DETERMINANT OF MATERNAL NEAR MISS INCIDENCE IN INDONESIA (ANALYSIS OFSECONDARY DATA SDKI 2007)

Abstract

Background : According to WHO (2009) Maternal near miss is a "woman who nearly died but survived the complications that occur during pregnancy, childbirth or during the 42 days after delivery." Women who experienced maternal near miss can provide adequate information related to the state is going through. By knowing the characteristics of mothers who experienced maternal near miss and the outcome of the incident prevention can be done.

Methods : This study is a further analysis of the SDKI data (2007) and using the analytical method with a cross-sectional study design. The sample of this study were women aged 15-49 years had married and had a child last born alive or dead 5 years before and have completeness complications data of pregnancy and childbirth survey; 14 559 respondents. Data analysis techniques with univariate and bivariate statistical test chi-square and weighted the attention cluster and strata.

Results : The prevalence of maternal near miss was 341 (2.3%). Independent variables revealed statistically associated with the incidence of maternal near miss is that women with low education (OR = 1.45 and 95% CI = 1.02 to 2.05), spacing births (OR = 1.81 and 95% CI = 1, 19 to 2.75), where the birth (OR = 0.55 and 95% CI = 0.33 to 0.90), and women with a history of cesarean delivery (OR = 1.67 and 95% CI = 1.06 - 2.61). While perinatal outcomes associated with the incidence of maternal near miss is a low birth weight (LBW) (OR = 2.50 and 95% CI = 1.49 to 4.18), stillbirth (stillbirth) (OR = 12.18 and 95% CI 3.60 to 41.20), early infant death (early neonatal death) (OR = 2.62 and 95% CI = 1.17 to 5.83).

Conclusion : Some of the variables associated with the incidence of maternal near miss can be modified to increase the traffic of atennal care to detect women who are at risk. So it can reduce the effect of maternal near miss incident

Keywords : Maternal Near Miss, Maternal Morbidity complications of labor, Complications of Pregnancy