Success of Severity Level II And III Case Management among Obstetrics and Gynecology Patients at Hasan Sadikin General Hospital, Bandung, West Java


 Windi Nurdiawan, Zulvayanti , Dini Hidayat, Hadi Susiarno, Dini Pusianawati, Fadhilah Zulfa

 

Departement of Obstetrics and Gynecology, Dr. Hasan Sadikin Hospital, Universitas Padjadjaran

 

ABSTRACT 

Background: The evaluation of maternal condition and selection of the high-risk obs­­te­­trics and gynecology patients that requires high level of cares are essential in order to re­duce its morbidity and mortality. Recently, various studies focus on the importance of eva­luation for maternal conditions and allocation of high risk obstetrics and gyne­cology pa­tients to high­ly qualified facilities. This study aimed to describe the success of se­ve­rity level II and III case management among obstetrics and gynecology patients at Ha­san Sadikin General Hos­pi­tal, Bandung, West Java.

Subjects and Method: This was a cross sectional study conducted at Hasan Sadikin Ge­neral Hospital, Bandung, West Java. A total of 4084 obstetric and gynecology pa­ti­en­ts with severity level II and III was selected for this study. The data of obstetrics and gy­ne­cology patient were obtained from medical record. The data was measured by the out­­come of discharge patients compare with outcome indicators in hospital. The da­ta were analyzed descriptively.

Results: 2468 of 2504 (98.56) obstetrics patients had severity level II. 172 of 188 (91.49%) had severity level III. 970 of 1066 (90.99%) gynecology pa­tients had severity level II. 228 of 326 (69.94%) had severity level III.

Conclusion: The best outcomes achieved on obstetrics patients with severity level II. Improving and maintaining quality care of obstetrics and gynecology patients is requir­ed.

Keywords: obstetrics,gynecology, severity level

Correspondence: Windi Nurdiawan. Departement of Obstetrics and Gynecology, Dr. Hasan Sadikin Hos­pital, Universitas Padjadjaran, Bandung, West Java, Indonesia. Email: windi@un­pad.ac.id. Mobile: (+6222)­2032530.

DOI: https://doi.org/10.26911/theicph.2019.03.51

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