ABSTRAK Kematian perinatal di Kabupaten Tulang Bawang tahun 2012 cenderung
meningkat, dan kunjungan antenatal (K-4) belum mencapai target. Penelitian
bertujuan mengetahui hubungan pemanfaatan antenatal care dengan kematian
perinatal di Kabupaten Tulang Bawang tahun 2011 - 2012. Menggunakan data
sekunder otopsi verbal kematian perinatal. Desain penelitian kasus kontrol. Kasus
adalah bayi lahir hidup dan meninggal pada periode 0-7 hari. Kontrol adalah bayi
lahir hidup sampai usia 7 hari pada periode sama. Sample kasus 65 dan kontrol
130. Analisis regresi logistik menunjukkan pemanfaatan antenatal yang tidak
sesuai mempunyai OR 15,6 (95% CI: 4,1 -60,2) terhadap kematian perinatal
setelah di kontrol pendidikan ibu, paritas, jarak kelahiran, penolong persalinan,
komplikasi kehamilan. Pemanfaatan antenatal perlu ditingkatkan untuk penurunan
kematian perinatal.
ABSTRACT Number of perinatal mortality in Tulang Bawang tend to have increased in
2012 compared to the previous year, utilization of antenatal care is still below the
national target. This study aims to determine the relationship utilization of
antenatal care with perinatal mortality in Tulang Bawang in 2011 - 2012.
Research using secondary data perinatal death verbal autopsy and was designed a
case control study. Case were infants born alive and died during the early neonatal
periode (0-7 days), and Controls were infant born and stay alive during that
period. Number of cases was 65 and control was subject was 130 calculated.
Analysis method used was logystic regression analysis. Theresults showed that the
utilization of antenatal care which does not have the appropriate program OR 15.6
(95% CI: 4.1- 60.2) for perinatal mortality after being adjusted by maternal
education, parity, birth spacing, birth attendants, and complications of pregnancy.
Utilization of antenatal care needs to be improved in order to decrease perinatal
mortality.
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