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Abstract

Labor complications often lead to maternal death. A good antenatal care can reduce maternal and infant mortality. The purpose of this study was to analyze the relationship between antenatal care and labor complica tion among Indonesian’s mothers. Data of the Indonesia Demographic and Health Survey (IDHS) 2012 from 33 Provinces were used in this study. Samples consisted of 11.803 women aged 15-49 years who deliv ered baby at sometimes during the last 5 years before survey. A cross sectional design was used. Variables in the study consisted of dependent variable (labor complication), main independent variable (antenatal care) and potential confounder variables including maternal age in the last labor, mother’s education, number of parity, preceding birth interval, birth attendance, place of delivery, a history of pregnancy complications, history of previous labor complication and multiple pregnancies. A logis tic regression was used for analyzing data. Results of this study showed that the prevalence of labor complications was 49.2% and the preva lence of poor antenatal cares (do not use a standard criteria recom mended by Indonesian Health Ministry) was 91.2%. After controlling for all potential confounder variables, this study showed that, mothers with a poor antenatal care had a 1.3 times higher risk of labor complications than mothers with a good antenatal care (POR 1.3, 95% CI: 1.1 - 1.4)

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Bahasa Abstract

Komplikasi persalinan sering membawa kepada kematian ibu. Perawatan antenatal yang baik dapat menurunkan kematian ibu dan bayi. Penelitian ini bertujuan untuk menganalisis hubungan natara perawatan antenatal dengan komplikasi persalinan diantara para ibu di Indonesia. Data Survei Demografi dan Kesehatan Indonesia tahun 2012, dari 33 Provinsi digunakan dalam penelitian ini. Sampel terdiri dari 11.803 wanita berusia 15-49 yahun yang melahirkan bayi dalam 5 tahun terakhir sebelum survei. Rancangan potong lintang digunakan dalam penelitian ini. Variabel yang diteliti terdiri dari variabel komplikasi persalinan (variabel terikat), variabel perwatan antenatal (variabel tak terikat utama dan variabel tak terikat lain yang berpotensi sebagai perancu meliputi umur ibu saat persalinan terakhir, pendidikan ibu, jumlah paritas, jarak kehamilan sebelumnya, penolong persalinan, tempat melahirkan, riwayat komplikasi kehamilan, riwayat komplikasi persalinan sebelumnya, kehamilan kembar. Regresi logistik digunakan untuk menganalisis data. Hasil penelitian menunjukkan bahwa prevalensi komplikasi persalinan adalah 49,2% dan prevelensi perawatan antenatal yang buruk (yang tidak menggunakan kriteria yang direkomendasikan oleh Kementerian Kesehatan Republik Indonesia) adalah 91,2%. Setelah mengontrol semua variabel yang diduga sebagai perancu, penelitian ini menunjukkan bahwa para ibu dengan perawatan antenatal yang buruk berpeluang lebih tinggi 1,3 kali untuk mempunyai risiko komplikasi persalinan dibanding para ibu dengan perawatan antenatal yang baik (POR 1,3, 95% CI: 1,1 – 1,4).

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