A Qualitative Study on Causal Factors of Perinatal Mortality in Bekasi, West Java


Rahmi Padlilah1,2), Kusnandi Rusmil3), Meitha Damayanti3), Dida Gurnida3), Natalina Soesilawati4), Hadi Susiarno5)

 

1)Master Program of Midwifery, Faculty of Medicine, Universitas Padjajaran

2)Faculty of Health, Universitas Borneo Tarakan, North Kalimantan

3)Department of Pediatrics, Faculty of Medicine, Universitas Padjajaran

4)Bekasi Regency General Hospital, West Java

5)Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjajaran

 

ABSTRACT

Background: Perinatal mortality is a devastating pregnancy outcome affecting millions of family in low and middle-income countries including Indonesia. Neonates are at most risk of dying in their first week of birth. Globally three-quarters of neonatal deaths occur in the first week. Past studies indicated that preterm birth, intrapartum complications and infections are the three leading causes of perinatal death. Millions of these deaths can be averted. This qualitative study aimed to investigate the causal factors of perinatal mortality in Bekasi, West Java.

Subjects and method: This was qualitative study with sequential explanatory approach, conducted at Bekasi General Hospital from October to November 2016. Total of 64 families with history of perinatal mortality at Bekasi General Hospital was selected for this study. Several village midwifes were selected for this study. The study theme was causal factors of perinatal mortality in Bekasi, West Java. The data was obatined by indepth interview and medical records. The data was analyzed descriptively.

Results: Factors related to perinatal mortality were (1) lack of high-risk pregnant women monitoring; (2) delay in making decision at the family level; (3) long travel time to NICU; (4) ineffective call center; (5) village midwives incapable of handling emergency obstetric emergencies during pre-referral.

Conclusion: Factors associated with perinatal mortality are lack of monitoring, low ability of village midwives, family delay in making decision, and sub-optimal referral system.

Keywords: perinatal, mortality

Correspondence: Rahmi Padlilah. Faculty of Health, Universitas Borneo Tarakan, North Kalimantan. Email: rahmipadlilah@gmail.com. Mobile: 0811538073

DOI: https://doi.org/10.26911/the6thicph.03.51

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