Determinan Asuhan Kebidanan di Puskesmas yang Berhubungan dengan kematian maternal

PRATIWI, DEWI RATNA (2015) Determinan Asuhan Kebidanan di Puskesmas yang Berhubungan dengan kematian maternal. Other thesis, Universitas Sebelas Maret.

[img]
Preview
PDF
Download (106Kb) | Preview

    Abstract

    Determinant Midwifery Care In The Primary Health Care Related Maternal Mortality Dewi Ratna Pratiwi. S021308016. Midwifery Care In The Primary Health Care Related Maternal Mortality. TESIS. First Supervisor: Supriyadi Hari Respati, Second Supervisor: Ari Natalia Probandari. Public Health Study Program, Graduate Program, University of Sebelas Maret ABSTRACT Background: Based on the Indonesian Demographic Health Survey (IDHS) in 2012 MMR in Indonesia increased compared to the data IDHS 2007, and is still the highest in Asia. Central Java Province is one of the 9 provinces in Indonesia which donated the highest MMR in Indonesia. AKI in Banyumas in 2013 has increased and the figure is still higher than the target of AKI in Central Java province . The purpose of this study is to investigate the determinants of midwifery care is integrated antenatal, postnatal intranatal dam at the health center associated with maternal mortality in Banyumas 2013-2014 . Subjects and Methods: The study was an observational case- control design with the midwife who worked in the region work District Health Office of Banyumas. Sampling was done by Two Stage Cluster Sampling and disproportionate stratified random sampling, comparison of cases and controls is 1:1 so that the number of subjects in this study is 122. The bivariate analysis using Chi-Square with Odds Ratio (OR), using multivariate logistic regression Analsisis and stratified analysis using the Mantel Haenzel. Results: The bivariate analysis showed no relationship between the provision of antenatal care is integrated (anamnesis (p< 0,001), physical examination (p:0,030), counseling and drug administration (p:0,001)) with maternal deaths. There is a relationship between care delivery intranatal (making clinical decisions (p<0,001), recording of delivery care (p<0,001), normal delivery assistance with 58 steps (p<0,001)). There was no relationship between the provision of postnatal care with maternal deaths. Multivariate analysis showed that the risk factors most influence on maternal mortality is on care provision intranatal. Conclusion: The provision of antenatal care is integrated and intranatal effect on maternal mortality. Still needed training on the provision of antenatal care is integrated, intranatal and postnatal care as well as audits and strict regulations tehadap implementation of the provision of appropriate care at the primary health care standard working area of District Health Office of Banyumas . Keyword : Midwifery Care, Clinic Audit, Maternal Mortality, Indonesia

    Item Type: Thesis (Other)
    Subjects: R Medicine > R Medicine (General)
    Divisions: Fakultas Kedokteran
    Depositing User: faizah sarah yasarah
    Date Deposited: 24 Dec 2015 16:34
    Last Modified: 24 Dec 2015 16:34
    URI: https://eprints.uns.ac.id/id/eprint/22551

    Actions (login required)

    View Item