KAJIAN PILIHAN TEMPAT BERSALIN DI NEGERI TERENGGANU 1999
The number of deliveries increased very significantly in all hospitals in Terengganu since 1986. It is in line with the promotion of the Safe Motherhood Initiative' with the aim to reduce maternal mortality and morbidity in Terengganu. The aim of the study was to determine the pattern of choice for place of deliveries by local people in Terengganu and also to identify risk factors related to their place of choice. A total of 9741 deliveries from 1st January 1999 to 30th of June 1999 were included in the study. About 46% delivered in Hospital Kuala Terengganu, where 72% of them were high-risk mothers. Whereas deliveries in the district hospitals were 9.9% in Kemaman Hospital, 9.7% in Besut Hospital, 7.2% in Dungun Hospital and 3.4% in Hulu Terengganu Hospital. About 67% of district hospital deliveries were high-risk mothers. Only 12.4% of deliveries were home deliveries, however 49% of them were high-risk mothers. Utilization of alternative birthing centre in health clinics was only 1. 7%. The study revealed that mothers' risk factors are the factors significantly influence the place of choice for deliveries. The study findings call for an urgent need of three essential services. Firstly an urban birthing centre conducted by obstetrician or the medical officers to be developed at the vicinity of the present general hospital to cater for the high percentage of high-risk pregnancies in the state. Secondly, all or selected district hospital to be given post for obstetrician, and thirdly it is a need to evaluate the current 'High Risk Checklist for Antenatal Mothers' to ensure treatment priority is indeed given to those really in need based on appropriate risk factors.
2. A Summary Report on The Study of The Safe Motherhood Initiative I 989 -1992, Ministry of Health Malaysia.
3. Garis Panduan Pengendalian Kes-Kes Berisiko Tinggi Bagi Ibu-lbu Mengandung, Edisi Kedua: 1991, Kementerian Kesihatan, Malaysia
4. Maternal Health and Safe Motherhood Programme, Progress Report 1991-1992 World Health Organization.
5. Midwifery Practice: Measuring, Developing and Mobilizing Quality Care, Report of a collaborative WHO/ICM/ UNICEF precongress workshop Vancouver, Canada, 7 -8 May 1993, World Health Organization.
6. Safe Motherhood Initiative Project, Malaysia, Progress Report 1989 -1990, Ministry of Health Malaysia.