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Objective : To determine the MMR trends, its associated factors, and neonatal outcome at East Ogan Komering Ulu Regional Public Hospital from 2013 until 2016. Methods : This descriptive study was performed from January 2013 until December 2016 in maternity ward and Intensive Care Unit (ICU) of East Ogan Komering Ulu Regional Public Hospital, South Sumatera. Data were collected from medical records. There were 17 maternal deaths, but one was excluded due to lack of data. Results : We recorded 2,191 pregnancies and 17 maternal deaths. Over four years, the lowest MMR occurred in 2013 (229/100,000) and achieved its peak in 2014 (1,306/100,000). Then, MMR followed a downward trend dropping from 1,087/100,000 in 2015 until 588/100,000 in 2016. Most of the deceased were childbearing age women (50.0%), multigravida (62.5%), but nulliparous (50.0%), and aterm (87.5%). The major aetiology of maternal deaths were hypertensive disorders (37.5%), followed by hypertensive disorders combined with haemorrhage and hypertensive disorders combined with infection in the same proportion. MMR was higher in inborn cases (87.5%), born via C-section (87.5%), and treated for less than 48 hours (93.75%). Alive neonatal were born in most cases (62.5%). Conclusions : MMR trends in our hospital were fl uctuating with a downward trend, but still much higher than the MDGs target in 2015 (102/100,000). Hypertensive disorder plays a signifi cant role in maternal deaths. In addition, most of the neonates were born alive. We hope that this study can be feedback for the hospital to do maternal and perinatal audit.

indonesian journal of obstetrics and gynecology

Maternal Mortality Rate at East Ogan Komering Ulu (East OKU) Regional Public Hospital Over a Four Year Period: Trends, Its Associated Factors and Neonatal Outcome