EFEKTIVITAS RUJUKAN MEDIK DENGAN TINDAKAN PENGAKHIRAN PERSALINAN PADA IBU HAMIL RESIKO DI RSUD TIDAR KOTA MAGELANG TAHUN 2013
ABSTRACT: The persistently
high maternal mortality rate in Indonesia put efforts to reduce maternal
mortality rate as a priority program. In order to increase accessibility,
equity and effectiveness of health services, referrals are made to the nearest
service facility which has the ability to service according to patient needs.
Preliminary study data mentions that three mothers who were referred caused by
eclampsia which previously have been given initial treatment, two delivery ends
with sectio operation, and one died on the way to a referral place.
This study aimed to describe the
effectiveness of medical referral to the action of termination of labor in
pregnant women with risk. This type of research is qualitative, in which data
collection is emic perspective. The population in this study were pregnant
women with complications over the reference midwives, midwives refer, as well
as hospital midwife. Sampling technique used is purposive sampling. The sample
in this study amounted to 10 samples from each patient, referring midwives, and
hospital midwives. The study began on 27 May to 23 July 2013. The data was
collected by questionnaire, interview, and recording. Presentation of data in
tables at once narrative.
The results showed that all midwives in referral has been effectively
demonstrated by not occur 3 late that consists of the delay at the family level
in recognizing danger signs and make the decision to seek help, the delay in
reaching health care facilities as well as delays in health care facilities to
obtain help that is needed so there is no maternal and infant mortality.
The conclusion of this study is the act of a referral made by midwives
has proven effective in the absence of the death of both the mother and fetus.
Advice for health workers, especially midwives, are more concerned midwife in
preparation required prior to referring.
KEYWORDS: Refferal,
Termination of pregnancy
Penulis: Liliana Nur Kholifah,
Sri Winarsih
Kode Jurnal: jpkebidanandd160510