Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 10 , ISSUE 2 ( April-June, 2018 ) > List of Articles

HEALTH REPRODUCTION

Determinant Factors affecting Maternal Death in Boyolali District

Supriyadi H Respati, Andrew C Taufiq, Sri Sulistyowati

Keywords : Boyolali district, Determinant factors, Maternal death

Citation Information : Respati SH, Taufiq AC, Sulistyowati S. Determinant Factors affecting Maternal Death in Boyolali District. J South Asian Feder Obs Gynae 2018; 10 (2):149-153.

DOI: 10.5005/jp-journals-10006-1579

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Introduction: To identify determinants of maternal death, which consisted of close determinants (obstetric complications), intermediary determinants (maternal age, parity, gestational distance, nutritional status, three of delays), and remote determinants (education, employment, and income) in Boyolali district. Materials and methods: This was an observational analysis with case–control study with 21 cases and 42 controls with simple random sampling technique. Data analysis was done with univariate, bivariate with chi-square test, and multivariate with multiple logistic regression. Results: Results showed a significant association between pregnancy complications (p < 0.001), maternal complications (p < 0.001), puerperal complications (p < 0.001), maternal age (p = 0.011), and gestational range (p = 0.035). There was no significant correlation between parity (p = 0858), nutritional status (p = 0.593), delay in decision-making (p = 0.848), and delay of place of reference (p = 0.530) to maternal deaths. There was no significant correlation between parity (p = 0.858), maternal education (p = 0.363), maternal employment (p = 0.814), and family income (p = 0.373) to maternal deaths. The probability of a maternal death by having the above-mentioned risk factor is 85.5%. Conclusion: Pregnancy complication, labor complication, and parturition complication are related to an increase of maternal deaths, while maternal age and range of pregnancy are only slightly related to maternal deaths. Clinical significance: We hope that this study may improve awareness and service of health practitioners toward pregnant mothers so that we can reduce the number of maternal deaths in Indonesia.


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