Biopsychosocial Factors Associated with Postpartum Haemorrhage in Surakarta, Central Java

Journal of Maternal and Child Health

ARTICLE

Rizqa Kartika Dewi¹  Uki Retno Budihastuti²  Eti Poncorini Pamungkasari³ 

[1] Masters Program in Public Health, Universitas Sebelas Maret;Department of Obstetrics and Gynecology, Dr. Moewardi Hospital;Faculty of Medicine, Universitas Sebelas Maret

关键词: postpartum haemorrhage;    determinant;    path analysis;   

DOI  :  10.26911/thejmch.2018.03.03.05

学科分类：食品科学和技术

来源: Masters Program in Public Health, Universitas Sebelas Maret

【 摘 要 】

Background: Postpartum haemorrhage is the primary cause of maternal mortality worldwide. However, studies in Indonesia examining factors associated with postpartum haemorrhage are sparse. The purpose of this study was to examine factors associated with postpartum haemorrhage. Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at Dr. Moewardi hospital, Surakarta, Central Java, from May 2017 to May 2018. A total sample of 200 postpartum mothers was selected by fixed disease sampling. The dependent variable was postpartum haemorrhage. The independent variables were age, parity, birth space, anaemia, antenatal care, obstetrics history, education, and self-efficacy. The data were collected by questionnaire and analyzed by path analysis on Stata 13. Results:Postpartum haemorrhagewas positively and diretlyassociated with poor obstetric history(b=0.87; 95%CI=-0.03 to 1.79; p=0.059), older age (b=1.86; 95%CI=0.81 to 2.92; p= 0.001), multiparity(b= 1.62; 95%CI=0.08 to 3.15; p=0.038), anemia (b=1.74; 95%CI= 0.83 to 2.66; p<0.001), and narrow birth space (b=-2.51; 95%CI=-3.56 to -1.47; p<0.001). Postpartum haemorrhage was indirectly associated with antenatal care, education, and self-efficacy. Conclusion: Postpartum haemorrhageis positively associated with poor obstetric history, older age, multiparity, anemia, and narrow birth space. Postpartum haemorrhage is indirectly associated with antenatal care, education, and self-efficacy.

【 授权许可】

CC BY-NC-SA