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Morbidity Occurs to a Fifth of Referred Post Partum Hemorrhage Cases( Morbiditas terjadi pada Seperlima Kasus Rujukan Perdarahan Pascapersalinan)

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Abstract:
Objective: To assess maternal morbidity (five scoring system) and mortality of referred post partum hemorrhage (PPH) in Dr. Cipto Mangunkusumo Hospital period 2008-2010 and to identify its related factors.

Method: Retrospective study with cross sectional design for re¬ferred obstetric cases in RSCM period 2008-2010. Analysis of rela¬tion was conducted to these data using Chi-square or Fisher test with SPSS 17.0.

Result: There were 10,752 referred obstetrics cases in RSCM from 2008-2010, the three most common cases were severe preeclamp¬sia, premature rupture of membrane, and preterm labour. The rate of referred cases of PPH in RSCM from 2008-2010 was 2%. There were 44 cases (20.5%) suffering morbidity (five scoring system) and 3 cases ending in mortality (1.4%) from all PPH referral cases. Mor¬tality to morbidity rate for referred PPH cases in RSCM was 6.81% (3/44) with case/fatality ratio 14.7: 1. Variables that related to mor¬bidity were age and referral factors (midwife). There were no rela¬tion between parity, education background, pay of services, occupa¬tion, type and etiology of PPH with morbidity due to PPH. Mortality assesment for 3 PPH referred cases would be descriptive.

Conclusion: The proportion of referred PPH cases in RSCM 2008- 2010 was 2%, of which 20.5% classified as morbid and 1.4% was classified as mortal cases. Variables related significantly to morbidity were age and referral factors.
[Indones J Obstet Gynecol 2013; 37-1: 3-7]

Keywords: five scoring system, maternal morbidity, maternal mor¬tality, referred cases of PPH

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Indonesian Journal of Obstetrict and Gynecology, 3

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Jakarta : Indonesian Society of Obstetrics and Gynocology., 2013

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5p

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2338-6401

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