ABSTRACT

Background: 830 women die every day because of preventable causes related to pregnancy and childbirth. In developing countries, antepartum hemorrhage accounts for 16.3% of maternal deaths, while in Sub-Saharan Africa, the rate of bleeding reaches 24.5%. Maternal Mortality Rate (MMR) in Indonesia in 2012 achieved 359 per 100,000, and 90% was due to bleeding, infection, and preeclampsia. Various factors are associated with bleeding events in pregnancy; one is age and history of Caesarean section (SC).

Aim: This study aims to determine the relationship between maternal age and SC history with antepartum hemorrhage in Indonesia.

Method: This quantitative study with analytical surveys applied a case-control approach that analyzes the incidence of bleeding in pregnancy based Indonesian Demographic Health Survey (IDHS) in 2012 with a total of 15.173 respondents. Data analysis used chi-square with a p-value of 0.05 and CI 95%.

Results: The bivariate results obtained, maternal age was not associated with antepartum hemorrhage with a p-value (0.900), and the history of SC had a significant relationship with the incidence of antepartum hemorrhage (p-value = 0,000 <0.005).

Conclusion: Based on Health Technology Assessment (HTA) analysis, integrated antenatal care can be one of the policies to detect complications during pregnancy.

Keyword: Antepartum hemorrhage, maternal age, history of caesarian section, antenatal care