  
Late Referral ◽  
In Pregnancy

The results showed that the factors associated with maternal mortality based on the analysis were history of ANC (OR = 37.4; 95% CI: 9.5 - 313.6; p = 0.012), place of death (OR = 21.5; 95% CI: 2.5 - 188.5; p = 0.001), Health Facility (OR = 21.5; 95% CI: 2.5 - 188.5; p = 0.001), Non-referral case (OR = 91.2; 95% CI: 11.1 - 750; p = 0.001), delay in referral (OR = 122.1; 95% CI: 14.7 - 1010.2; p = 0.001). The results of the qualitative study showed that maternal mortality was affected by several factors, such as the low level of understanding of danger signs in pregnancy, labor and childbirth, low levels of late referral by overdue family decisions. 

Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Rural Areas ◽  
Geographic Location ◽  
Sub Saharan Africa ◽  
World Health ◽  
Cross Sectional ◽  
Danger Signs ◽  
In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

scholarly journals Evaluation of maternal and fetal outcome in pregnancies complicated by jaundice-an observational study

2021 ◽  
Author(s):  
Ruchi Kishore ◽  
Neha Thakur ◽  
Mitali Tuwani
Keyword(s):  
Mortality Rate ◽  
Observational Study ◽  
Maternal Mortality ◽  
Viral Hepatitis ◽  
Hellp Syndrome ◽  
Fetal Outcome ◽  
Maternal Outcome ◽  
Fetal Mortality ◽  
Maternal Mortality Rate ◽  
In Pregnancy

Background: The spectrum of jaundice in pregnancy varies from a benign condition with good maternal and fetal outcome to a severe form resulting in liver failure and maternal and fetal mortality. Jaundice may complicate 3-5% of pregnancies. Present study was aimed to analyze the cause, course and impact of jaundice during pregnancy so as to have better understanding and hence better feto-maternal outcome. The present study aimed to analyze the various causes of hepatic dysfunction in pregnancy, maternal and fetal outcome in pregnancies complicated by jaundice and various hematological and liver function variables for predicting maternal and fetal outcome.Methods: The present study was an observational study conducted in the department of obstetrics and gynecology, Pt. JNM medical college and associated Dr. BRAM hospital, Raipur (CG) over period of 2 year from September 2018 to September 2020.Results: Total 0.72% pregnancies were complicated by jaundice. HELLP syndrome was the commonest cause of jaundice in pregnancy (36.7%), followed by viral hepatitis (32.7%). Hepatitis E was the most common type of viral hepatitis (91.8%). Hemolytic jaundice presented with best maternal outcome (maternal mortality rate 8.6%). Worst maternal outcome was seen in AFLP (maternal mortality rate 100%). Best fetal outcome was seen in viral hepatitis (live birth rate 67.6%), whereas worst noted with AFLP (fetal death rate 66.6%). Higher total serum bilirubin, higher serum AST, anemia and deranged INR had significant correlation with maternal mortality.Conclusions: HELLP syndrome and viral hepatitis are preventable causes of jaundice yet it contributed to significant proportion of maternal deaths in 26.5 and 18.5% cases respectively. AFLP is often under diagnosed and had a fulminant course in pregnancy causing maternal and fetal mortality.

scholarly journals Maternal complications and risk factors for mortality

2020 ◽  
Author(s):  
Sulis Diana ◽  
Chatarina Umbul Wahyuni ◽  
Budi Prasetyo
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Maternal Mortality ◽  
Occupational Status ◽  
Simple Random Sampling ◽  
Dominant Factor ◽  
Childbearing Age ◽  
Maternal Complications ◽  
History Of ◽  
Late Referral

Background: Maternal mortality could be prevented through early detection, including the period preceding pregnancy. Women of childbearing age are faced with extreme uncertainties, hence the purpose of this study was to analyse maternal complications and the possible high-risk factors connected to maternal mortality.Design and methods: A case-control study was used to study the causes of maternal mortalities amongst pregnant, delivering, and postpartum mothers between 2017 and 2018. A total sample size of 48 samples was selected through simple random sampling. Results: The result of logistic regression analysis showed nutritional status, prominence of anemia, history of illness, age, antenatal care ANC examination, method of delivery, late referral, occupational status, as well as postpartum complications, as the most influencing risk factors. This very high significance for maternal mortality was based on the chi-square value of 109.431 (p equal to 0.000), and R square (0.897). Conclusions: In conclusion, the potential risk factors of maternal mortality include nutritional status, state of anemia, history of illness, age, ANC examination, delivery method, late referral, occupational status, and pregnancy complications, which is specifically the most dominant factor.

scholarly journals Mengenal Tanda-Tanda Bahaya Kehamilan di Puskesmas Pakuan Baru Kota Jambi

2021 ◽  
Vol 3 (1) ◽  
pp. 52
Author(s):  
Ria Febrina
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Community Service ◽  
Health Workers ◽  
Obstetric Complications ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Danger Signs

Maternal Mortality Rate (MMR) in Indonesia is still high compared to other ASEAN countries. MMR in Indonesia according to the 2017 Indonesian Demographic and Health Survey (IDHS) is 305 per 100,000 live births. The global target of SDGs (Suitainable Development Goals) is to reduce the Maternal Mortality Rate (MMR) to 70 per 100,000 live births. While in Jambi Province in 2017 recorded maternal deaths were 29 cases. Maternal deaths that occur during 90% of pregnancy are caused by obstetric complications. Direct obstetric complications are bleeding, infection and eclampsia. Indirectly maternal mortality is also influenced by delays at the family level in recognizing danger signs of pregnancy and making decisions to immediately seek help. Delay in reaching health facilities and assistance in health service facilities. Pregnancy danger signs must be recognized and detected early so that they can be handled properly because any danger signs of pregnancy can lead to pregnancy complications. Therefore it is necessary to provide counseling to improve the knowledge of pregnant women about the danger signs of pregnancy. This community service activity was carried out by Pakuan Baru Kota Jambi Public Health Center. The time of implementation in April 2020. The target is pregnant women. Community service methods include a survey and lecture approach. The results obtained are pregnant women able to understand the danger signs of pregnancy. It is recommended for health workers to continue to provide education related to pregnancy to pregnant women

The relationship between age and parity and the occurrence anemia in pregnant women at Umbulharjo II Primary Health Center in 2018

2020 ◽  
Vol 1 (3) ◽  
pp. 38-42
Author(s):  
Fijri Rachmawati ◽  
Dhesi Ari Astuti
Keyword(s):  
Data Analysis ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Health Center ◽  
Significant Relationship ◽  
P Value ◽  
Primary Health Center ◽  
Primary Health ◽  
The Relationship ◽  
In Pregnancy

The maternal mortality rate in Indonesia is still high at 359 of 100,000 live births, the cause of death on mothers in Indonesia is 30,3% of bleeding, 27,1% of eclampsia, 7,3% of infection, 5% of prolonged labor, 5% of abortion and 25,3% of others. Bleeding is still ranked first as a contributor to the high maternal mortality rate and anemia is one of the causes of bleeding. This study aimed to determine the relationship between age and parity and the anemia in pregnant women in Umbulharjo II Primary Health Center. The design of this study was analytical with a cross sectional approach which analyzed the anemia based on secondary data at Umbulharjo II Public Health Center in 2017. Data analysis used chi-square and Regression Logistic using SPSS 22 for Windows with p-value 0.05 and 95% of CI. The result of data analysis obtained p-value of age (0,021 <0,05), (OR=2,357, 95% of CI, (1,219-4,557) and p value of parity (0,042 <0,05), (OR =2,204, 95% of CI, (1,123-4,325). In conclusion, age had a significant relationship with the occurrence anemia in pregnancy and parity had a significant relationship with the occurrence anemia in pregnancy.

scholarly journals Risk factors associated with hypertensive disorders in pregnancy in Nekemte referral hospital, from July 2015 to June 2017, Ethiopia: case-control study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Leta Hinkosa ◽  
Almaz Tamene ◽  
Negeso Gebeyehu
Keyword(s):  
Risk Factors ◽  
Case Control Study ◽  
Case Control ◽  
Hypertensive Disorders Of Pregnancy ◽  
Positive History ◽  
Factors Associated ◽  
Hypertensive Disorders ◽  
History Of ◽  
Control Study ◽  
In Pregnancy

Abstract Background Hypertension is the most common medical problem encountered in pregnancy and is a leading cause of perinatal and maternal morbidity and mortality. However, its magnitude and risk factors yet not adequately assessed at the study area. Methods Facility-based retrospective unmatched case-control study was conducted to identify risk factors associated with Hypertensive disorders of pregnancy in Nekemte Referral Hospital just two years back from study period July 1, 2015, to June 30, 2017. Bivariate logistic regression was considered for inclusion in to the multivariate logistic regression. Finally, multi varaite analysis were done to identify risk factors of hypertensive disorders of pregnancy. Results Among 6826 total delivery records from July 2015 –June 2017, 199 women developed hypertension during pregnancy. Among 199 women 153(76.9%) were pre-eclampsia/eclampsia,28(14.1%) were gestational hypertension, 14(0.7%) were superimposed hypertension and 4 (2.9%) were chronic hypertension. Age ≥ 35 (AOR: 2.51, 95% CI: 1.08, 5.83), rural residential area (AOR: 1.79, 95% CI: 1.150, 2.799), prim gravida (AOR: 3.39, 95% CI: 2.16, 5.33), null parity (AOR: 4.35, 95% CI: 2.36, 8.03), positive history of abortion (AOR: 4.39, 95% CI: 1.64, 11.76), twin pregnancy (AOR: 3.78, 95% CI: 1.52, 9.39), lack of ANC follow up (AOR: 3.05, 95% CI: 1.56, 5.96) as well as positive pre-existing hypertension (AOR: 3.81, 95% CI: 1.69, 8.58), positive family history of hypertension (AOR: 5.04, 95% CI: 2.66, 9.56) and positive history of diabetes mellitus (AOR: 5.03, 95% CI: 1.59, 15.89) were risk factors for hypertensive disorders during pregnancy. Conclusion This study found that Women with hypertension during pregnancy have a greater risk of developing adverse pregnancy outcome as compared to normotensive pregnant women. so, identification of these risk factors would be useful for early diagnosis of hypertension disorders during pregnancy to give appropriate clinical monitoring and treatments and timely managing maternal and perinatal complications.

scholarly journals Pengetahuan terhadap Sikap Ibu Hamil tentang Tanda Bahaya Kehamilan Trimester III

2021 ◽  
Vol 7 (1) ◽  
pp. 22
Author(s):  
Rabia Zakaria ◽  
Raflin Kadir
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Significant Relationship ◽  
Survey Method ◽  
Third Trimester ◽  
Maternal Mortality Rate ◽  
Danger Signs ◽  
Consecutive Sampling ◽  
Trimester Pregnancy

Indonesia is one of the developing countries in Southeast Asia with a high maternal mortality rate. One of the causes of the high maternal mortality rate is pregnancy complications that can appear through pregnancy danger signs. Danger signs of pregnancy are signs that indicate danger that can occur during pregnancy or the antenatal period, which if not detected can cause death. This study aims to determine the relationship between knowledge and attitudes of pregnant women about the danger signs of third-trimester pregnancy in one area of Central Indonesia. This study used an analytical survey method with approach cross-sectional. The sample in this study was 23 pregnant women. The sampling technique used was the consecutive sampling method. The consecutive sampling study was conducted in February - March 2020. The results showed a significant relationship between knowledge of the attitudes of pregnant women about the danger signs of third-trimester pregnancy. The conclusion in this study is that there is a significant relationship between knowledge of the attitudes of pregnant women about the danger signs of third-trimester pregnancy.

scholarly journals Analisis Faktor Risiko Kejadian Preeklampsia Berat Di Rsud Rujukan Kabupaten Dan Provinsi Kalimantan Tengah

2017 ◽  
Vol 3 (1) ◽  
pp. 19-37
Author(s):  
Legawati Legawati ◽  
Nang Randu Utama
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Gestational Age ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
History Of ◽  
Mother’S Age

The maternal mortality rate (MMR) and infant mortality rate (IMR) is a barometer of a country's health services. In developed countries, the incidence of severe preeclampsia and eclampsia ranges from 6-7% 0.1 to 0.7%. While the maternal mortality rate due to pre-eclampsia and eclampsia in developing countries is still high (Betty & Yanti, 2011). To analyze the risk factors of weight in Pre eclampsia Referral Hospital Sultan Imanudin Pangkalan Bun and Dr. Doris Sylvanus Palangkaraya. This was an observational study conducted using a cross sectional study design. A cross-sectional study is when the influence of independent variables (exposure) and the dependent variable (effect) is observed and measured at the same time. Based on multivariable logistic regression analysis of factors affecting the risk factors PEB is the mother's age, education, gestational age, parity, ANC. Factors unrelated significantly is work, spacing, PE history, history of diabetes, Gemelli, economic and social decision-making. Factors that increase the risk of PEB is the mother's age, education, occupation, gestational age, parity, history of PE, the ANC and the social economy. Factors unrelated significantly is spasing, history of diabetes, Gemelli, and decision making. For pregnant women can do a pregnancy without looking at risk factors for PEB or no risk factors, to see some of the risk factors determinants. For health workers to carry out pregnancy tests with a focus on the pregnancy.

scholarly journals Gambaran Determinan Kematian Ibu di Kota Surabaya Tahun 2015-2017

2019 ◽  
Vol 7 (2) ◽  
pp. 178
Author(s):  
Hazar Rochmatin
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Health Workers ◽  
Early Recognition ◽  
Secondary Data ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Second Child ◽  
History Of ◽  
High Level

Maternal mortality rate is one of indicator in assessing the welfare of the community in a region. The high level of Maternal Mortality Rate is a low level signals of public health. Data on maternal mortality in the city of Surabaya shows a decrease in the last 6 years from 144.66 in 2012 to 79.40 in 2017. Although it has shown a decline in progress, this figure still puts Surabaya as the second largest contributor to maternal deaths in East Java in 2017. The study aims to describe the determinants of maternal mortality in Surabaya based on contextual, intermediate and proxy determinants for 2015-2017. This research is descriptive by using secondary data in the form of recapitulation of Maternal Verbal Autopsy (OVM) data on maternal deaths at Surabaya City Health Office The results showed that based on education, the majority of mothers who died had secondary education of 52.29% (57 people). Based on work, the majority of mothers have jobs as housewives of 68.81% (75 people). Based on the age of the mother, the majority of deaths occurred in women aged 20-34 years with a percentage of 66.97% (73 people). According to parity, the majority of mothers who died occurred during pregnancy of the second child by 31.19% (34 people). Based on the period of death, the majority occurred in the puerperium with a percentage of 66.97% (70 people). According to the cause of single death, the majority of maternal deaths were caused by pre-eclampsia/eclampsia with a percentage of 26.61% (29 people). This study recommends the need for early recognition of mothers about antenatal care and danger during pregnancy, childbirth and the puerperium period and increased alertness of health workers to complications of pregnancy, especially in mothers with a history of disease.

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