AbstrakAnglca Kematian lbu di Indonesia masih tinggi, yaitu sekitar 390 per 100.000 kelahiran hidup pada tahun 1994. Perkiraan AKI dari beberapa penehrtan sejak 1978-1994 menunjukkan penurunan yang lamban, walaupun telah dicanangkan bahwa pada akhir Repelin VI angla kematian ibu diharaplun dapat ,nenjadi 225
Chi I-c, a trial of labor and vaginal delivery for elective repeat cesarean section in selected women. This paper assesses the benefits and risks associated with that recommendation using data from two Asian teaching hospitals, one in Jakarta,Indonesiaand the other in Colombo, Sri Lanka. Data recorded on the Maternity Record Form designed by the International Fertility Research Program and the International Federation of Gynecology and Obstetrics were used for analysis. Consistent findings were derived from the two hospitals, in spite of the different medical care delivery systems in their countries. No significant increase in maternal and infant mortality and morbidity were associated with women having vaginal delivery subsequent to cesarean birth as compared to those with repeat cesarean section. Savings in medical costwere considerable in the former group.
The task force of the consensus conference on cesarean birth of the National Institutes of Health, USA, has recommended substituting a trial of labor and vaginal delivery for elective repeat cesarean section in selected women. This paper assesses the benefits and risks associated with that recommendation using data from two Asian teaching hospitals, one in Jakarta, Indonesia and the other in Colombo, Sri Lanka. Data recorded on the Maternity Record Form designed by the International Fertility Research Program and the International Federation of Gynecology and Obstetrics were used for analysis. Consistent findings were derived from the two hospitals, in spite of the different medical care delivery systems in their countries. No significant increase in maternal and infant mortality and morbidity were associated with women having vaginal delivery subsequent to cesarean birth as compared to those with repeat cesarean section. Savings in medical cost were considerable in the former group.
Reproductive health concerns itself with the ability of couples to reproduce and manage their fertility in a safe and healthy manner for themselves, their newborns and already living child."n.1 High-quality reproductive health setvices promote health through prevention and management of reproductive health problems. Owing 1o years of sustained effort, Indonesia has made much progress in improving reproductive health services.
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