Determinants Of Maternal Death Rate In Lamongan District, East Java Province, Indonesia

Abstract

Maternal mortality is still a hot issue worldwide and in Indonesia. Maternal Mortality Rate (MMR) is an indicator of public health status where according to WHO the causes of MMR are largely preventable. Pregnancy complications are the highest cause of MMR. The purpose of the study was to determine what determinants were associated with maternal mortality in Lamongan Regency from 2020 to 2022. This study used an analytical descriptive method with a cross-sectional approach. The data used was secondary data from the Lamongan Regency Health Profile in 2020, 2021 and 2022. The instrument used an observation sheet. Data were analyzed using bivariate and univariate analysis. There was an upward trend in MMR in Lamongan Regency from 2020 to 2021 and then experienced a sharp decline in 2022. Maternal age did not have a significant relationship as an indirect cause of MMR, but maternal age correlated with the incidence of bleeding as a direct cause of maternal death. The age determinants of maternal mortality were more than half in the healthy reproductive age range of 20-34 years at 57.7%. The direct causes of maternal mortality were not significantly associated with MMR. The cause of MMR was almost partly due to other causes at 42.2%. Almost half of obstetric complications in Lamongan Regency in 2022 were anemia at 39.6%. The direct causes of maternal mortality were not significantly associated with MMR in Lamongan Regency. MMR can be reduced through efforts to detect early pregnancy complications and improve maternal health services. Efforts to prevent pregnancy complications can be made with good self-care during pregnancy and supported by the environment. Therefore, health promotion efforts should begin before pregnancy so that the results are more optimal.