The online version of this article (doi:10.1186/s12884-017-1280-1) contains supplementary material, which is available to authorized users.
We investigated associations between maternal characteristics, access to care, and obstetrical complications including near miss status on admission or during hospitalization on perinatal outcomes among Indonesian singletons.
We prospectively collected data on inborn singletons at two hospitals in East Java. Data included socio-demographics, reproductive, obstetric and neonatal variables. Reduced multivariable models were constructed. Outcomes of interest included low and very low birthweight (LBW/VLBW), asphyxia and death.
Referral from a care facility was associated with a reduced risk of LBW and VLBW [AOR = 0.28, 95% CI = 0.11–0.69, AOR = 0.18, 95% CI = 0.04–0.75, respectively], stillbirth [AOR = 0.41, 95% CI = 0.18–0.95], and neonatal death [AOR = 0.2, 95% CI = 0.05–0.81]. Mothers age <20 years increased the risk of VLBW [AOR = 6.39, 95% CI = 1.82–22.35] and neonatal death [AOR = 4.10, 95% CI = 1.29–13.02]. Malpresentation on admission increased the risk of asphyxia [AOR = 4.65, 95% CI = 2.23–9.70], stillbirth [AOR = 3.96, 95% CI = 1.41–11.15], and perinatal death [AOR = 3.89 95% CI = 1.42–10.64], as did poor prenatal care (PNC) [AOR = 11.67, 95%CI = 2.71–16.62]. Near-miss on admission increased the risk of neonatal [AOR = 11.67, 95% CI = 2.08–65.65] and perinatal death [AOR = 13.08 95% CI = 3.77–45.37].
Mothers in labor should be encouraged to seek care early and taught to identify early danger signs. Adequate PNC significantly reduced perinatal deaths. Improved hospital management of malpresentation may significantly reduce perinatal morbidity and mortality. The importance of hospital-based prospective studies helps evaluate specific areas of need in training of obstetrical care providers.
Additional file 1: QMP5. English version of maternal interview, including demographic data, care/referral data, social and medical support, problems, obstetric history, prenatal care, delivery history, and brief medical history (chronic and infectious disease(s)). (PDF 170 kb)12884_2017_1280_MOESM1_ESM.pdf
WHO | infant mortality. 2015. http://www.who.int/gho/child_health/mortality/neonatal_infant_text/en/. Accessed 13 May 2015.
UNICEF. Newborn health. 2015. https://www.unicef.org/health/newbornhealth.html. Accessed 22 May 2017.
Metaferia AM, Muula AS. Stillbirths and hospital early neonatal deaths at queen elizabeth central hospital, blantyre-malawi. Int Arch Med. 2009;2(1):25-7682-2-25.
Anonymous. Neonatal and perinatal mortality: Country, regional and global estimates. Geneva: World Health Organization; 2006.
Indonesia demographic and health survey 2012 - FR275.pdf. 2015. http://dhsprogram.com/pubs/pdf/FR275/FR275.pdf. Accessed 15 May 2015.
Adisasmita A, Deviany PE, Nandiaty F, Stanton C, Ronsmans C. Obstetric near miss and deaths in public and private hospitals in indonesia. BMC Pregnancy Childbirth. 2008;8:10-2393-8-10.
Titaley CR, Dibley MJ, Agho K, Roberts CL, Hall J. Determinants of neonatal mortality in indonesia. BMC Public Health. 2008;8:232-2458-8-232.
Statistics Indonesia (Badan Pusat Statistik—BPS) and Macro International. Indonesia demographic and health survey 2007. Calverton, Maryland: BPS and Macro International; 2008.
Ali M, Lulseged S. Factors influencing adolescent birth outcome. Ethiop Med J. 1997;35(1):35–42. PubMed
Arafa MA, Amine T, Abdel Fattah M. Association of maternal work with adverse perinatal outcome. Can J Public Health. 2007;98(3):217–21. PubMed
Achadi EL, Achadi A, Pambudi E, Marzoeki P. A study on the implementation of the jampersal policy in indonesia < br />. 2015. http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/10/13/000333037_20141013140335/Rendered/PDF/913250WP0UHC0C00Box385331B00PUBLIC0.pdf. Updated 2014. Accessed 14 July 2015.
- Maternal characteristics and obstetrical complications impact neonatal outcomes in Indonesia: a prospective study
Ayman A. E. El-Mohandes
S. Nurul Qomariyah
Judith J. Ryon
Reginald F. Gipson
Linda L. Wright
- BioMed Central
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