Maternal Mortality in Klaten Regency (Determinant Factors Analysis)

[摘要] Background: Failure in reducing maternalmortality has become one of the world's healthproblems. Indonesia ranks third on the list of thehighest MMR in ASEAN countries. The incidenceof maternal mortality is caused by several factors,including reproductive status, obstetric complications, health services, and socioeconomic conditions.Subjects and Method: This study was an analytic observational study using a case-controlledstudy design. The study subjects were selected byusing fixed random sampling with a total sampleof 129 people consisting of 43 cases of maternalmortality in Klaten Regency and 86 controls. Maternal mortality data were taken in Klaten Regency from 2017 to 2019. The independent variableswere pregnancy complications, delivery complications, postpartum complications, age of pregnant women, pregnancy spacing, parity, delay inmaking decisions, referral delay due to inadequate transportations, delay in handling by health workers, the quantity of ANC, maternal education, maternal occupation, and family income.The dependent variable was maternal mortalityin Klaten Regency. The data collection of this study used a questionnaire. Data analysis was carried out by univariate, bivariate, and multivariatemethods using the chi-square test. Path analysisand descriptive analysis were performed and presented in narrative form.Results: The delay in making decisions increases with family income below the city minimumwage (OR = 1.69; p = 0.09). Referral delay increases with family income below the minimumwage (OR = 1.73; p = 0.08). Maternal mortalityincreased with delay in decision making (OR = 5.-28; p = 0.00), quantity of ANC (OR: 2.37; p: 0.-02), income (OR: 3.92; p: 0.00), delivery complications (OR: 2.71; p: 0.01) ), postpartum complications (OR: 6.33; p: 0.00). Maternal mortalitywas indirectly affected by income.Conclusion: Pregnancy complications, deliverycomplications, postpartum complications, ANCexaminations, delay in making decisions, delay inreaching the referral place, maternal educationand income are associated with an increased riskof maternal mortality. While, maternal age, parity, pregnancy spacing, delay in handling by health workers, and maternal occupation have no significant association with maternal mortality.

[学科分类] 食品科学和技术

[关键词] Determinant Factors;MaternalMortality;Klaten Regency