Faktor Determinan Maternal Morbidity di Daerah Istimewa Yogyakarta

https://doi.org/10.22146/jkesvo.61309

M Syairaji(1*), Marko Ferdian Salim(2)

(1) Sekolah Vokasi, Universitas Gadjah Mada
(2) Sekolah Vokasi, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Latar Belakang: Maternal morbidity telah diakui sebagai masalah kesehatan yang menimpa hampir 1,7 juta wanita di dunia setiap tahunnya. Upaya pencegahan kematian dan kesakitan ibu, di tahun 2018 Dinas Kesehatan Daerah Istimewa Yogyakarta (DIY) mengembangkan program pendampingan ibu hamil serta dilakukan penelitian terkait faktor determinan maternal morbidity di DIY.

Tujuan: Menganalisis faktor pengaruh kejadian maternal morbidity pada program One Student One Client (OSOC) dari Dinas Kesehatan DIY.

Metode: Penelitian ini merupakan observasional analitik dengan desain studi cross sectional, menggunakan data sekunder dari seluruh ibu hamil yang ikut dalam pendampingan ibu hamil OSOC pada tahun 2019 yang berdomisili di DIY. Analisis data menggunakan chi-square dan regresi logistik.

Hasil: Terdapat 228 responden yang memiliki data lengkap dari masa kehamilan sampai nifas. Rata-rata responden berumur 30,7 tahun, 60,9% tamat SMA, 58,77% ibu rumah tangga, dan 68,42% memiliki asuransi kesehatan. Sebanyak 15,35% merupakan kehamilan yang tidak direncanakan, 19,74% memiliki riwayat penyakit, dan faktor risiko terbesar adalah umur >35 tahun (24,56%), ibu kurus (14,04%), dan memiliki riwayat caesar (13,60%). Incidence maternal morbidity sebesar 58,33% dan berdasarkan analisis multivariat, riwayat operasi caesar, porsi makan meningkat, serta memiliki hewan peliharaan berhubungan secara signifikan terhadap kejadian maternal morbidity dengan ROR dan 95% CI masing-masing sebesar 3,612 (1,076—12,117), 0,453 (0,211—0,971), dan 1,966 (1,042—3,710).

Kesimpulan: Kasus maternal morbidity di masyarakat cukup tinggi dengan faktor risiko yang mempengaruhi, yaitu riwayat operasi caesar, porsi makan meningkat, dan memiliki hewan peliharaan.


Keywords


maternal morbidity; determinan; OSOC

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DOI: https://doi.org/10.22146/jkesvo.61309

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