ABSTRACT

LUCINDA. Birth Mother Characteristics relationship with Genesis Postpartum haemorrhage

due to uterine atony in Bekasi City Hospital Period January 2009 - December 2010.
Supervised by dr. ADI SUKRISNO, Sp.OG, FMAS and MAMAN SUBARMAN, S.Si, M.
BioMed.
Based on the Indonesia Demographic Health Survey (IDHS) in 2007 Maternal
Mortality Rate (MMR), Indonesia at 228 per 100,000 live births, though the figure is still the
highest in Asia. Postpartum haemorrhage is the leading cause of death in childbirth and
uterine atony is the most common cause of bleeding early pospartum. At birth mothers aged
<20 and >35 years had a disproportionate risk of uterine atony, as well as the mother who
gave birth to > 3 times, and on maternal anemia increases the risk of uterine atony. This
study aims to determine and analyze the relationship between maternal characteristics with
the incidence of postpartum hemorrhage due to uterine atony. This study is a descriptive
analytic case-control study design, sampling method for the case group quota sampling and
for the control group by simple random sampling. The number of 93 samples consisting of 31
cases and 62 controls. The sample in this study were all pregnant patients who give birth
with postpartum bleeding complications due to uterine atony in Bekasi City Hospital during
the period January 2009 - December 2010 that meet the restriction criteria. The data
obtained were analyzed with chi square test with a computerized program. The results
showed the incidence of uterine atony in Bekasi City Hospital from January 2009 -
December 2010 is as much as 31 patients from 2436 births, or approximately 1.27%. The
results showed that there was a significant correlation between high risk parity (p = 0,001,
OR = 0,145) and Hb level anemia group (p = 0,000, OR = 1,816) with uterine atony,
whereas at high risk age group (p = 0,123, OR = 0,497) there is no significant correlation
and only a protective factor against uterine atony.

Keywords: age, parity, Hb concentration, uterine atony

Bibliography: 35 (2000-2010)