Bimo Arief Putra Suryoprobo, . (2026) ANALISIS MODEL TIGA TERLAMBAT (3T) PADA KASUS RUJUKAN KEBIDANAN DI RS PELNI SELAMA TAHUN 2024. Skripsi thesis, Universitas Pembangunan Nasional Veteran Jakarta.
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Abstract
Objective: Maternal mortality rate is still an issue in the field of obstetrics in Indonesia, which involves both medical and nonmedical hinderance during referrals. This research is aimed at analyzing obstetric referral delays at PELNI Hospital during 2024 based on the Three Delays Model, including delays in decision-making to seek medical attention (T1), reaching adequate healthcare facilities (T2), and in receiving adequate medical care upon arrival (T3). Methods: Descriptive quantitative research using total sampling techniques. Research subjects include the entirety of obstetric referral cases throughout January—December of 2024 at PELNI Hospital. From a total of 347 data, 288 meets restriction criterions. Data that meets these criterions are univariately analyzed. Results: Majority of mothers are aged between 20–35 years (79.9%), with a mean age of 28.80 ± 6.19 years. The most common parity group was nulliparous (38.5%). Most referrals originated from primary health care centers (puskesmas) (74.7%), and the majority of patients lived in West Jakarta (55.6%). The most frequent diagnosis groups were hypertensive disorders of pregnancy (18.1%) and amniotic fluid–related problems (15.3%), with the most common primary referral diagnoses being premature rupture of membranes (16.0%) and severe preeclampsia (14.2%). Based on the Three Delays Model, delay in at least one component was identified in 10 cases (3.5%). Delays in decision-making (T1) and in reaching a health facility (T2) were each identified in 2 cases (0.7%), while delays in receiving adequate care at the health facility (T3) were identified in 8 cases (2.8%). Conclusions: Obstetric referral delays were identified in 3.5% of cases, comprising 2 cases of decision-making delay (T1), 2 cases of delay in reaching a health facility (T2), and 8 cases of delay in receiving care at the health facility (T3). These findings indicate that all three delay components can still occur and should be addressed collaboratively to strengthen the obstetric referral system comprehensively.
| Item Type: | Thesis (Skripsi) |
|---|---|
| Additional Information: | [No.Panggil: 2210211069] [Pembimbing 1: Adi Sukrisno] [Pembimbing 2: Diana Agustini Purwaningastuti] [Penguji: Fachri Razi] |
| Uncontrolled Keywords: | Maternal health, obstetric referral, referral delay, Three Delays Model |
| Subjects: | R Medicine > RG Gynecology and obstetrics |
| Divisions: | Fakultas Kedokteran > Program Studi Kedokteran (S1) |
| Depositing User: | BIMO ARIEF PUTRA SURYOPROBO |
| Date Deposited: | 07 May 2026 12:12 |
| Last Modified: | 07 May 2026 12:12 |
| URI: | http://repository.upnvj.ac.id/id/eprint/41977 |
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