The Early Detection System of Risk Factors on Pregnancy, LaboUR, and Puerperium Women (A Case Study on Midwife Private Practice) in Central Lampung District in 2018

Maternal mortality is a challenge for the public health field across the world, and developing countries account for 99% of maternal deaths globally. It is estimated that 15% to 20% of all pregnant women will experience a high-risk state and obstetric complication. The evidence-based comprehensive guideline provided by the midwife is expected to detect early risk factors for pregnancy, labour, and postpartum before complication occurs. The early detection system through risk factor assessment using the scoring system requires too much time to make being referred to. Risk management cannot be used to be rule for midwives, and pregnant women and their families have not been well enough informed about the mother’s risk requirement. The purpose of this research is to build an early detection system in the midwife private practice of the Central Lampung regency to detect early pregnancy, labour, and post-childbirth to perform risk assessment, to provide risk management as needed, and to design a database of pregnant mothers to be able to produce a report of maternal service. This research uses a prototyping approach as the basis for system development. The early detection system enables midwives to assess the health of pregnant, maternal, and post-childbirth women; perform case management; provide information needed by pregnant women and families; and facilitate midwives in recording and delivering a quality report.