Title: The maternal referral mobile application system for minimizing the risk of childbirth

Abstract

Introduction: The maternal mortality rate in Surabaya in the last 3 years has decreased significantly, but it is still quite high at 79.40 per 100,000 live births in 2017. Even though it has shown good progress, Surabaya still occupies the second largest maternal mortality rate in the province East Java. The causes of maternal deaths included 3 being late (late in making a decision, late arriving at a health facility and late in receiving medical help). Indept interview results in 6 Puskesmas in Surabaya, one of the other problems that risked causing maternal death was in the process of referring to the mother giving birth, because the Puskesmas had difficulty getting hospitals with available resources to accept the condition of the pregnant women to be referred. The issue of referral communication between the Puskesmas and the Hospital has become very important to be resolved, one of which is by developing a mobile app system in finding hospitals available for their resources to accept the condition of pregnant women to be referred. The main function of this mobile app is to reduce the risk of death for the mother in the delivery process. The purpose of this study is to develop a mobile app system framework for the maternal referral system. Methods: The mobile app is compiled with the user of the Puskesmas midwife and the IRD officer of the referral hospital. This mobile app is compiled based on the results of the FGD with midwives, doctors and puskesmas heads about the referral system regulation contained in Surabaya City and FGD with obstetricians who agree on several indicators of maternal conditions that must be considered in the referral process and also refer back. This mobile app was developed with internet communication and SMS media with the default internet. So if the gadget is out of reach of the internet, then broadcast the message using the SMS feature. This automation was developed so as not to inhibit the sending of messages in an emergency. Result and Discussion: The communication flow of this mobile app is to order emergency conditions at the puskesmas puskesmas to the hospital through the mobile app system, the available hospital resources based on the condition of patients being broadcasted responding to messages through the mobile app system, patients are referred and treated in hospitals. The process will end with referring back to the Puskesmas as a control service after giving birth. This mobile app has gone through a trial and development process currently in the process of structuring the mobile app based on the bugs that occur in the system. Conclusion: This mobile app still needs development, especially in minimizing system bugs, because this mobile app-based referral system requires fast and accurate communication.