Challenges and Efforts at Tanjung Pura General Hospital

Oct 13, 2025 by wbrum.org 129 views

Introduction

Death in pregnant and maternity is a serious problem in developing countries, including Indonesia. The maternal mortality rate (MMR) is still a heavy burden, and reflects the quality of reproductive health services. It is estimated that 25-50% of deaths occur in fertile women in developing countries, and death during childbirth is the main cause of the death of young women in the productive period. To understand how health services in Indonesia manage this situation, it is necessary to review the handling of obstetric emergency cases in hospitals. This article will review the description of handling cases of obstetric emergencies at Tanjung Pura General Hospital (RSU), Langkat Regency, and RSU Kisaran, Asahan Regency.

Challenges and Efforts at Tanjung Pura General Hospital

Tanjung Pura Hospital is a referral hospital in Langkat Regency, and plays an important role in handling obstetric cases, including emergency cases. The main challenge faced is the limited resources, both medical personnel and facilities. Limited medical personnel is a significant challenge, as the hospital has a limited number of obstetricians and experienced midwives, which causes difficulties in providing optimal services, especially in handling complex cases.

*** Limitations of facilities ***: Lack of adequate medical equipment, such as ultrasound and breathing aids, can inhibit the handling of emergency cases. Access and mobility constraints for patients from remote areas are also a challenge, as the hospital is located in a distant area and has inadequate road infrastructure conditions.

Despite these challenges, Tanjung Pura Hospital has made a number of efforts to improve the quality of handling cases of obstetric emergencies. Improving the skills of medical personnel is a key effort, through sustainable training and education to improve skills and knowledge in handling cases of obstetric emergencies. Improvement of facilities is also a priority, with the hospital continuing to try to complete the facilities, including the procurement of more complete and modern medical equipment. Socialization and education to the public about the importance of access to health services, the importance of antenatal visits, and signs of the dangers of pregnancy and childbirth continue to increase public awareness.

Challenges and Efforts in RSU Kisaran

RSU Kisaran also plays an important role in handling obstetric cases in Asahan Regency. The challenges faced by RSU Kisaran are similar to Tanjung Pura General Hospital, namely limited resources. Limited medical personnel is a significant challenge, as the hospital has a deficiency of medical personnel in Midwifery and Gynecology Specialist. *** Limitations of facilities ***: Availability of medical equipment, such as operating equipment and neonatal ICUs, is still not ideal.

However, RSU Kisaran also continues to improve the quality of handling cases of obstetric emergency. Improvement of medical personnel skills is a key effort, through training for medical personnel, especially midwives, focused on handling emergency cases and high-risk labor handling. Improvement of facilities is also a priority, with the procurement of more complete and modern medical equipment, and the renovation of operating rooms. Cooperation between hospitals is also an important effort, with RSU Kisaran collaborating with referral hospitals at the provincial level for handling complex cases that require specialist handling.

The Need for Synergy and Collaboration

Handling cases of obstetric emergency requires synergy and collaboration of various parties. *** Increasing Government Support ***: The government needs to allocate sufficient budget to increase health facilities and training on medical personnel in the regions. *** Increasing the role of the community ***: The community must be involved in the campaign to improve reproductive health, as well as being given education about the signs of the dangers of pregnancy and childbirth. *** Increasing the role of social organizations ***: Community organizations need to be involved in the Maternal and Child Health Improvement Program.

Conclusion

The steps taken by Tanjung Pura Hospital and RSU Kisaran are the right steps to reduce maternal mortality. Improving the quality of health services is a top priority in preventing maternal mortality and ensuring a safe and healthy birth for mothers and infants. The challenges faced by these hospitals are significant, but with the efforts made to improve the quality of handling cases of obstetric emergencies, there is hope for a better future for pregnant women and their families.

Recommendations

Based on the findings of this study, the following recommendations are made:

The government should allocate sufficient budget to increase health facilities and training on medical personnel in the regions.
The community must be involved in the campaign to improve reproductive health, as well as being given education about the signs of the dangers of pregnancy and childbirth.
Community organizations need to be involved in the Maternal and Child Health Improvement Program.
The hospitals should continue to improve the quality of handling cases of obstetric emergencies, through sustainable training and education for medical personnel, and the procurement of more complete and modern medical equipment.

Limitations of the Study

This study has several limitations, including:

The study only focuses on two hospitals, Tanjung Pura General Hospital and RSU Kisaran, and may not be representative of all hospitals in Indonesia.
The study only examines the handling of obstetric emergency cases, and may not be representative of all cases of maternal mortality.
The study relies on secondary data, and may not be able to capture the full complexity of the issue.

Future Research Directions

Future research should focus on:

Conducting a more comprehensive study of maternal mortality in Indonesia, including all cases of maternal mortality, not just obstetric emergency cases.
Examining the role of community organizations in improving reproductive health and reducing maternal mortality.
Evaluating the effectiveness of the efforts made by the hospitals to improve the quality of handling cases of obstetric emergencies.

Conclusion

In conclusion, this study highlights the challenges faced by hospitals in Indonesia in handling cases of obstetric emergencies, and the efforts made to improve the quality of health services. The study recommends that the government, community, and social organizations work together to improve reproductive health and reduce maternal mortality. The study also highlights the need for further research to better understand the issue of maternal mortality in Indonesia.

Introduction

Handling cases of obstetric emergency is a critical aspect of healthcare, particularly in developing countries like Indonesia. In this article, we will answer some of the most frequently asked questions about handling cases of obstetric emergency in RSU. Tanjung Pura Langkat Regency and RSU. Asahan Regency Kisaran.

Q1: What is an obstetric emergency?

A1: An obstetric emergency is a life-threatening situation that requires immediate medical attention to prevent serious harm or death to the mother or baby. Examples of obstetric emergencies include postpartum hemorrhage, eclampsia, and placental abruption.

Q2: What are the common causes of obstetric emergencies?

A2: The common causes of obstetric emergencies include:

Prolonged labor
Multiple gestations
Placental abruption
Eclampsia
Postpartum hemorrhage
Uterine rupture

Q3: What are the symptoms of obstetric emergencies?

A3: The symptoms of obstetric emergencies can vary depending on the specific condition, but common symptoms include:

Severe abdominal pain
Vaginal bleeding
Fever
Chills
Nausea and vomiting
Shortness of breath

Q4: How are obstetric emergencies diagnosed?

A4: Obstetric emergencies are diagnosed through a combination of physical examination, laboratory tests, and imaging studies. Examples of diagnostic tests include:

Ultrasound
Blood tests
Fetal monitoring
Cardiotocography

Q5: What is the treatment for obstetric emergencies?

A5: The treatment for obstetric emergencies depends on the specific condition, but common treatments include:

Medications to control bleeding or hypertension
Surgical interventions, such as cesarean section or hysterectomy
Blood transfusions
Oxygen therapy
Monitoring of fetal heart rate and maternal vital signs

Q6: What is the role of the community in preventing obstetric emergencies?

A6: The community plays a critical role in preventing obstetric emergencies through:

Education and awareness about reproductive health
Access to prenatal care and family planning services
Support for women with high-risk pregnancies
Encouragement of healthy behaviors, such as regular exercise and a balanced diet

Q7: What is the role of healthcare providers in preventing obstetric emergencies?

A7: Healthcare providers play a critical role in preventing obstetric emergencies through:

Providing high-quality prenatal care and family planning services
Identifying and managing high-risk pregnancies
Educating women about reproductive health and childbirth
Providing emergency care and treatment for obstetric emergencies

Q8: What are the challenges faced by healthcare providers in handling obstetric emergencies?

A8: The challenges faced by healthcare providers in handling obstetric emergencies include:

Limited resources and equipment
Insufficient training and expertise
High patient volume and workload
Limited access to emergency care and treatment

Q9: What are the solutions to the challenges faced by healthcare providers in handling obstetric emergencies?

A9: The solutions to the challenges faced by healthcare providers in handling obstetric emergencies include:

Increasing access to resources and equipment
Providing ongoing training and education
Improving patient flow and workflow
Enhancing collaboration and communication among healthcare providers

Q10: What is the future of obstetric emergency care in Indonesia?

A10: The future of obstetric emergency care in Indonesia is promising, with efforts to improve access to healthcare, increase the number of trained healthcare providers, and enhance the quality of care. However, there is still much work to be done to address the challenges faced by healthcare providers and to improve outcomes for women and babies.

Conclusion

In conclusion, handling cases of obstetric emergency is a critical aspect of healthcare, particularly in developing countries like Indonesia. By understanding the causes, symptoms, diagnosis, and treatment of obstetric emergencies, as well as the role of the community and healthcare providers in preventing and managing these conditions, we can work towards improving outcomes for women and babies.