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Submitted
July 15, 2017
Accepted
May 23, 2018
Published
August 30, 2018
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Abstract

Background: The Research is motivated by the high rate of maternal mortality in the city of Padang. One reason is the delay in the decision making of referral. The pattern of referrral by a midwife decision making is a complicated process that starts with the process of problem identification, problem-solving alternative search, and evaluation of these alternatives.

Objective: The purpose of this study is to identify background reference maternity in cases of maternal mortality regarding decision making patterns of midwives in the city of Padang.
Methods: This study was a qualitative study using phenomenology. Data collection was done in the work area of Andalas, Kuranji, Pauh, and Nanggalo from May-August 2016. The selection of informants used snowball sampling technique. Qualitative data were collected through in – depth interviews, and secondary data were collected through document review. Analyzed using a fixed comparison method according to Glaser and Strauss.

Results: The result of the study shows that the identification of risk factors performed during antenatal care makes midwives decide to refer to hospitals. However, the referral was rejected by the hospital because there was no emergency alert to the mother. When an emergency occurs during labor, the midwife immediately refers to the patient but tends to be in an unstable patient state. Sothe midwife is blamed for not indicating on time. The decision patterns of midwives in referring maternal mothers to maternal mortality cases are influenced by screening of emergency risk factors, the principle of referral and post-referral impacts.

Conclusion: Limitations of authority, identification of risk factors, and post-referral impacts make the midwife utterly wrong in making a referral decision.

Keywords

Referral Maternity Decision Making Midwifery

Article Details

How to Cite
Nilakesuma, N. F., & Machmud, R. (2018). Maternity references on the maternal mortality: decision-making pattern perpective. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 9(2), 89–94. https://doi.org/10.20885/JKKI.Vol9.Iss2.art5
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References

  1. Kemenkes RI. Program Indonesia Sehat dengan Pendekatan Keluarga [Internet]. Kemenkes RI. 2016. 1-5 p. Available from: http://www.depkes.go.id/article/view/17070700004/program-indonesia-sehat-dengan-pendekatan-keluarga.html
  2. Asia M. Angka kematian ibu (AKI) melonjak, Indonesia mundur 15 Tahun. 2013.
  3. Dinas Kesehatan Kota Padang. Profil kesehatan kota Padang tahun 2015. 2015.
  4. Bhandari A, Gordon M, Shakya G. Reducing maternal mortality in Nepal. BJOG: An International Journal of Obstetrics & Gynaecology. 2011; 118(SUPPL. 2):26–30.
  5. Cilacap DIK. Jurnal Kesehatan Masyarakat. 2010;6(1):16–23.
  6. Rahayu DI. Hubungan antara kompetensi (pengetahuan, sikap dan keterampilan) bidan terhadap ketepatan rujukan pada kasus preeklamsi di kabupaten Karawang. 2015;6(2):46–56.
  7. Kesehatan PP dan P tenaga. Buku ajar kesehatan ibu dan anak III. Mulati E, Widyaningsih Y, Royati OOF, editors. Jakarta; 2016.
  8. Muoni T. Midwife?: Understanding heuristics. British Journal of Midwifery. 2012;20(1):52–6.
  9. Shimoda K, Leshabari S, Horiuchi S, Shimpuku Y, Tashiro J. Midwives intrapartum monitoring process and management resulting in emergency referrrals in Tanzania?: A qualitative study. BioMed Central Pregnancy Childbirth. 2015;1–10.
  10. Yuliani I. Tentang aspek hukum informed consent dan pelaksanaannya [Internet]. Universitas Gajah Mada; 2018. Available from: http://etd.repository.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=50471
  11. Kematian D, Di IBU, Sakit R. Rangkuman Laporan [Internet]. 2015. Available from: http://emasindonesia.org/assets/up/2016/12/01-Kajian-Kematian-Ibu-Program-Brief_ID.pdf
  12. Palifiana DA, Wulandari S. Penerapan pendokumentasian asuhan kebidanan pada bidan praktik mandiri di kabupaten Bantul. Jurnal Keperawatan Intan Husada. 2017;4(1):39–49.
  13. Endang N. Pelaksanaan perlindungan hukum bagi bidan praktik swasta yang melakukan rujukan maternal di kabupaten Bantul [Internet]. Universitas Gajah Mada. 2018. Available from: http://etd.repository.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=45399&obyek_id=4
  14. Tabatabaie MG, Moudi Z, Vedadhir A. Home birth and barriers to referrring women with obstetric complications to hospitals?: A mixed- methods study in Zahedan, southeastern Iran. Reproductive Health. 2012;9(5):1–10.
  15. Skinner JP, Foureur M. Consultation , referrral, and collaboration between midwives and obstetricians?: Lessons from new zealand. Journal of Midwifery and Women's Health. 2010; 55(1):28-37.