Study of Obstetric Emergency Lethal Cases in Purworejo Hospital, Central Java
Improving the way of caring during delivery and pregnancy can reduced maternal and perinatal mortality. The improvement of caring on social, cultural, economic, and education aspects, can assist to overcome 64% of maternal mortality. The change of clinical management can eliminate 36% of maternal mo...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
Universitas Indonesia
2010-10-01
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Series: | Makara Journal of Health Research |
Subjects: | |
Online Access: | http://journal.ui.ac.id/index.php/health/article/view/182 |
Summary: | Improving the way of caring during delivery and pregnancy can reduced maternal and perinatal mortality. The improvement of caring on social, cultural, economic, and education aspects, can assist to overcome 64% of maternal mortality. The change of clinical management can eliminate 36% of maternal mortality. The awareness of the community about dangers during pregnancy and the knowledge on pregnancy minimize obstetric emergency, however many traditional beliefs and the practice of postponement decisions in searching treatment by health providers are still common in the community. The aims of the study were to trace four cases with obstetric emergency in the community and to know the role and knowledge of family members on this problem. The study used the qualitative method with indepth interviews with the husband or family member and seven key informants. The four cases were purposive samples. The maternal death was caused by medical and non-medical factors. Husbands or family members, who did not have any knowledge on signs of danger during pregnancy, were contributing to medical factors. The too late decision to use health facilities was made by the husband or senior family members. Health facilities such as blood bank in the hospital were minimal, which influenced the outcome of the cases. The existing of beliefs and tradition besides the socio-economic status also may contribute to the maternal mortality. The medical and non-medical aspects may have an impact on the decision-making process in managing obstetric emergency causing maternal mortality of the cases. |
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ISSN: | 2356-3664 2356-3656 |