Characteristics of Risk Factor for Obstetric Emergency Cases Referred to Sanglah General Hospital

Introduction. The maternal mortality rate reflects the interaction of various aspects of maternal care, including bedside clinical care, health care and referral systems. Bali Province was among the region with the lowest MMR in Indonesia. Although various effort has been put, annual reduction of MMR has not been significant, partly due to the high proportion of obstetric emergency cases. This study was conducted to describe the risk factors associated with obstetric emergency referral cases received in Sanglah General Hospital based on an approach developed by Poedji Rochjati. Methods. A descriptive study conducted using secondary data derived from medical records of referred cases received in the obstetric emergency triage in Sanglah General Hospital on January 1st to December 31st, 2018. The data will be analyzed according to the classification of risk factors proposed by Poedji Rochjati. Results. There were 375 referred cases. Cases with risk factors for potential obstetric emergency (Category I) were 55, 2 %, with maternal age greater than 35 years is the dominant risk factor (20.5 %). Cases with an immediate obstetric threat (Category II) comprised 38.1 %, mostly with comorbid disease (23.7 %). Cases with an ongoing obstetric emergency (Category III) account for 35.2 %, most cases of severe preeclampsia/eclampsia (29.9 %). Referred cases were mostly high-risk pregnancies (43.2 %), followed by a very high-risk pregnancy (29.9 %). The other causes of referral were preterm labour (4.7 %) and premature rupture of membranes (PROM) both at preterm (7.4 %) and term pregnancy (5.9 %). There were 37 cases referred after delivery or cesarean section due to severe preeclampsia/eclampsia (1.9 %) and antepartum haemorrhage (7.5 %). Average response time for assessment and treatment of those cases were 7.0 ± 2.3 minutes, with a range of 2-12 minutes. Conclusion. The major risk factors for obstetric emergency cases referred to our tertiary level hospital were mother aged greater than 35 years, c