THE EFFECT OF ANTENATAL VISITS TO THE OCCURANCE OF MATERNAL NEAR MISS IN INDONESIA (ADVANCED ANALYSIS IDHS 2012)

Abstract

Background: Health services especially for pregnant women in Indonesia is manifested in the form of antenatal care done at least four times during pregnancy. This study aims to determine the effect of antenatal visits is one protective factor for the occurrence of maternal near miss or close to death in Indonesia.

Method: This study used cross sectional design study and used secondary data from the Demographic and Health Survey 2012. The study population in this study were women 15 to 49 years who were interviewed is 45.607 people. The sample was women aged 15-49 years who had pregnancy / childbirth in the time between 2008-2012 in Indonesia and answered questions about the complications of pregnancy and childbirth. Data analysis was performed using univariate, bivariate and multivariate risk factor model.

Result: The prevalence of maternal near miss in Indonesia is 2,9% or 29 per 1000 live births. The results of the bivariate analysis showed that no significant relationship between antenatal visits (RP: 0.591 95% CI: 0.411 to 0,851) and the type of delivery (RP:2,010; 95% CI: 1,381 to 2.926) with the incidence maternal near miss. Multivariate results indicate there is an influence antenatal visits on maternal near miss after controled by the type of birth (RP: 0,612; 95% CI: 0,423 to 2.847).

Conclusion: Antenatal visit has the effect for events MNM after controlling for the type of birth. For the improvement of the quality of antenatal care is very good for preventing any cases of maternal near miss.

Keywords: Antenatal visits, maternal near miss