KEPUTUSAN BIDAN UNTUK MERUJUK KE RUMAH SAKIT (Studi Kasus Kematian Ibu Di Puskesmas Kaliwates Kabupaten Jember 2011)

Abstract

Maternal mortality indicators become important in determining the degree of public health and the level of community welfare. The maternal mortality rate in the district of jember 2009-2011 show an increase of years. The increase was expected because of delays decided to refer by a midwife. The purpose of this research is to describe the decision as midwives to refer to the Hospital. This was a retrospective study using qualitative method and phenomenological approach The main informants in this study were midwives who experience maternal death during in their works, the additional informants in this study were famillies who experience maternal death and key informant is a midwife coordinator. Data were collected by conducting in-depth interview and analyzed using qualitative technique. Result of this study showed that the input at the time of pregnancy, childbirth, and postpartum is the number of midwives who are still lacking, infrastructure is incomplete, and the midwives still not invite husband and families to be a blood donors. The process at the time of pregnancy, childbirth, and postpartum is still be found activities conferring family and the selection of the referral hospitals upon of demand family. It was suggested for district health office to do training to midwife about the pattern of decision making in the event of emergencies in pregnant women, childbirth, and postpartum and Community Health Center to organize community participation via village alertness.