Wantania, John (2010) REFFERAL CASES & MATERNAL-NEONATAL OUTCOME IN PROF KANDOU HOSPITAL NORTH SULAWESI - INDONESIA. In: WORLD CONGRESS PERINATAL MEDICINE IN DEVELOPING COUNTRIES, Jakarta.
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Abstract
Pregnancy and delivery are known to be behind the death of more than 500.000 women every year in the world. Most of them occur in third world countries, poor countries and in developing countries. The maternal mortality ratio (MMR) is one of the indicators describing the quality of obstetrical care in a country. A high MMR indicates poor obstetrical care. In Indonesia, the rate of maternal mortality based on the Indonesian Health Department Survey 2007 is 228 per 100.000 live births, still far above the developed countries which MMR is lower than 10 per 100.000 live births. 1 Maternal mortality is often the result of High Risk Pregnancy (HRP), a pregnancy that has more risk (to the mother and to the baby) to develop complications, even death, and it can occur before or after the delivery. This can be caused by maternal factors, the child or whether or not there is an underlying disease. 2,3 The high number of deaths caused by high risk pregnancies can be lowered by increasing the quality of maternal care, especially in pregnant women, through the Risk Approach Strategy (RAS) as an operational strategy where mothers are divided into two groups, low risk pregnancy and high risk pregnancy. The risks can be measured based on criteria (whether or not there is a risk factor) or by the risk factor scoring system. 3 The higher the number of risks or score, the more it can predict the result, although it is not an absolute factor. Timing and persistency in dealing with high risk pregnancy are important for the outcome. These are also affected by a number of factors including men and medical facilities, as well as non medical factors like geographical factors, transportation, education, and socioeconomic factors.
| Item Type: | Conference or Workshop Item (Speech) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RG Gynecology and obstetrics |
| Divisions: | Fakultas Kedokteran > Fakultas Kedokteran Umum |
| Depositing User: | Mr. Benhard W. Tampangela, ST |
| Date Deposited: | 27 Jul 2017 09:33 |
| Last Modified: | 27 Jul 2017 09:33 |
| URI: | http://repo.unsrat.ac.id/id/eprint/1586 |
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