TY - JOUR
T1 - Causes of maternal mortality at a tertiary teaching hospital in jakarta, indonesia
T2 - A nine-year retrospective survey
AU - Ocviyanti, Dwiana
AU - Fernando, Darrell
N1 - Funding Information:
The authors thank the Department of Obstetrics and Gynecology, Cipto Mangunkusumo Hospital, Universitas Indonesia for support and advice during data collection and discussion regarding maternal deaths.
Publisher Copyright:
© 2021, SEAMEO TROPMED Network. All rights reserved.
PY - 2020/11
Y1 - 2020/11
N2 - . Maternal mortality ratio (MMR) in Indonesia still remains high (305/100,000 live births) despite efforts to decrease maternal deaths and even higher in tertiary care hospitals. A retrospective study of maternal death cases in Cipto Mangunkusumo Hospital (CMH), a tertiary teaching and national referral hospital in Jakarta, was carried out from 2008 to 2016 to identify causes of maternal death, defined as deaths during pregnancy, childbirth or puerperium. Average maternal mortality in CMH was 661/100,000 live births, with direct obstetric deaths the leading cause (59.8%) and preeclampsia-eclampsia the most frequent group (39%). Indirect obstetric deaths (42.2%) were due to pre-existing conditions, cardiac disease and HIV/AIDS being the most common causes. In conclusion, the most common cause of maternal death at CMH was hypertensive disorders in pregnancy and indirect obstetric causes. These findings should assist in developing health management policies at CMH to address these issues.
AB - . Maternal mortality ratio (MMR) in Indonesia still remains high (305/100,000 live births) despite efforts to decrease maternal deaths and even higher in tertiary care hospitals. A retrospective study of maternal death cases in Cipto Mangunkusumo Hospital (CMH), a tertiary teaching and national referral hospital in Jakarta, was carried out from 2008 to 2016 to identify causes of maternal death, defined as deaths during pregnancy, childbirth or puerperium. Average maternal mortality in CMH was 661/100,000 live births, with direct obstetric deaths the leading cause (59.8%) and preeclampsia-eclampsia the most frequent group (39%). Indirect obstetric deaths (42.2%) were due to pre-existing conditions, cardiac disease and HIV/AIDS being the most common causes. In conclusion, the most common cause of maternal death at CMH was hypertensive disorders in pregnancy and indirect obstetric causes. These findings should assist in developing health management policies at CMH to address these issues.
KW - Developing country
KW - Maternal death
KW - Maternal mortality
KW - Preeclampsia
KW - Tertiary care hospital
UR - http://www.scopus.com/inward/record.url?scp=85109362807&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:85109362807
VL - 51
SP - 795
EP - 802
JO - Southeast Asian Journal of Tropical Medicine and Public Health
JF - Southeast Asian Journal of Tropical Medicine and Public Health
SN - 0125-1562
IS - 6
ER -
