Determinant Factors of Maternal Mortality from 2016 to 2017 A case-control study in Banjar Regency

Abstract

Maternal death is a leading indicator of women health status, mainly the risk of death during pregnancy, child birth and the puerperium. Maternal Mortality Ratio in Banjar, if seen since 2014 is 231 per 100.000 live births and 2017 becomes 91 per 100.000 live births. Direct causes of death are still caused bleeding, toxemia gravidarum, infection and indirect causes of death, namely maternal characteristics and access to health services. This study aims to identify determinants of maternal mortality from 2016 to 2017 in Banjar Regency. Data source used Health Profile with case-control design, the samples is 63 people with 21 cases and controls 42 people, by using analysis Chi-square test. The results of showed that the majority of maternal deaths were from not risk age, not risk parity, gynecologist as provider of labor, the highest incidence of death at hospital, with the incidence of the postpartum period, and complications with bleeding. Chi-square test statistical analysis obtained a significant related on age (OR = 0.2; 0.09–0.8), parity (OR = 0.2; 0.08–0.8), provider of labor (OR = 0.2; 0.03–0.8), and complications of death (OR = 2.3; 1.5–3.3). Determinants that were not significantly related were the place of death/delivery (OR=3, 5; 1, 0–12, 2), time of occurrence (OR = 0.3; 0.08–1.3). Of the four variables related to maternal death, three of them are intermediate determinants is health status, reproductive status, and access to health care facilities.