Literature Review: Komplikasi Maternal dan Neonatal Akibat Persalinan Macet


  • Fitri Yuniarti STIKES Karya Husada
  • Dintya Ivantarina STIKES Karya Husada



Complication, Maternal, Neonatal, Obstructed Labor


Obstructed labor significantly occur in developing countries including Indonesia, contributing to maternal and neonatal health. The burden of obstructed labor and adverse fetomaternal outcomes appears to remain high and is a common challenge. One of them is caused by delays in making decisions regarding referral approval due to lack of information about complications that occur in maternal and neonatal. Therefore, identification of the outcomes of obstructed labor that occurs in maternal and neonatal is very important with the aim of knowing the maternal and neonatal complications resulting from obstructed labor. The method used is a literature study using an online database, namely Pubmed and Google Scholar based on inclusion criteria. The results of this study obtained 13 articles showing maternal complications due to obstructed labor, namely uterine rupture, postpartum hemorrhage, anemia, shock, sepsis, blood transfusion, hysterectomy, bladder rupture and injury, fistula, perineal and cervical lacerations, pelvic floor sequelae, musculoskeletal disorders, genitourinary, postpartum depression and death while fetal complications were sepsis, asphyxia, respiratory distress, meconium aspiration syndrome, seizures, jaundice, stillbirth, perinatal and neonatal death. Prevention of obstructed labor is carried out through a multidisciplinary approach aimed in the short term to identify high-risk cases since pregnancy. In the long term, improving education and better health from health workers for mothers and families related to maternal and neonatal complications due to evidence-based obstructed labor so as not to hesitate in making decisions regarding approval of referral actions so that cases of obstructed labor can be handled on time and do not cause dangerous complications. for mother and baby.


Download data is not yet available.


Adisasmita, A., Smith, C. V, El-Mohandes, A. A. E., Deviany, P. E., Ryon, J. J., Keily, M., … Gipson, R. F. (2015). Maternal Characteristics and Clinical Diagnoses Influence Obstetrical Outcomes in Indonesia. Matern Child Health J, 19, 1624–1633.

Anggondowati, T., El-Mohandes, A. A. E., Qomariyah, S. N., Kiely, M., Ryon, J. J., Gipson, R. F., … Wright, L. L. (2017). Maternal Characteristics and Obstetrical Complications Impact Neonatal Outcomes in Indonesia: A Prospective Study. BMC Pregnancy and Childbirth, 17(100), 1–12.

Ayenew, A. A. (2021). Incidence, Causes, and Maternofetal Outcomes of Obstructed Labor in Ethiopia: Systematic Review and Meta-Analysis. Reproductive Health, 18(61), 1–14.

Bailey, P. E., Andualem, W., Brun, M., Freedman, L., Gbangbade, S., Kante, M., … Singh, K. (2017). Institutional Maternal and Perinatal Deaths: A Review of 40 Low and Middle Income Countries. BMC Pregnancy and Childbirth, 17(295), 1–14.

Bako, B., Barka, E., & Kullima, A. (2018). Prevalence, Risk Factors, and Outcomes of Obstructed Labor at the University of Maiduguri Teaching Hospital, Maiduguri, Nigeria. Sahel Medical Journal, 21, 117–121.

Desta, M., Mekonen, Z., Alemu, A. A., Demelash, M., Getaneh, T., Bazezew, Y., … Wakgari, N. (2022). Determinants of Obstructed Labour and Its Adverse Outcomes Among Women who Gave Birth in Hawassa University Referral Hospital: A Case-Control Study. PloS One, 17(6), 1–14.

Diba, F., Ichsan, I., Muhsin, M., Marthoenis, M., Sofyan, H., Andalas, M., … Vollmer, S. (2019). Healthcare Providers’ Perception of the Referral System in Maternal Care Facilities in Aceh, Indonesia: A Cross-Sectional Study. BMJ Open, 9, 1–8.

Dile, M., Demelash, H., Meseret, L., Abebe, F., Adefris, M., Goshu, Y. A., … Liyeh, T. M. (2020). Determinants of Obstructed Labor Among Women Attending Intrapartum Care in Amhara Region, Northwest Ethiopia: A Hospital-Based Unmatched Case-Control Study. Women’s Health, 16, 1–11.

Getachew, A., Wakgari, N., & Gishille, T. (2021). Feto-Maternal Outcomes of Obstructed Labor and Associated Factors among Mothers Who Gave Birth in Public Hospitals of West Shoa Zone, Central Ethiopia: Cross-Sectional Study. Ethiopian Journal of Health Sciences, 31(3), 467–474.

Harrison, M. S., Ali, S., Pasha, O., Saleem, S., Althabe, F., Berrueta, M., … Goldenberg, R. L. (2015). A Prospective Population-Based Study of Maternal, Fetal, and Neonatal Outcomes in the Setting of Prolonged Labor, Obstructed Labor and Failure to Progress in Low- and Middle-Income Countries. Reproductive Health, 12(2), 1–10.

Henok, A., & Asefa, A. (2015). Prevalence of Obstructed Labor among Mothers Delivered in Mizan-Aman General Hospital, South West Ethiopia: A Retrospective Study. Journal of Womens Health Care, 4(5), 1–5.

Jamison, D. T., Nugent, R., Gelband, H., Horton, S., Jha, P., Laxminarayan, R., & Mock, C. N. (2016). Reproductive, Maternal, Newborn and Child Health. In R. E. Black, R. Laxminarayan, M. Temmerman, & N. Walker (Eds.), Disease Control Priorities, Third Edition (3rd ed.).

Khatun, J., & Khanom, K. (2017). Obstructed Labour : A Life Threatening Complication. MEDICINE Today, 29(01), 12–14. Retrieved from

Mengesha, M. B., Weldegeorges, D. A., Hailesilassie, Y., Werid, W. M., Weldemariam, M. G., Welay, F. T., … Assefa, N. E. (2020). Determinants of Uterine Rupture and Its Management Outcomes among Mothers Who Gave Birth at Public Hospitals of Tigrai, North Ethiopia: An Unmatched Case Control Study. Journal of Pregnancy, 2020, 1–9.

Musaba, M. W., Ndeezi, G., Barageine, J. K., Weeks, A., Nankabirwa, V., Wamono, F., … Wandabwa, J. N. (2020). Risk Factors for Obstructed Labour in Eastern Uganda: A Case Control Study. PLoS ONE, 15(2), 1–14.

Ngonzi, J., Bebell, L. M., Bazira, J., Fajardo, Y., Nyehangane, D., Boum, Y., … Riley, L. E. (2018). Risk Factors for Vaginal Colonization and Relationship between Bacterial Vaginal Colonization and In-Hospital Outcomes in Women with Obstructed Labor in a Ugandan Regional Referral Hospital. International Journal of Microbiology, 2018, 1–7.

Niemczyk, N. A., Ren, D., & Stapleton, S. R. (2022). Associations Between Prolonged Second Stage of Labor and Maternal and Neonatal Outcomes in Freestanding Birth Centers: A Retrospective Analysis. BMC Pregnancy and Childbirth, 22(99), 1–10.

Nigussie, J., Girma, B., Molla, A., Tamir, T., & Tilahun, R. (2022). Magnitude of Postpartum Hemorrhage and Its Associated Factors in Ethiopia: A Systematic Review and Meta-analysis. Reproductive Health, 19(63), 1–13.

Perin, J., Mulick, A., Yeung, D., Villavicencio, F., Lopez, G., Strong, K. L., … Liu, L. (2022). Global, Regional, and National Causes of Under-5 Mortality in 2000–19: An Updated Systematic Analysis with Implications for the Sustainable Development Goals. The Lancet Child and Adolescent Health, 6(2), 106–115.

Plummer, H.-F., Short, A., Aldred, M., Seiboth, M., McEvoy, M., Andrews, S. K., … Day, T. (2022). Delays in the Second Stage of Labour. In South Australian Perinatal Practice Guideline (6th ed.).

RI, Kementerian Kesehatan. (2021). Profil Kesehatan Indonesia 2020. In Kementerian Kesehatan Republik Indonesia.

Rizvi, S. M., & Gandotra, N. (2015). Maternofetal Outcome in Obstructed Labour in a Tertiary Care Hospital. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 4(5), 1410–1413.

Roa, L., Caddell, L., Ganyaglo, G., Tripathi, V., Huda, N., Romanzi, L., & Alkire, B. C. (2020). Toward a Complete Estimate of Physical and Psychosocial Morbidity from Prolonged Obstructed Labour: A Modelling Study Based on Clinician Survey. BMJ Global Health, 5(e002520), 1–9.

Rohan, L. C. R. (2019). Maternal and Neonatal Complications With Prolonged Second Stage of Labour. Journal of Health Academics, 4(1), 1–8.

Shaikh, S., Memon, K., & Usman, G. (2015). Obstructed Labor: Risk Factors & Outcome Among Women Delivered in a Tertiary Care Hospital. The Professional Medical Journal, 22(5), 615–620. Retrieved from

Stephansson, O., Sandström, A., Petersson, G., Wikström, A. K., & Cnattingius, S. (2015). Prolonged Second Stage of Labour, Maternal Infectious Disease, Urinary Retention and Other Complications in the Early Postpartum Period. BJOG: An International Journal of Obstetrics and Gynaecology, 608–616.

Swain, D., Parida, S. P., Jena, S. K., Das, M., & Das, H. (2020). Prevalence and Risk Factors of Obstetric Fistula: Implementation of a Need-based Preventive Action Plan in a South-eastern Rural Community of India. BMC Women’s Health, 20(40), 1–10.

Tesema, O., Tilahun, T., & Kejela, G. (2022). Determinants of Uterine Rupture at Public Hospitals of Western Ethiopia: A Case–control Study. SAGE Open Medicine, 10, 1–11.

Ukke, G. G., Gudayu, T. W., Gurara, M. K., Amanta, N. W., & Shimbre, M. S. (2017). Feto-maternal Outcomes in Obstructed Labor in Suhul General Hospital, North Ethiopia. International Journal of Nursing and Midwifery, 9(6), 77–84.

WHO. (2019). Maternal Mortality. Retrieved from

Wonde, T. E., & Mihretie, A. (2019). Maternofetal Outcomes of Obstructed Labor Among Women who Gave Birth at General Hospital in Ethiopia. BMC Research Notes, 12(128), 1–5.

Dita Ika Nurfila, Septriana, & Endri Yuliati. (2022). Pengaruh Permainan Kartu Kuartet terhadap Pengetahuan tentang Sayur dan Buah pada Siswa Sekolah Dasar. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 1(3), 287–293.

Riza Suci Ernaman Putri, Retno Kusumo, & Yuni Utami. (2022). Analisis Penyebab Terjadinya Missfile Berkas Rekam Medis di Ruangan Filling RS St Elisabeth Batam Kota. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 1(3), 309–317.

Arikunto, S. 2010. Prosedur Peniliti Suatu Pendekatan Prakti,Jakarta:Rineka Cipta.

Bukit, Evi Karota. 2005. Kualitas Tidur dan Faktor-faktor Gangguan Tidur Klien Lanjut Usia yang Dirawat Inap di Ruang Penyakit Dalam Rumah Sakit. Jurnal Keperawatan Indonesia, vol. 9, no.2, pp. 41-47.




How to Cite

Fitri Yuniarti, & Dintya Ivantarina. (2022). Literature Review: Komplikasi Maternal dan Neonatal Akibat Persalinan Macet . SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 1(3), 334–348.