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Paramater on Maternal Delivery Referral Process

Jurnal Ners · Vol. 7 No. 2 (2017) · hlm. 161–169

DOI
10.20473/jn.v7i2.4016
ISSN
2502-5791, 1858-3598
Terbit
2017-04-02
Penerbit
Universitas Airlangga
Bahasa
eng

Abstrak

Introduction: The rate of maternal mortality in Indonesia according to 2002–2003 Indonesian Demographic and Health Survey (IDHS) was 307 per 100,000 live births. The direct causes of maternal deaths, among others, are prolonged labor, hemorrhage, infection, and preeclampsia. Referral system includes referring responsibility to better facilitated healthcare sites to obtain more adequate services. However, maternal referral process in Banjar District still faces some problems such as referral health providers with inadequate skills of handling emergency cases, insufficient means of transportation, and no referral letter or partograph. Usually, when referred, the pregnant woman is only accompanied by her family so that she is brought to the referral site without being equipped with infusion. The objective of the study was to evaluate the parameter of maternal delivery referral in Ratu Zalekha Martapura District Hospital.Method: This study used observational study with a cross-sectional study design using quantitative and qualitative approaches. Samples were 107 delivering women referred to hospitals selected with non probability sampling. Data were analyzed with Chi-square (χ) and logistic regression test.Result: Quality maternal referral process resulted in healthy women 78.8%. Post delivery women's health was greater in quality maternal referral process (RP = 2.1; 95% CI = 1.28–3.52). Normal delivery had an opportunity towards post delivery women's health (RP = 1.6; 95% CI = 1.13–2.20). In addition, time needed to reach the referral sites and referral birth attendants were significantly associated with maternal referral process (p = 0.002 and p = 0.002). Meanwhile, women's condition when referred was insignificant statistically.Discussion: Quality maternal referral process could likely improve post delivery women's health.Normal delivery affected the women's health condition.

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  • Universitas Gadjah Mada
  • Diponegoro University
  • Sekolah Tinggi Ilmu Kesehatan Intan Martapura
  • Universitas Islam Negeri Ar-Raniry
  • State University of Semarang
  • Universitas Muhammadiyah Pontianak
  • Universitas 'Aisyiyah Yogyakarta
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Rekan penulisOrganisasiArtikel bersama
Octaldina IswardaniUniversitas Gadjah Mada1
Arif Rahmat KurniaState University of Semarang1
Mardjan MardjanUniversitas Muhammadiyah Pontianak1
Yayi Suryo PrabandariUniversitas Gadjah Mada1
Carla Raymondalexas MarchiraUniversitas Gadjah Mada1
Kusmawati HattaUniversitas Islam Negeri Ar-Raniry1
Azhari AzhariUniversitas Islam Negeri Ar-Raniry1
Anggorowati AnggorowatiDiponegoro University1
Yuni PurwatiUniversitas 'Aisyiyah Yogyakarta1
Noor PramonoDiponegoro University1
Sari SudarmiatiDiponegoro University1
Ibrahim RahmatUniversitas Gadjah Mada1
Soewadi SoewadiUniversitas Gadjah Mada1
Donal DonalUniversitas Gadjah Mada1
Hartono HartonoSebelas Maret University1
Ova EmiliaUniversitas Gadjah Mada1
Rusdiana RusdianaSriwijaya University1
Insana MariaSekolah Tinggi Ilmu Kesehatan Intan Martapura1
Yudhi WibowoJenderal Soedirman University1
CR MarchiraUniversitas Gadjah Mada1

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Sumber metadata: OAI-PMH (metadata jurnal) http://e-journal.unair.ac.id/index.php/JNERS/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Paramater on Maternal Delivery Referral Process</dc:title>
	<dc:creator>Zubaidah, Zubaidah</dc:creator>
	<dc:creator>Hakimi, Mohammad</dc:creator>
	<dc:creator>Wahab, Abdul</dc:creator>
	<dc:subject xml:lang="en-US">quality of referral process</dc:subject>
	<dc:subject xml:lang="en-US">delivering women</dc:subject>
	<dc:subject xml:lang="en-US">maternal morbidity</dc:subject>
	<dc:description xml:lang="en-US">Introduction: The rate of maternal mortality in Indonesia according to 2002–2003 Indonesian Demographic and Health Survey (IDHS) was 307 per 100,000 live births. The direct causes of maternal deaths, among others, are prolonged labor, hemorrhage, infection, and preeclampsia. Referral system includes referring responsibility to better facilitated healthcare sites to obtain more adequate services. However, maternal referral process in Banjar District still faces some problems such as referral health providers with inadequate skills of handling emergency cases, insufficient means of transportation, and no referral letter or partograph. Usually, when referred, the pregnant woman is only accompanied by her family so that she is brought to the referral site without being equipped with infusion. The objective of the study was to evaluate the parameter of maternal delivery referral in Ratu Zalekha Martapura District Hospital.Method: This study used observational study with a cross-sectional study design using quantitative and qualitative approaches. Samples were 107 delivering women referred to hospitals selected with non probability sampling. Data were analyzed with Chi-square (χ) and logistic regression test.Result: Quality maternal referral process resulted in healthy women 78.8%. Post delivery women's health was greater in quality maternal referral process (RP = 2.1; 95% CI = 1.28–3.52). Normal delivery had an opportunity towards post delivery women's health (RP = 1.6; 95% CI = 1.13–2.20). In addition, time needed to reach the referral sites and referral birth attendants were significantly associated with maternal referral process (p = 0.002 and p = 0.002). Meanwhile, women's condition when referred was insignificant statistically.Discussion: Quality maternal referral process could likely improve post delivery women's health.Normal delivery affected the women's health condition.</dc:description>
	<dc:publisher xml:lang="en-US">Universitas Airlangga</dc:publisher>
	<dc:date>2017-04-02</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://e-journal.unair.ac.id/JNERS/article/view/4016</dc:identifier>
	<dc:identifier>10.20473/jn.v7i2.4016</dc:identifier>
	<dc:source xml:lang="en-US">Jurnal Ners; Vol. 7 No. 2 (2012): Oktober 2012; 161-169</dc:source>
	<dc:source>2502-5791</dc:source>
	<dc:source>1858-3598</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://e-journal.unair.ac.id/JNERS/article/view/4016/2737</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2017 Jurnal NERS</dc:rights>
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