Indonesia bersama seluruh negara berkembang berupaya mencapai ke-
sepakatan Millenium Development Goals (MDGs) dengan salah satu
sasaran menurunkan angka kematian neonatal dari 20 per 1.000 kelahiran
hidup menjadi 15 per 1.000 kelahiran hidup. Penelitian ini bertujuan menge-
tahui hubungan pelayanan kesehatan ibu dengan kematian neonatal di
Kabupaten Lampung Timur tahun 2011. Penelitian dengan desain studi
kasus kontrol ini mengamati kasus ibu yang mengalami kematian neonatal
dan kontrol ibu yang tidak mengalami kematian neonatal. Analisis multi-
variat menemukan pelayanan antenatal dan pertolongan persalinan
berhubungan secara signifikan dengan kematian neonatal, setelah me-
ngendalikan variabel umur ibu dan riwayat kehamilan (OR = 16,32; nilai p
= 0,000); dan (OR = 18,36; nilai p = 0,31). Bayi yang dilahirkan dari Ibu de-
ngan pelayanan antenatal tidak lengkap berisiko mengalami kematian
neonatal 16,32 dan 18,36 kali lebih besar daripada bayi yang dilahirkan. Ibu
dengan pelayanan antenatal lengkap dan penolong persalinan profesional.
Tidak ada hubungan penolong persalinan dengan kematian neonatal, sete-
lah mengontrol variabel pelayanan antenatal, umur ibu, riwayat kehamilan,
riwayat penyakit, dan riwayat persalinan. Disarankan meningkatkan kuali-
tas pelayanan antenatal dengan memerhatikan faktor umur ibu dan riwayat
persalinan, mengembangkan kegiatan audit maternal perinatal serta
meningkatkan keterampilan petugas penolong persalinan.
All developing countries including Indonesia seek to reach agreement the
Millennium Development Goals (MDG?s). It is objectives include reducing
neonatal mortality by 25 percent from 20 per 1,000 live birth to 15 per 1,000
live births. This study aimed to determine the relationship of maternal health
services with neonatal mortality in East Lampung District in 2011. This study
used case control design to compare between the groups of mother whom
have neonatal deaths (cases) and neonatal life (control) in East Lampung
District in 2011. The result on antenatal care variables found that antenatal
care and birth attendant had significant correlation with neonatal death,
after controlling age and pregnancy history variable (p value = 0.000, OR =
16.32; p value = 0.31, OR = 18.36). The babies from mothers who did not
get completed prenatal care risk of 16.32 times have neonatal death than
babies born from mothers who received completed maternal care. There
was no association between neonatal mortality and birth attendant, after
controling variables of antenatal care, maternal age, pregnancy history,
medical history and chilbirth history. Based on this study, it is suggested to
increase activity of maternal perinatal audit, improve the quality of antenatal
care, maternal delivery, and develop other support activities to prevent
neonatal mortality in East Lampung District.
