Analysis of Maternal Mortality Determinants in Gowa District South Sulawesi Province, Indonesia

Abstract

Objective We investigated the risk factors associated with maternal mortality determinants in Gowa District of South Sulawesi Province, Indonesia. Methods A case control retrospective study was carried out to determine the pattern of maternal mortality. Primary data were collected through interviews with a structured questionnaire guidelines. Secondary data obtained through maternal death records, pregnant women cohort registers, medical records and verbal autopsy documents. Findings There were 5 variables evaluated as determinant factors of maternal mortality in this study. The predictors found in this study were: chronic energy insufficiency 37.1% in case group and 5.7% in control group, anemia were found 40.0% in case group and 7.9% in control group respectively, presence of maternal illnesses history were 37,1% and 15,0% in case and control groups, respectively, obstetric complications found in 14,3% in case group and 9,3% in control group. Statistical analysis of high-risk pregnancy was found with OR = 9.750, meaning, women with high risk have almost 10 times having maternal death compared to low risk women. Conclusion High risk of health status has a significant influence on maternal mortality in Gowa District of South Sulawesi Province, Indonesia