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Obstetric
Dr. Ns. Ratna Hidayati, M.Kep., Sp.Mat.
Maternity Ners
Introduction
MMR in Indonesia is the highest in the
ASEAN countries, which is 359 per
100,000 live births (BKKBN-2013)
Malaysia Singapore Thailand
41
6
40
Filiphina
170
ANALYSIS ISSUE
1. MMR : 6 hours - 7 days of post-parturition = 59%
2. Preeclampsia is the first cause
3. Low birth weight and asphyxia are the highest cause
IMR
Referral has been done in the early planning and timely
*
Other
indirect
causes
THE CONCEPT of
SOLUTION :
Good ANC and delivery will reduce MMR (5090%) and IMR (30-40%)
Improvement of social, cultural, economic, and
educational, help to overcome the causes of
MMR 64%.
Improvement of clinical treatment can reduce
36% of MMR.
Community awareness of the dangerous signs
in pregnancy can minimize obstetric emergency
Alternative Solutions ??
IMPROVING PARTICIPATION of
FAMILY and COMMUNITY
signs
family & community preparation to face
the labor and the danger that may occur
provision and utilization of MCH services
guarding quality of care
So
Birth Asphyxia
Resuscitation
Post resuscitation care
Referral if necessary
SPECIAL CARE
Low birth weight
Special warmth , KMC
Hygiene, Cord care
Assisted feeding, if
necessary
Infection, malformation,
and other problems
Antibiotics
Supportive care
ART if in need
Referral if necessary
20
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s
ay
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0
0
0
1
t
s
fir
life
e
h
Lansi
a
The
quality
degener
ation
reproductive
health for teens
Counseling:
Nutrition
HIV/AIDS,
NAPZA dll
UKS/firs
t aid kid
Nutrition
Monitoring
growth and
Complete development
Nutrition
basic
Pregnancy
Exclusive
immunization
Counseling Classes
breastfeeding the scaling
Family
Fe & asam folat Postnatal family
Vit A
planning
Nutrition
planning
service
pregnant women
TT
23
CONCLUTION
A womans ability to have a
SAFE and healthy pregnancy
and childbirth be the
responsibility of family
How the family is able to ensure
the safety mother and child,
becomes the responsibility
health worker through education
to the community
Topic: what is the cause of
morbidity / mortality of mothers
and children, how to prevent
and handling
References
Buffington ST, Sibley L, Beck D, Armbruster D. Home-based
life saving skills manual. Silver Springs, MD: American
College of Nurse-Midwives, 2004.
Sibley L, Buffington ST. Building community partnerships for
safer motherhood: Home-based life saving skills. At-a-glance.
Washington (DC): NGO Networks for Health, 2003, January.
Sibley L, Buffington ST, Haileyesus D. The American College
of Nurse-Midwives home-based lifesaving skills program: A
review of the Ethiopian Field Test. J Midwifery & Womens
Health, 2004;49:320-328.
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