Referral Description of Placenta Previa Cases at Dr. Soedarso Regional Hospital, Pontianak

Main Article Content

Muhammad Naufal Abdurrochman
Emika Prastyan
Eka Ardiani Putri
Agil Wahyu Pangestu Putra
Tri Wahyudi

Abstract

Placenta previa is a condition during pregnancy where the placenta is positioned near or covering the cervix, potentially complicating delivery. Maternal mortality rates during specific periods and times identify causes of maternal death. Emergencies in pregnancy are exacerbated by delays in treatment processes, accessing appropriate healthcare facilities late, and receiving services from competent healthcare providers late. Quick responses include referrals when basic healthcare facilities lack supportive infrastructure for healthcare providers' actions. Research is conducted to provide an overview of referral cases of placenta previa in pregnant women during the 2020-2023 period at RSUD Dr. Soedarso Pontianak. Knowing the patient referral overview for cases of placenta previa at RSUD Dr. Soedarso Pontianak. The collected data were analyzed in the form of descriptive statistics, processed using Statistical Product and Service Solution (SPSS) software 26.0. Data analysis in this study utilized univariate analysis including frequency distribution in percentages to determine the frequency or mode (most frequent). The results from SPSS 26.0 processing indicated that: 90 patients were referred (68.7%), and 41 patients were not referred (31.3%). Age distribution: <20 years old, 1 person (0.8%); 20-35 years old, 87 people (66.4%); >35 years old, 43 people (32.8%). Infant status: Alive, 130 infants (99.2%); Deceased, 1 infant (0.8%). Employment status: Employed, 25 people (19.1%); Unemployed, 106 people (80.9%). Hemoglobin levels (Anemia): Very mild, 61 people (19.1%); Mild, 52 people (39.7%); Moderate, 12 people (9.2%); Severe, 6 people (4.6%). Conclusion: The mechanism and implementation of referral services for patients with placenta previa at RSUD Dr. Soedarso Pontianak run smoothly, as evidenced by the higher number of patients referred from primary healthcare facilities compared to those who came directly to the hospital.

Article Details

How to Cite
Abdurrochman, M. N. ., Prastyan, E. ., Putri, E. A. ., Putra, A. W. P. ., & Wahyudi, T. . (2026). Referral Description of Placenta Previa Cases at Dr. Soedarso Regional Hospital, Pontianak . Journal of Community Health Provision, 6(2), 420-431. https://doi.org/10.55885/jchp.v6i2.1003
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References

Ahkam, Z. A., & Muchlis, N. (2021). Implementasi Sistem Rujukan Terintegrasi (Sisrute) Di Rsud Labuang Baji Kota Makassar. Journal of Muslim Community Health, 2(2), 98-111.

Ansari, M. S., Manzoor, R., Siddiqui, N., & Ahmed, A. M. (2015). Access to comprehensive emergency obstetric and newborn care facilities in three rural districts of Sindh province, Pakistan. Health research policy and systems, 13(Suppl 1), S55. https://doi.org/10.1186/s12961-015-0042-7

Aragaw, Y. A. (2016). Perinatal mortality and associated factor in Jimma university specialized hospital, South West Ethiopia. Gynecology & Obstetrics, 6(11).

Austin, A., Gulema, H., Belizan, M., Colaci, D. S., Kendall, T., Tebeka, M., ... & Langer, A. (2015). Barriers to providing quality emergency obstetric care in Addis Ababa, Ethiopia: healthcare providers’ perspectives on training, referrals and supervision, a mixed methods study. BMC pregnancy and childbirth, 15(1), 74. https://doi.org/10.1186/s12884-015-0493-4

Carusi, D. A., Fox, K. A., Lyell, D. J., Perlman, N. C., Aalipour, S., Einerson, B. D., ... & Shamshirsaz, A. A. (2020). Placenta accreta spectrum without placenta previa. Obstetrics & Gynecology, 136(3), 458-465.

Cavallaro, F. L., & Marchant, T. J. (2013). Responsiveness of emergency obstetric care systems in low‐and middle‐income countries: A critical review of the “third delay”. Acta obstetricia et gynecologica Scandinavica, 92(5), 496-507. https://doi.org/10.1111/aogs.12071

Christiansen, L. R., & Collins, K. A. (2006). Pregnancy-associated deaths: a 15-year retrospective study and overall review of maternal pathophysiology. The American journal of forensic medicine and pathology, 27(1), 11-19.

Daniels, A. A., & Abuosi, A. (2020). Improving emergency obstetric referral systems in low and middle income countries: a qualitative study in a tertiary health facility in Ghana. BMC health services research, 20(1), 32. https://doi.org/10.1186/s12913-020-4886-3

Donker, T., Wallinga, J., & Grundmann, H. (2010). Patient referral patterns and the spread of hospital-acquired infections through national health care networks. PLoS computational biology, 6(3), e1000715. https://doi.org/10.1371/journal.pcbi.1000715

Eltahan, M., & Watson, F. (2024). Management of antepartum haemorrhage. Obstetrics, Gynaecology & Reproductive Medicine, 34(11), 293-299. https://doi.org/10.1016/j.ogrm.2024.08.001

Esquivel, A., Sittig, D. F., Murphy, D. R., & Singh, H. (2012). Improving the effectiveness of electronic health record-based referral processes. BMC medical informatics and decision making, 12(1), 107. https://doi.org/10.1186/1472-6947-12-107

Faiz, A. S., & Ananth, C. V. (2003). Etiology and risk factors for placenta previa: an overview and meta-analysis of observational studies. The journal of maternal-fetal & neonatal medicine, 13(3), 175-190. https://doi.org/10.1080/jmf.13.3.175.190

Garland, J., & Little, D. (2018). Maternal death and its investigation. Academic forensic pathology, 8(4), 894-911. https://doi.org/10.1177/1925362118821485

Garland, J., & Little, D. (2018). Maternal death and its investigation. Academic forensic pathology, 8(4), 894-911. https://doi.org/10.1177/1925362118821485

Hooker, A. B., Lemmers, M., Thurkow, A. L., Heymans, M. W., Opmeer, B. C., Brölmann, H. A., ... & Huirne, J. A. (2014). Systematic review and meta-analysis of intrauterine adhesions after miscarriage: prevalence, risk factors and long-term reproductive outcome. Human reproduction update, 20(2), 262-278. https://doi.org/10.1093/humupd/dmt045

Howell, E. A., & Zeitlin, J. (2017). Quality of care and disparities in obstetrics. Obstetrics and Gynecology Clinics of North America, 44(1), 13. https://doi.org/10.1016/j.ogc.2016.10.002

Hutcheon, J. A., Nelson, H. D., Stidd, R., Moskosky, S., & Ahrens, K. A. (2019). Short interpregnancy intervals and adverse maternal outcomes in high‐resource settings: an updated systematic review. Paediatric and perinatal epidemiology, 33(1), O48-O59. https://doi.org/10.1111/ppe.

Iyengar, K., & Iyengar, S. D. (2009). Emergency obstetric care and referral: experience of two midwife-led health centres in rural Rajasthan, India. Reproductive health matters, 17(33), 9-20. https://doi.org/10.1016/S0968-8080(09)33459-X

Jauniaux, E. R. M., Alfirevic, Z., Bhide, A. G., Belfort, M. A., Burton, G. J., Collins, S. L., ... & Sentilhes, L. (2018). Placenta Praevia and Placenta Accreta: Diagnosis and Management: Green-top Guideline No. 27a. Bjog, 126(1), e1-e48. https://doi.org/10.1111/1471-0528.15306

Jauniaux, E., & Bhide, A. (2017). Prenatal ultrasound diagnosis and outcome of placenta previa accreta after cesarean delivery: a systematic review and meta-analysis. American journal of obstetrics and gynecology, 217(1), 27-36. https://doi.org/10.1016/j.ajog.2017.02.050

Jaya, S. T., Husin, F., & Effendi, J. S. (2019). Hubungan Sumber Daya Manusia, Sarana Prasarana, Komunikasi Poned–Ponek, Dan Standar Operasional Prosedur Dengan Syarat Dan Persiapan Rujukan Puskesmas Poned. Jurnal Kesehatan Prima, 13(1), 41-50. https://doi.org/10.32807/jkp.v13i1.212

Kainer, F., & Hasbargen, U. (2008). Emergencies associated with pregnancy and delivery: peripartum hemorrhage. Deutsches Ärzteblatt International, 105(37), 629. https://doi.org/10.3238/arztebl.2008.0629

Long, S. Y., Yang, Q., Chi, R., Luo, L., Xiong, X., & Chen, Z. Q. (2021). Maternal and neonatal outcomes resulting from antepartum hemorrhage in women with placenta previa and its associated risk factors: A single-center retrospective study. Therapeutics and Clinical Risk Management, 31-38. https://doi.org/10.2147/TCRM.S288461

Luke, B., & Brown, M. B. (2007). Elevated risks of pregnancy complications and adverse outcomes with increasing maternal age. Human reproduction, 22(5), 1264-1272. https://doi.org/10.1093/humrep/del522

Maghsoud-Lou, E., Christie, S., Abidi, S. R., & Abidi, S. S. R. (2017). Protocol-driven decision support within e-referral systems to streamline patient consultation, triaging and referrals from primary care to specialist clinics. Journal of Medical Systems, 41(9), 139. https://doi.org/10.1007/s10916-017-0791-7

Mahmoud Abdelwhab, S. R., Ali, A. E. S., Ahmed, M. A., & Hamed, B. M. (2022). Maternal outcomes in women with major degree placenta previa: an observational cohort study. Current Women's Health Reviews, 18(1), 100-107. https://doi.org/10.2174/1573404817999201230234519

Maqsood, U., Khanam, S., Salman, N., Liaqat, J., Saqib, S., & Noreen, S. (2024). Frequency of Placenta Previa among Women with Previous Cesarean-Section: Placenta Previa among Women. Pakistan Journal of Health Sciences, 215-219. https://doi.org/10.54393/pjhs.v5i08.2010

Maqsood, U., Khanam, S., Salman, N., Liaqat, J., Saqib, S., & Noreen, S. (2024). Frequency of Placenta Previa among Women with Previous Cesarean-Section: Placenta Previa among Women. Pakistan Journal of Health Sciences, 215-219. https://doi.org/10.54393/pjhs.v5i08.2010

Melamud, K., Wahab, S. A., Smereka, P. N., Dighe, M. K., Glanc, P., Kamath, A., ... & Hindman, N. M. (2024). Imaging of antepartum and postpartum hemorrhage. Radiographics, 44(4), e230164. https://doi.org/10.1148/rg.230164

Mkama, S. B., Lugata, J., Mangi, G., Gaffur, R., Mchome, B., Maro, E., & Mlay, J. (2024). Adverse maternal and fetal outcomes among pregnant women with uterine scar and placenta previa in the third trimester: a cross-sectional study at Zonal referral hospital. PAMJ-One Health, 15(13).

Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. International journal of health policy and management, 3(2), 77. https://doi.org/10.15171/ijhpm.2014.65

Okot, G., Omara, S., Kasujja, M., Pebalo, F. P., Baruti, P., & Ubarnel, N. A. (2024). Incidence and factors associated with immediate adverse neonatal outcomes among emergency obstetric referrals in labor at a tertiary hospital in Uganda: a prospective cohort study. BMC Pregnancy and Childbirth, 24(1), 715. https://doi.org/10.1186/s12884-024-06900-6

Omokanye, L. O., Olatinwo, A. W. O., Salaudeen, A. G., Ajiboye, A. D., & Durowade, K. A. (2017). A 5-year review of pattern of placenta previa in Ilorin, Nigeria. International Journal of Health Sciences, 11(2), 35.

Owen, M. D., Cassidy, A. L., & Weeks, A. D. (2021). Why are women still dying from obstetric hemorrhage? A narrative review of perspectives from high and low resource settings. International journal of obstetric anesthesia, 46, 102982. https://doi.org/10.1016/j.ijoa.2021.102982

Oyelese, Y., & Shainker, S. A. (2025). Placenta previa. Clinical Obstetrics and Gynecology, 68(1), 86-92.

Palacios-Jaraquemada, J. M. (2013). Caesarean section in cases of placenta praevia and accreta. Best Practice & Research Clinical Obstetrics & Gynaecology, 27(2), 221-232. https://doi.org/10.1016/j.bpobgyn.2012.10.003

Quinn, M. M., Sembajwe, G., Stoddard, A. M., Kriebel, D., Krieger, N., Sorensen, G., ... & Barbeau, E. M. (2007). Social disparities in the burden of occupational exposures: Results of a cross‐sectional study. American journal of industrial medicine, 50(12), 861-875. https://doi.org/10.1002/ajim.20529

Rathnayake, D., & Clarke, M. (2021). The effectiveness of different patient referral systems to shorten waiting times for elective surgeries: systematic review. BMC health services research, 21(1), 155. https://doi.org/10.1186/s12913-021-06140-w

Ratiu, D., Sauter, F., Gilman, E., Ludwig, S., Ratiu, J., Mallmann-Gottschalk, N., ... & Baek, S. (2023). Impact of advanced maternal age on maternal and neonatal outcomes. in vivo, 37(4), 1694-1702. https://doi.org/10.21873/invivo.13256

Rosenberg, T., Pariente, G., Sergienko, R., Wiznitzer, A., & Sheiner, E. (2011). Critical analysis of risk factors and outcome of placenta previa. Archives of gynecology and obstetrics, 284(1), 47-51. https://doi.org/10.1007/s00404-010-1598-7

Sakinah, S. A., Sebayang, S. K., & Dewi, D. M. S. K. (2022). Hubungan Paritas Ibu Dengan Kejadian Plasenta Previa Di Indonesia: Systematic Literature Review. BIOGRAPH-I: Journal of Biostatistics and Demographic Dynamic, 2(2), 87-97.

Shen, X., Mu, G., Yang, L., Li, H., & Su, Y. (2025). Association between obstetric comorbidity index and complications of vaginal delivery: a large cross-sectional study from China. BMC Pregnancy and Childbirth, 25(1), 1218. https://doi.org/10.1186/s12884-025-08413-2

Singh, S., Doyle, P., Campbell, O. M., Mathew, M., & Murthy, G. V. S. (2016). Referrals between public sector health institutions for women with obstetric high risk, complications, or emergencies in India–A systematic review. PloS one, 11(8), e0159793. https://doi.org/10.1371/journal.pone.0159793

Singh, S., Doyle, P., Campbell, O. M., Mathew, M., & Murthy, G. V. S. (2016). Referrals between public sector health institutions for women with obstetric high risk, complications, or emergencies in India–A systematic review. PloS one, 11(8), e0159793. https://doi.org/10.1371/journal.pone.0159793

Solheim, K. N., Esakoff, T. F., Little, S. E., Cheng, Y. W., Sparks, T. N., & Caughey, A. B. (2011). The effect of cesarean delivery rates on the future incidence of placenta previa, placenta accreta, and maternal mortality. The Journal of Maternal-Fetal & Neonatal Medicine, 24(11), 1341-1346. https://doi.org/10.3109/14767058.2011.553695

Tsolakidis, D., Zouzoulas, D., & Pados, G. (2021). Pregnancy‐related hysterectomy for peripartum hemorrhage: a literature narrative review of the diagnosis, management, and techniques. BioMed research international, 2021(1), 9958073. https://doi.org/10.1155/2021/9958073

Zmora, I., Bas-Lando, M., Armon, S., Farkash, R., Ioscovich, A., Samueloff, A., & Grisaru-Granovsky, S. (2019). Risk factors, early and late postpartum complications of retained placenta: A case control study. European Journal of Obstetrics & Gynecology and Reproductive Biology, 236, 160-165. https://doi.org/10.1016/j.ejogrb.2019.03.024