The Determinant of Perinatal Mortality in Bandung Regency West Java, Indonesia

摘要

75% of infant mortalities occur in the early neonatal period. 2/3 of perinatal mortalities come from preventable determinant, namely patient, health service utilization behavior, medication reconciliation, and facility. This study aims to determine the determinant related to perinatal mortality. The method used in this study was an analytic survey with a cross-sectional design where the observation of the research subject was conducted in one observation, using Chi-Square (x2) statistical test. The population in this study were pregnant women whose fetuses died in pregnancies above 28 week and infants died before seven days of age. The sample in the study was the number of perinatal mortalities that occurred in Bandung Regency in 2015 which was around 221 cases. Based on the results of the study, the determinants of perinatal mortality were health behavior factors (place of initial service and death), medication reconciliation factors (late medication reconciliation and quality of reconciliation), and facilities (availability of supporting facilities). Aid by non-medical employees had a risk of 14,7 times for the occurrence of perinatal mortality. Delay in treating cases of perinatal emergencies will affect the failure of perinatal rescue.