INAJOG Indonesia Journal of Obtetrics and Gynecology (Vol.9, No.2 Page 62-118 April 2021)
Abstract
Objective:
To analyse the association between determinants
of maternal deaths and obstetric haemorrhage in Padang,
Indonesia.
Methods:
A retrospective case-control study was conducted
in Padang, Indonesia from 2015 to 2019. Maternal deaths
that occurred due to obstetric haemorrhage in Padang
Health Department was compared to three mothers who
survived from obstetric haemorrhage (controls) in Dr. M.
Djamil General Hospital, Padang, Indonesia.
Results:
There were 20 deaths caused by obstetric
haemorrhage during 2015 to 2019. Death records could
only be found in 16 cases. The most common aetiology
of obstetric haemorrhage was uterine atony (62.5%).
Determinants associated with maternal deaths due to
obstetric haemorrhage were interval between pregnancies
(p=0.045; OR:10.846), history of previous labour (p=0.003;
OR:8.556), and antenatal care (p=0.003; OR:21.364). Age,
parity, birth attendant, and mother’s educational level were
not signi
fi
cantly associated with maternal deaths due to
obstetric hemorrhage.