Decision Making Process of Childbirth Helper and Referral for Mother Childbirth with Obstetric Emergency in Puskesmas Bandar I BatangRegency

Abstrak

Background: The high number of maternal mortality rates in Bandar-Batang (16 cases) is caused by bleeding, pre eclampsia, disruption of blood circulation system (liver, stroke) etc. Pregnancy complication urges to have next referral in a large hospital. Referral must be the planned program, not an incidental reaction. Methods: Qualitative research with descriptive analytical was used for research design. The Samples were 5 primary informants consist of childbirth mother and 2 triangulation informants: midwife of public health center and midwife coordinator. The data was collected with in-depth interviews, observation, and documentation. The data was analyzed with data reduction. Results: 80% (n = 4) of mothers having the first referral is caused by: pre-eclampsia severely, early broken amniotic fluid, the fast heart rate of fetal, and long 1 time. The decision making of referral obstetric emergency problems was dominant by the patient's family (husband). The scheme of referrals is: from midwife to public health centers to hospitals. Some obstacles occurred during maternal referral are rejection and hospital access (transportation). Conclusion: Husband plays the main role in the decision making of referral obstetric emergency problem. Referral from public health center to hospital needs to follow procedure system