Maternal Mortality Rate at dr.

Mohammad Hoesin General Hospital

Over an Eight-Year Period: Trends
and Its Associated Factors
Cindy Kesty, Nuswil Bernolian

Obstetrics and Gynecology Department, Dr. Mohammad Hoesin

General Hospital, Faculty of Medicine, Sriwijaya University,
Palembang, South Sumatera, Indonesia

Correspondence: cindykestyJL18@gmail.com
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 PALEMBANG
1,602,071 (2019)
MMR: ?
INDONESIA PHILLIPINES
4th rank 10th rank
268.074.600 (2019) ~ 3.53% 109.438.100 (2019) ~ 1.44%
MMR: 305/100,000 (2015) MMR: 114/100,000 (2015)
INTRODUCTION

South-East Asia has moderate

mortality with moderate access, but
Indonesia high MMR in South-East
Asia

According to data from Inter-census

Population Survey (SUPAS) in 2015,
Indonesia MMR was 305 deaths per
100,000 live births, increasing from 228
deaths per 100,000 live births in 2007

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Our Problems

3T (3
TERLAMBAT/DELAYS):
1. Delay in deciding
2. Delay in transporting
3. Delay in getting appropriate
management
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INTRODUCTION
4T (4 TOO):
1. Too young
2. Too old
3. Too close
4. Too many

SOLUTIONS ???

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 OBJECTIVE

To determine:
• The magnitude of and trends in MMR.
• Its associated factors at dr. Mohammad
Hoesin General Hospital, South Sumatera
from 2011 until 2018.

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 METHODS
• This descriptive study was performed from
January 2011 until December 2018 in the
maternity ward and Intensive Care Unit
(ICU) of dr. Mohammad Hoesin General
Hospital, South Sumatera.
• Data were collected from medical records.

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 RESULTS
Maternal Mortality Rate Trends
1400

1200 1207

1000

854
800
705
652
600

453
400 372
310
271
200

0
2011 2012 2013 2014 2015 2016 2017 2018

Series 1

We recorded 20,957 deliveries and 129 maternal deaths from 2011-2018.

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 RESULTS
 Variables 2018 Total (%)
Age    
< 20 years old 1 12.5
20-35 years old 4 50.0
> 35 years old 3 37.5
Gravida    
Primigravida 4 50.0
Multigravida 4 50.0
Parity    
Nulliparous 4 50.0
Primiparous 0 0
Multiparous 4 50.0
Grandemultiparous 0 0
 
Gestational Age    
< 37 weeks 7 87.5
37 – 42 weeks 1 12.5
> 42 weeks 0 0

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 RESULTS
 Variables 2018 Total (%)
Diagnosis    
Hypertensive Disorder 6 75.0
HAP 1 12.5
Thyroid Crisis 1 12.5
Delivery Location    
Unborn 2 25.0
Inborn 6 75.0
Outborn 0 0
Delivery Method    
Unborn 1 12.5
Spontaneous 3 37.5
C-Section 4 50.0
Length of Stay    
< 48 hours 1 12.5
 48 hours 7 87.5
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 CONCLUSION
MMR trends in our hospital were fluctuating and
still much higher than the SDGs target between
2016 and 2030 (70/100,000).

Hypertensive disorder plays a significant role in

maternal deaths.

We hope that our study can be a feedback for our

hospital to do maternal and perinatal audit
routinely

Furthermore, strategic regulations can be

implemented in order to decrease MMR

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Maternal mortality health is a very sensitive indicator. All
you need to look at is a country’s maternal mortality rate.
That is a surrogate for whether the country’s health system
is functioning. If it works for women, I’m sure it will work
for men.
Margaret Chen

Thank You
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