MANAJEMEN PENANGANAN KEGAWATDARURATANOBSTETRI PADA PUSKESMAS PONED DI KABUPATEN DOMPUPROVINSI NUSA TENGGARA BARAT
Background: Emergency and obstetric complications can not always be
foreseen in advance and may occur in pregnant women in the
identification of normal, so that pregnant women should be as close as
possible to health facilities is a primary health care. Emergency services
are provided at primary health care is called Neonatal Basic Obstetric
Services Emergency(PONED). According to the annual report of the
District Health Office Dompu PONED maternal mortality in 2010 there
were as many as 4 people from the number of live births and as many as
5,327 people from the number of obstetric complications were found in
primary health care and Polindes/ Poskesdes as many as in 1,192 and
refer to RSUD as many as 493 cases.
Method: Qualitative methods in the design case studies and data
analyzed by descriptive process management to evaluate the
implementation of emergency handling and management of obstetric
emergency obstetric referral cases in primary health care PONED in
Dompu District. The subject of this research is Head of Division
Binkesmas and Head of Division Yankesdas and referral health
department Dompu district, PONED Primary health care team, midwives
and physician emergency General Hospital Dompu, as well as pregnant
women by the number of respondents 20 people.
Result: Service and emergency management PONED Primary health
care is still on call, the availability of funds is sufficient but there are still
components that are not budgeted, most of the facilities and equipment
already exists, but there are some that are not yet available. PONED team
has not attended training for staff development and program evaluation
has not been done. Handling and management of referral of pregnant
women has not been fully put BAKSOKU referral standard. Ambulance
transportation means the condition is not feasible to be used to refer.
Conclusion: The pregnant women who are referred to and addressed the
basic principle is not appropriate for handling the case referral may
increase the risk of maternal death.