Hubungan Umur Ibu, Paritas dan Penolong Persalinan dengan Kematian Neonatal di Wilayah Kerja Puskesmas Kabupaten Banjarnegara tahun 2013

https://doi.org/10.22146/jkr.36193

Isnaeni Rofiqoch(1*), Jusuf S. Effendi(2), Dinan S. Bratakoesoema(3)

(1) Program Studi Magister Kebidanan, Fakultas Kedokteran Universitas Padjadjaran
(2) Fakultas Kedokteran Universitas Padjadjaran
(3) Fakultas Kedokteran Universitas Padjadjaran
(*) Corresponding Author

Abstract


Background: The neonatal mortality rate is Banjarnegara district is high compared with a target of IMR in Central Java province. In 2012 the neonatal mortality rate in Banjarnegara reached 316 cases, whereas in 2013 there were 115 cases in all health centers working area. The high neonatal mortality rate in Banjarnegara influenced by the persistence of early marriage in woman, birth attendant by non skilled health worker (dukun bayi) and women’s parity more than 4.

Objective: The purpose of this study is to analyze the correlation between maternal age, parity and birth attendants with the incidence of neonatal mortality and examine the most dominant factors influencing the incidence neonatal mortality in the Health Center working area in Banjarnegara.

Method: This study is a case control study design with retrospective approach. The data consists of perinatal verbal autopsy and medical records as many as 136 respondents consisting of 68 mothers who gave birth to her child and neonatal death and 68 maternal and child alive. Subjects were mothers who gave birth a baby who died aged 0-28 days.

Result and Discussion: Statistical analysis using Chi Square, Mann Whitney, and multiple logistic regression. The results showed maternal age and parity variables were not significantly corerelated with neonatal mortality (p> 0.05), the variables significantly corerelated with neonatal mortality was birth attendants with p = 0.001. The results of logistic regression showed the strength of the corerelation from the most dominant variable to the smallest variable were birth attendants with OR: 5.64 (95% CI: 1.81 to 17.4), maternal age OR 3.97 (CI 95%, from 1.54 to 10.22), and parity OR: 0.32 (CI 95% 0.12 to 0.87).

Conclusion: In conclusion, there was no relationship between maternal age and parity with neonatal mortality but there was a relationship between birth attendants with neonatal mortality. Based on the results of the multivariable analysis, birth attendants’ effect on the incidence of neonatal deaths was 5 times greater than mother’s age and parity.

Keywords: Neonatal mortality, maternal age, parity, birth attendants


Keywords


Neonatal mortality; maternal age; parity; birth attendants; Kematian neonatal; umur ibu; paritas; penolong persalinan

Full Text:

PDF


References

SDKI. Survei Demografi dan Kesehatan Indonesia. Jakarta: Badan Pusat Statistik Indonesia;2012. Available from: http://www.bkkbn.go.id Dinkes PJ. Profil Kesehatan Propinsi Jawa Tengah. Semarang 2011. Available from: http://www. dinkesjatengprov.go.id Dinkes, Jateng. Buku Saku Kesehatan Triwulan 2 Tahun 2013. Semarang: Dinas Kesehatan Propinsi Jawa Tengah; 2013. Available from: http://www. dinkesjatengprov.go.id. Dinkes PJ. Buku Saku Kesehatan tahun 2012. Semarang: Dinas Kesehatan Propinsi Jawa Tengah; 2012. Available from: http://www.dinkesjatengprov. go.id Banjarnegara DKK. Data laporan PWS KIA. Banjarnegara: Dinas Kesehatan Banjarnegara; 2012. Dinkes, Jateng. Profil Kesehatan Propinsi Jawa Tengah Tahun 2012. In: DJBKM, editor. Semarang: Dinas Kesehatan Propinsi Jawa tengah; 2012. Ota E. Maternal body mass index and gestational weight gain and their association with perinatal outcomes in Vietnam. Bulletin of the World Health Organization. 2010. Proverawati A, Misaroh S. Nutrisi Untuk Janin dan Ibu Hamil. Yogyakarta: Nuha Medika; 2010. Wortington R, Williams S. Nutrition Throughout The Life Cycle. McGraw-Hill International Editions. 2002;48-52. Gordon A, Raynes-Greenow C, McGeechan K, Morris J, Jeffery H. Risk factors for antepartum stillbirth and the influence of maternal age in New South Wales Australia: A population based study. BMC Pregnancy dan childbirth. 2007. Lisonkova S, Janssen PA, sheps SB. the Effect Of Maternal Age on Adverse Birth Outcomes: Does Parity Matter. June JOGC Juin. [obstetrics and gynaecology]. 2009:541-8. Prabamurti PN, Purnami CT, Widagdo L, Setyono S. Analisis Faktor Risiko Status Kematian Neonatal. Jurnal Promosi Kesehatan Indonesia. 2006.;Vol 3 No. 1. Abdhi T. Determinan Pemanfaatan Dukun Bayi Oleh Masyarakat Dalam Pilihan Pertolongan Persalinan di Desa Anak Talang Kecamatan Batang Kabupaten Indragiri Hulu, 2010: Available from: www. respository.usu.ac.id/ BPS-SDKI. Survai Demografi Dan Kesehatan Indonesia 2007: Available from: www.bps.go.id. Neonatal intensive-care unit admission of infants with very low birth weight --- 19 States, 2006. MMWR Morb Mortal Wkly Rep. 2010 Nov 12;59(44):1444-7. Burhan, Budhi S. Pedoman praktis safe motherhood perawatan dalam kelahiran normal pedoman praktis. Jakarta: EGC; 2003. Mosley WH and Chen LC. AN analytical framework for the study of child survival in developing countries. Population and Development Review 10(suppl.):25-45, 1984.



DOI: https://doi.org/10.22146/jkr.36193

Article Metrics

Abstract views : 1173 | views : 2811

Refbacks

  • There are currently no refbacks.


Copyright (c) 2016 Jurnal Kesehatan Reproduksi



Jurnal Kesehatan Reproduksi Indexed by:

 



SEKRETARIAT JURNAL KESEHATAN REPRODUKSI
Departemen Obstetri dan Ginekologi, FK-KMK, UGM/RS Dr. Sardjito
Jl. Kesehatan No. 1, Sekip Utara, Yogyakarta 55281
Tlp: (0274) 511329 / Faks: (0274) 544003
Email: jurnal.kesehatanreproduksi@ugm.ac.id
Cp: Dwi Astuti +6281802698043