Maternal death reviews: A retrospective case series of 90 hospital-based maternal deaths in 11 hospitals in Indonesia

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Mohammad BaharuddinBenjamin Eng

Abstract

To determine the factors contributing to hospital-based maternal deaths in Indonesia, given most women deliver with skilled birth attendants and in health facilities. A retrospective review of case records examined quality of care issues related to maternal mortality in hospital settings. The review abstracted information from blinded medical records of 90 women who died in 11 hospitals from January to June 2014. Specialists from the Indonesian Society of Obstetrics and Gynecology reviewed abstracted records to determine causes of death and identify contextual factors for these deaths. Seventy-five of the 90 maternal deaths (83%) reviewed were due to direct obstetric causes. Severe pre-eclampsia and eclampsia combined were the leading direct cause of death (42%). Human resource/health worker factors were more frequently identified than supply, facility, or infrastructure factors. Ninety percent of maternal deaths were classified as preventable. The review exercise yielded useful information on factors contributing to preventable maternal mortality in hospitals in Indonesia. Results helped focus quality improvement efforts and increased awareness of the value of routine, in-depth facility-based maternal death reviews.

References

Mar 28, 2008·BMC Pregnancy and Childbirth·Asri AdisasmitaCarine Ronsmans
Oct 2, 2009·The Journal of Behavioral Health Services & Research·Donald M LinhorstB Joyce Kelley
Sep 23, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·A MathurT Myint
Feb 7, 2015·Maternal and Child Health Journal·Asri AdisasmitaReginald F Gipson
Mar 1, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Alisa PedranaSaifuddin Ahmed

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Citations

Mar 1, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Alisa PedranaSaifuddin Ahmed
Mar 1, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Saifuddin Ahmed, Judith Fullerton
May 15, 2021·BMJ Open·Rajendra KarkeeDharma Manandhar

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