Maternal Mortality Risk Factors in Dr. Hasan Sadikin General Hospital, Bandung in 2009−2013

Shely Karma Astuti, Muhammad Alamsyah Aziz, Insi Farisa Desy Arya


Objective: To discover the factors affecting the occurrence of maternal deaths. The high maternal mortality rate (MMR) in Indonesia is still a common problem which needs urgent solution.

Methods: This is an analytic observational, cross-sectional study using a case control approach Fifty two cases were selected as cases, another 52 were selected as control. The sampling was performed by simple random sampling. The instruments used in this study were the medical records of mothers who gave birth in Dr. Hasan Sadikin General Hospital Bandung from 1 January 2009–31 December 2013. Data analysis was performed using chi-square test.

Results: In this study, the results showed that the risk factors contributing to maternal deaths were pregnancy complication (p<0.001), delivery complication (p<0.001), puerpural complication (p=0.022), age (p=0.030), parity (p=0.427), prior medical history (p<0.001), antenatal care (p=0.007), maternal education (p=0.527), and area of residence (p=0.049).

Conclusions: The risk factors that contribute to maternal deaths include pregnancy complication, delivery complication, puerpural complication, maternal age, prior medical history, antenatal care, and area of residence.

Keywords: Complication, maternal deaths, risk factors


DOI: 10.15850/ijihs.v5n2.992


Complication, maternal deaths, risk factors

Full Text:



Helmizar. Evaluasi kebijakan jaminan persalinan dalam penurunan angka kematian ibu. KEMAS. 2014;9(2):197−205.

Prakarsa Welfare Initiative for Better Societies. Angka kematian ibu melonjak, Indonesia mundur 15 tahun. [cited 2013 Dec 6]. Available from:

Shirin S, Nahar S. Maternal mortality-a public health problem. Ibrahim Med Coll J. 2012;6(2):64−9.

Khaskheli MS, Baloch S, Sheeba A. Risk factors and complications of puerperal sepsis at a tertiary healthcare centre. Pak J Med Sci. 2013;29(4):972–6.

Abi Bazar, Theodurus, Zaimursyaf Aziz, Azhari. Maternal mortality and contributing factors. INAJOG. 2012;36(1):8−13.

Cham M, Sundby J, Vangen S. Maternal mortality in the rural Gambia, a qualitative study on access to emergency obstetric care. Reproductive Health. 2005;2(3):1−8.

Suwal JV. Maternal mortality in Nepal: unraveling the complexity. Canadian Studies in Population. 2008;35(I):1−26.

Datta D, Datta PP. Maternal mortality in India: problems and challenges. Asian J Med Res. 2013;2(1):33−5.

Nove A, Matthews Z, Neal S, Camacho AV. Maternal mortality in adolescents compared with women of other ages: evidence from 144 countries. The Lancet Global Health. 2014;2(3):e155−64.

Nour NM. An introduction to maternal mortality. Rev Obstet Gynecol. 2008;1(2):77−81.

Khan N, Pradhan MR. Identifying factors associated with maternal deaths in Jharkhand, India: a verbal autopsy study. J Health Popul Nutr. 2013;31(2):262−71.

Hernandez JC, Moser CM. Community level risk factors for maternal mortality in Madagascar. Afr Reprod Health. 2013;17(4):118−29.

Gurnadi JI, Mose JC, Handono B, Fauziah PN, Pramatirta AY. Correlation between fms-Like tyrosine kinase-1 (sFlt-1) cell-free messenger RNA expression and fms-Like tyrosine kinase-1 (sFlt-1) protein level in severe preeclampsia and normal pregnancy. IJIHS. 2015;3(2):66–71.

Article Metrics

Abstract view : 1657 times
PDF - 618 times


This Journal indexed by



Creative Commons License
IJIHS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

View My Stats