Premarital Screening to Determine High-Risk Pregnancy: A Systematic Review Puspitaningrum Dewi1,*, Indrawati Nuke Devi1, Purwanti Indri Astuti2 1Midwifery Program, University of Muhammadiyah Semarang, Jl. Kedungmundu Raya No. 18, Semarang, Indonesia 2Public Health Program, University of Muhammadiyah Semarang, Jl. Kedungmundu Raya No. 18, Semarang, Indonesia *Coresponding Author: Dewi Puspitaningrum, Midwifery Program, University of Muhammadiyah, Semarang. Jl. Kedungmundu Raya No.18, Semarang, Indonesia e-mail: dewipuspita@unimus.ac.id
Online published on 23 December, 2019. Abstract Introduction Maternal Mortality Rate (MMR) in Indonesia was 305 per 100.000 live births in 2015. In fact, the Millennium Development Goals (MDGs) target was 105 per 100.000 live births. That's why MMR becomes the highest priority in this country. There are many evidences about high-risk pregnancy. Etiology of MMR is determined by two categories. They are direct cases and non-direct cases. Method Primary studies to be included in this systematic review were searched from electronic databases such as Pub Med and EBSCO. Hand searching through Journal of about premarital screening with high-risk pregnancy was also conducted. The findings of the included studies were extracted using article finding extraction form and appraised based on the journal level of credibility. The analysis of the study was presented in narrative form. Results This review produced ten quantitative studies using that method. A total of 10 papers are found the inclusion criteria included in this systematic review. Ten synthesis findings of the challenges in determining high-risk pregnancy and possible solutions were identified in the literature: about premarital screening hepatitis B, C dan degenerative sick, gestational diabetes mellitus, social condition, screening β thalassemia, screening chlamydia trachomatis and screening HIV. Conclusions The evidence of determining high pregnancy in developing countries is limited. However, the challenges in screening about determining high-risk pregnancy in developing countries are remain similar to those faced by developed countries. This can be guidance for developing countries to plan, initiate, and implement determine high pregnancy for premarital screening. Future studies about determining high pregnancy of premarital screening in developing countries are highly recommended. Top Keywords Premarital, screening, high-risk pregnancy. Top |