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"Kematian perinatal masih menjadi masalah kesehatan di Indonesia. Pada tahun 2017, angka kematian perinatal di estimasikan sebesar 21 per 1000 kelahiran. Di sisi lain, ibu yang melaksanakan persalinan masih dibayangi oleh komplikasi, dimana partus lama merupakan salah satu bentuk komplikasi yang paling sering terjadi. Apabila tidak ditangani secara tepat, partus lama dapat mengakibatkan luaran buruk bagi bayi. Oleh sebab itu, penelitian ini bertujuan untuk mengetahui hubungan partus lama dan kematian perinatal di Indonesia. Desain penelitian ini ialah cross sectional dengan menggunakan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017. Sampel merupakan wanita usia subur (WUS) yang melahirkan bayi lahir hidup dan lahir mati dengan usia kehamilan ≥7 bulan dan merupakan anak terakhir dalam periode 5 tahun sebelum survei. Hasil penelitian ini menunjukkan proporsi kematian perinatal sebesar 1,3%. Partus lama dialami oleh sebagian besar ibu bersalin (40,4%). Namun, hal tersebut belum berdampak terhadap kematian perinatal. Besar asosiasi partus lama terhadap kematian perinatal sebesar aPOR 1,151 kali (95% CI 0,818-1,842 dan p-value 0,559) setelah dikontrol confounding dan variabel kovariat. Dapat disimpulkan bahwa partus lama tidak memberikan efek yang cukup signifikan terhadap kematian perinatal. Upaya dalam menurunkan kematian perinatal masih sangat dibutuhkan, salah satunya dengan memperkuat program audit kematian perinatal; meningkatkan kualitas pemeriksaan antenatal; serta mengevaluasi secara berkala kualitas ketersediaan pelayanan kesehatan.

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Perinatal mortality remains a public health issue In Indonesia. The perinatal death rate was predicted to be 21 per 1000 births in 2017. On the other hand, complication during childbirth still overshadowed mothers, with prolonged labor being one of the most types of. Prolonged labor might harm the infant if it is not handled carefully. The purpose of this study is to ascertain the association between prolonged labor and perinatal mortality in Indonesia. Utilizing secondary data from the 2017 Indonesian Demographic and Health Survey, this study's design was cross-sectional (IDHS). Women who delivered liveborn or stillborn children with a gestational age of 7 months and more and who had the last birth in the 5 year period of survey were included in the sample. The results showed proportion of perinatal mortality was 1,3%. Proportion of prolonged labor was 40,4%. The association between prolonged labor and perinatal mortality was aPOR 1,151 (95% CI 0,818-1,842 and p-value 0,559) after controlled by confounding and covariates. It can be conclude that there is no significant effect between prolonged labour and perinatal mortality. It is still urgently necessary to make efforts to lower perinatal mortality, including by strengthening the perinatal death audit program, expanding the quality of antenatal care and made routine assessments quality of health service that are available."

"[Tujuan penelitian ini adalah mengetahui hubungan pemberdayaan perempuan, utilisasi layanan kesehatan dengan kematian perinatal di Indonesia tahun 2012. Penelitian ini adalah penelitian kuantitatif dengan desain studi cross sectional menggunakan data sekunder SDKI 2012. Sampel penelitian ini adalah semua WUS yang (15 ? 49 tahun) yang pernah melahirkan dalam kurun waktu lima tahun terakhir sebelum survei pada data SDKI 2012. Hasil penelitian menunjukan bahwa tidak ada hubungan antara pemberdayaan perempuan dengan kematian perinatal. Ada hubungan antara Utilisasi layanan kesehatan dengan kematian Perinatal. variabel lain yang signifikan mempengaruhi kejadian kematian perinatal adalah pendidikan, status ekonomi, jumlah kelahiran, komplikasi kehamilan dan komplikasi persalinan. Faktor yang paling berpengaruh terhadap kejadian perinatal adalah variabel utilisasi layanan kesehatan buruk pada kelompok status ekonomi rendah dengan Odds ratio

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The purpose of this study was determine the correlation of womens Empowerment, health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level, economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21-9.12). The purpose of this study was determine the correlation of women?s Empowerment, health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level, economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12).;The purpose of this study was determine the correlation of women?s Empowerment, health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15-49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the womens empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level, economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12).;The purpose of this study was determine the correlation of women?s Empowerment , health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level , economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12).;The purpose of this study was determine the correlation of women?s Empowerment , health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 ? 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women?s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level , economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 ? 9.12)., The purpose of this study was determine the correlation of women’s Empowerment , health service utilization with perinatal mortality in Indonesia in 2012. The research was quantitative, with cross sectional design using secondary data SDKI 2012. The sample was all womens aged 15 – 49 years old who were respondent in data SDKI 2012 and has breathing in past five years before survey SDKI 2012. The results showed that the women’s empowerment has not correlation with perinatal mortality, health service utilization has relationship with perinatal mortality. The other variables that has significantly correlation with perinatal mortality are educational level , economic status, parity, breathing complications and pregnancy complications. Breathing complication was the most correlation factor with perinatal mortality (OR: 4.5, 95%CI: 2.21 – 9.12).]"

"Angka kematian perinatal merupakan salah satu indikator derajat kesehatan. Berdasarkan data Departemen Kesehatan RI tahun 1999, angka kematian perinatal di Indonesia saat ini masih tinggi yaitu 45 per 1000 kelahiran hidup, sedangkan angka kematian perinatal di Kotamadya Bengkulu adalah 177 dari 7.207 kelahiran hidup. Tujuan penelitian ini adalah diketahuinya faktor-faktor yang mempengaruhi kematian perinatal di Kotamadya Bengkulu. Periode pengamatan dilakukan selama satu tahun terhitung mulai I Januari 1999 sampai dengan 31 Desember 1999. Metode penelitian yang digunakan adalah rancangan kasus kontrol dengan perbandingan jumlah kasus dan kontrol sebanyak 1:1, sehingga jumlah sampel yang dibutuhkan adalah 131 kasus dan 131 kontrol. Pengambilan kontrol dilakukan pada wilayah yang sama dengan kasus secara random sampling tanpa melakukan maching. Kasus adalah bayi yang meninggal pada masa perinatal antara tanggal I Januari 1999 sampai dengan 31 Desember 1999 di Kotamadya Bengkulu, sedangkan kontrol adalah bayi yang lahir hidup dan tidak mati pada wilayah dan periode waktu yang sama. Hasil penelitian menemukan bahwa dari 12 variabel, 11 variabel bermakna dengan p < 0,05 yaitu umur (P= 0,0001 dan OR=13,54), paritas (PN 0,0001 dart Olt 3,95), pendidikan (P= 0,002 dan OR=2,24), kondisi kesehatan (P= 0,016 dan OR~,46), kelengkapan pemeriksaan (PN 0,0001 dan OR=12,54), frekuensi pemeriksaan (P= 0,0001 dan QR=5,759), jenis penolong persalinan (P= 0,0001 dan OR=12,05), jenis persalinan (P= 0,0001 dan OR= 4,88), lama persalinan (P= 0,0001 dan OR=33,75), komplikasi persalinan (P= 0,0001 dan OR= 10,506), berat badan bayi (P= 0,0001 dan OR 200,35). Berdasarkan model akhir dari penelitian ini, didapatkan bahwa faktor yang berhubungan erat dengan kematian perinatal adalah berat badan bayi, umur ibu, paritas, kelengkapan pemeriksaan, dan komplikasi persalinan. Untuk menghindari dan menurunkan angka kematian perinatal, disarankan untuk melakukan penyuluhan kepada ibu hamil melalui Dasa Wisma, kelompok pengajian dan organisasi masyarakat, tentang peningkatkan upaya pendeteksian dini terhadap ibu hamil yang berisiko tinggi, penundaan kehamilan untuk ibu yang berumur <20 tahun, dan menghentikan kehamilan untuk ibu yang memiliki anak lebih dari tiga atau berusia > 35 tahun dengan menggunakan alat kontrasepsi terpilih. Untuk kasus BBLR dapat dilakukan penyebarluasan informasi kesehatan dengan pengenalan metode kanguru, baik di rumah maupun di fasilitas kesehatan.

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Prenatal mortality rate (PMR) is one of the health status indicator. In Indonesia prenatal mortality rate is still bight, estimated around 45 per 1000 life births. Hite the PMR in Bengkulu city is 177 of 7.207 live birth. This study is aimed to determine factors that influence of prenatal mortality in Bengkulu City. Observation was conducted for one year from 1st January 1999 to 31st December 1999.

This study used case control design with comparison 1 case and I control. The sample size is 131 cases and 131 control. Control was taken random is without matching. Cases are infants who die during prenatal period, whereas controls are infant who born and live within period 1st January 1999 to 31st December 1999 in Bengkulu City.

This study showed that 11 of 12 variables were significant with p < 0,05. They are age (p = 0,000I and OR = 13,54), parity (p = 0,0001 and OR=3,95), education (p = 0,002 and OR = 2,24), health status (p = 0,016 and OR = 0,46), complete examination (p = 0,0001 and OR = 12.54), frequency visit (p = 0,0001 and OR = 5,759), type of birth (p = 0,0001 and OR = 12,05), type of delivery (p = 0,0001 and OR = 4,88), delivery duration (p = 0,0001 and OR = 33,75), delivery complication (p = 0,0001 and OR = 1 0,506), birth weight (p = 0,0001 and OR = 200,35).

According to this study, there are some factors have close relation with prenatal mortality. They are birth weight, mother's age, parity, complete examination, and delivery complication. To prevent prenatal mortality, health provider should give health education for pregnant women trough organization like Dasa Wisma and Pengajian or the other organization. Second, increase early detection for high pregnant woman. Third, delaying pregnancy for young mother with age < 20 years and stopping pregnancy for old mother with age > 35 years by using contraception. To reduce Low Birth Weight by cases, health information about introduction of kangaroo method at home or health facility."

"Penurunan kematian perinatal perlu terus dipertahankan untuk meraih target Sustainable Development Goals 2030 sebagai bentuk dukungan terhadap target penurunan angka KIA yang masih menjadi masalah kesehatan masyarakat. Penelitian ini dilakukan untuk mengetahui faktor yang berpengaruh terhadap kematian perinatal. Penelitian dilakukan di Indonesia menggunakan data sekunder SDKI 2017. Desain studi yang digunakan adalah cross-sectional dengan analisis bivariat. Terdapat hubungan yang signifikan secara statistik antara berat bayi saat dilahirkan (PR 4,27; 95% CI 2,92-6,25), tipe gestasi (PR 5,88; 95% CI 2,96-11,70), ukuran bayi saat lahir (PR 4,84; 95% CI 3,41-6,87), pendidikan ibu (PR 4,30; 95% CI 1,94-9,50), usia ibu saat melahirkan (PR 1,92; 95% CI 1,42-2,60), paritas (PR 1,76; 95% CI 1,32-2,35), komplikasi kehamilan (PR 2,01; 95% CI 1,40-2,88), komplikasi persalinan (PR 1,62; 95% CI 1,08-2,45), pekerjaan ibu (PR 1,39; 95% CI 1,03-1,87), penggunaan tembakau (PR 2,12; 95% CI 1,09-4,11), antenatal care (PR 4,10; 95% CI 2,99-5,63), vaksinasi tetanus toxoid (PR 1,91; 95% CI 1,31-2,77), suplementasi zat besi (PR 1,93; 95% CI 1,31-2,86), akses toilet (PR 1,48; 95% CI 1,10-2,00), dan terpapar internet (PR 1,51; 95% CI 1,10-2,10) dengan kematian perinatal. Pengetahuan mengenai faktor-faktor yang berhubungan ini bisa menjadi informasi dasar terkini dalam kejadian kematian perinatal di Indonesia.

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The decline of perinatal mortality in Indonesia needs to be preserved to achieve Sustainable Development Goals 2030 as an underpinning process of reducing maternal and child death numbers that has been a public health issue. The objective of this research is to determine associated factors of perinatal mortality. This research is conducted with a cross-sectional design and bivariate analysis. Results shown that there are statistically-significant association between birth weight (PR 4,27; 95% CI 2,92-6,25), gestational type (PR 5,88; 95% CI 2,96-11,70), size at birth (PR 4,84; 95% CI 3,41-6,87), mother’s education (PR 4,30; 95% CI 1,94-9,50), mother’s age on labor (PR 1,92; 95% CI 1,42-2,60), parity (PR 1,76; 95% CI 1,32-2,35), pregnancy complication (PR 2,01; 95% CI 1,40-2,88), complications during labor (PR 1,62; 95% CI 1,08-2,45), mother’s occupation (PR 1,39; 95% CI 1,03-1,87), tobacco usage (PR 2,12; 95% CI 1,09-4,11), antenatal care (PR 4,10; 95% CI 2,99-5,63), tetanus toxoid vaccination (PR 1,91; 95% CI 1,31-2,77), iron supplementation (PR 1,93; 95% CI 1,31-2,86), toilet access (PR 1,48; 95% CI 1,10-2,00), and internet exposure (PR 1,51; 95% CI 1,10-2,10) to perinatal death. This additional knowledge is an updated version of basic information in perinatal death occurence in Indonesia."