Indonesia Still Haunted by High Number of Maternal and Post-Natal Deaths

By Jakarta Globe on 11:56 am Jan 29, 2014

HIV Clinic 04_preview

Nurses at work in the HIV integrated care unit of Cipto Mangunkusumo government hospital in Jakarta on November 30, 2012. (AFP Photo/Romeo Gacad)

Indonesia is facing setbacks in achieving its Millennium Development Goal of reducing the maternal mortality rate, due to a lack of health services for women during pregnancy.

Indonesia’s goal under the MDGs was to bring post-natal deaths to 102 per 100,000 live births by the end of 2015. But the rate stood at 359 deaths per 100,000 live births as of 2012, according to the Indonesian Demographic and Health Survey from last September. The maternal mortality rate increased from 220 deaths per 100,000 live births in 2010, according to the United Nations Population Fund (UNFPA).

“Severe post-natal bleeding has been the main cause of maternal mortality in Indonesia,” said Dwiana Ocviyanti, an obstetrician and gynecologist at the Obstetrics and Gynecology Department at Cipto Mangunkusumo General Hospital, at a talk sponsored by Sari Husada, a producer of milk for women and children.

Severe bleeding — which could lead to death in 10 minutes — is avoidable if the mother gets regular checkups during her pregnancy.

“This highlights a lack of access to health services during pregnancy or during birth,” said Dwiana, noting there were still many areas in Indonesia that did not have access to physicians or midwives to aid in childbirth.

Pre-eclampsia, or seizures during pregnancy, and infection are also significant causes of post-natal death, Dwiana said.

“Prenatal checkups are important, especially during the third trimester,” said Widjaja Lukito, a lecturer of nutrition studies at the University of Indonesia, at the Sari Husada discussion.

In the third trimester, a pregnant woman should perform a blood check to discover whether she is anemic or has high blood pressure, he explained. Anemia during pregnancy can affect the woman’s flow of blood to her brain, while high blood pressure could lead to severe blood loss during birth.

“Reducing the maternal mortality rate is not a single institution’s job. Education and awareness are two important issues we should build on and develop together,” Dwiana said.

However, the SDKI survey, conducted by the National Family Planning Coordinating Board (BKKBN) and the Central Statistics Agency (BPS), shows an improvement in maternal services as 96 percent of women received prenatal care in 2012, up from 93 percent in 2007.

The survey shows that the number of maternal deaths was the highest in the 25-to-29-year age group, with 467 deaths per 100,000 live births. Basten Gokkon

  • billy

    its instead of using condoms, just let the babies die…….
    ITS of no surprise that this happens, the health service in indonesia is terrible!!!!
    ive never seen anything like it… not even stoneage doctors.. wood age i guess

    And it wont change anytime soon.. indonesia tried to advance forwards in the wrong places,, it for got the basic stepping stones you need to a healthy country,, your people make the country so they need a good service… maybe corruption halted it all…. who knows..but shit happened….

  • Aston

    Yep… health service is beyond imagination. These houses of death are full of totally incompetent people whose only goal is to stole your, and your family, hard work money. And they won’t hesitate to harm you to reach their goal. From all the mafias ruling the country, the medical one is by far the evilest.

  • The Major

    “The best way to reduce maternal mortality rates is to drink two glasses of Sari Husada milk a day for the duration of your pregnancy.”
    - This message is kindly brought to you by PT. Sari Husada

  • cranberry

    How many doctors close their eyes because looking at a vagina is taboo. Do they even know where the uterus and ovaries are located? So many people lack the basic knowledge of human anatomy and physiology that should be taught in middle school to children and through other programs for adult women who were never informed about the nutritional needs during pregnancy. If science and nutrition were taught in elementary school there wouldn’t be so many people lacking the basic knowledge of healthy living. Where are the properly trained pharmacists and dietitians who could set up programs through charitable organizations to teach nutrition? If the public is not informed, they don’t know what questions to ask their doctor or know if their doctor is qualified. Many of my Indonesian friends in American don’t know how to feed their kids adequate nutrition. Sweetened condensed milk from a can is not the proper dairy for growing children, they should be drinking 3-4 240 ml glasses of 1% milk a day for proper development and bone growth. Girls who are menstruating should have adequate iron and folic acid in their diets to prevent anemia. Why isn’t this taught in school?

    Unfortunately, the white rice that Indonesians eat is lacking in B vitamins because they are thrown away with the brown part; folic acid is especially important during the first trimester during development of the nervous system and brain. Adequate protein and calcium are important for muscle, organ and bone growth. Eggs and fish are great sources of protein if beef, pork and chicken is too expensive. Beef is the best source of iron which is important to prevent anemia. In order to grow properly, the fetus takes the nutrients it needs from the mother, so if the mother has never had proper nutrition, she will suffer from malnutrition and the baby will not develop as well as it should. All women who want to become pregnant should be eating adequate nutrients since they were children, especially dairy products, animal protein, whole grains, fruits and vegetables. This information is not new, proper nutrition for women of child bearing age, pregnant and breast feeding women has been know since the early 20th Century.