Kohar, Vivi Sofiah (2026) ANALISIS FAKTOR-FAKTOR PENYEBAB RUJUKAN MATERNAL DI PUSKESMAS PONED BUNDER KECAMATAN SUSUKAN KABUPATEN CIREBON PERIODE 2023-2025. Diploma thesis, POLITEKNIK KESEHATAN TASIKMALAYA.
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Abstract
INTISARI Latar Belakang: Angka Kematian Ibu (AKI) masih menjadi masalah utama di Indonesia dengan 4.150 kasus pada tahun 2024. Rujukan maternal merupakan salah satu upaya menurunkan angka kesakitan dan kematian ibu melalui penanganan yang tepat dan cepat. Jumlah rujukan maternal di Puskesmas PONED Bunder periode 2023–2025 tergolong tinggi sehingga perlu diidentifikasi faktor-faktor penyebabnya. Kejadian rujukan maternal dipengaruhi oleh berbagai faktor antara lain karakteristik ibu (usia, paritas, tingkat pendidikan dan status pekerjaan), faktor klinis dan keterlambatan (three delays). Tujuan: Menganalisis faktor-faktor yang berhubungan dengan kejadian rujukan maternal di Puskesmas PONED Bunder Kecamatan Susukan Kabupaten Cirebon Periode 2023–2025. Metode: Penelitian kuantitatif dengan desain observasional pendekatan cross sectional menggunakan data sekunder rekam medis. Sampel sebanyak 344 data diambil dengan teknik total sampling. Analisis data menggunakan uji Chi-Square (α=0,05). Hasil: Kejadian rujukan maternal ditemukan pada 168 kasus (48,8%). Analisis univariat menunjukkan sebagian besar ibu berada pada usia tidak berisiko (64,2%), paritas tidak berisiko (62,8%), berpendidikan rendah (64%), dan tidak bekerja (81,4%). Hasil uji Chi-Square menunjukkan terdapat hubungan signifikan antara usia (p=0,025), paritas (p=0,034), tingkat pendidikan (p=0,002), faktor klinis (p=0,000), dan keterlambatan (p=0,000) dengan kejadian rujukan maternal. Status pekerjaan tidak menunjukkan hubungan signifikan (p=0,083). Kesimpulan: Faktor klinis dan keterlambatan merupakan faktor berhubungan dengan kejadian rujukan maternal. Diperlukan peningkatan skrining risiko, deteksi dini komplikasi serta edukasi kepada ibu dan keluarga. ABSTRACT Background: Background: Maternal Mortality Rate (MMR) remains a major problem in Indonesia, with 4,150 cases recorded in 2024. Maternal referral is one of the efforts to reduce maternal morbidity and mortality through prompt and appropriate management. The number of maternal referrals at Puskesmas PONED Bunder during the 2023–2025 period was relatively high, so it is necessary to identify the contributing factors. The occurrence of maternal referral is influenced by various factors, including maternal characteristics (age, parity, education level and employment status), clinical factors, and delays (three delays). Objective: To analyze the factors associated with the occurrence of maternal referrals at Puskesmas PONED Bunder, Susukan District, Cirebon Regency, for the Period 2023–2025. Methods: A quantitative study with an analytical observational design using a cross-sectional approach based on secondary data from medical records. A total of 344 data were collected using total sampling technique. Data were analyzed using the Chi-Square test (α=0.05). Results: Maternal referrals were found in 168 cases (48.8%). Univariate analysis showed that most mothers were of non-risk age (64.2%), non-risk parity (62.8%), had low education (64%), and were not employed (81.4%). Chi-Square test results showed significant relationships between age (p=0.025), parity (p=0.034), education level (p=0.002), clinical factors (p=0.000), and delays (p=0.000) with maternal referrals. Employment status showed no significant relationship (p=0.083). Conclusion: Clinical factors and delays were the factors associated with maternal referrals. Improvement in risk factor screening, early detection of complications and education for mothers and families are needed.
| Item Type: | Thesis (Diploma) | ||||||||||||
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| Uncontrolled Keywords: | Rujukan maternal. SKRIPSICB42026, SKRIPSICB4CRB, SKRIPSICRB | ||||||||||||
| Subjects: | L Education > L Education (General) R Medicine > R Medicine (General) R Medicine > RG Gynecology and obstetrics R Medicine > RM Therapeutics. Pharmacology R Medicine > RT Nursing |
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| Divisions: | Jurusan Kebidanan > D4 Kebidanan | ||||||||||||
| Depositing User: | CB4 Vivi sofiah kohar | ||||||||||||
| Date Deposited: | 17 Jul 2026 04:29 | ||||||||||||
| Last Modified: | 17 Jul 2026 04:29 | ||||||||||||
| URI: | http://repo.poltekkestasikmalaya.ac.id/id/eprint/9730 |
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