Despite considerable efforts made by the Government in finding a decline in maternal mortality, but still it is far from a national target for 2010 to bring down maternal mortality be 125I 100,000 live births (Bascom, 2008).In 2010 in accordance with the provincial health Office Head description of Riau recorded number of maternal mortality in Riau was 100.0000 147I birth (Riau, 2010) the main causes of maternal mortality in Indonesia is due to hemorrhage (25%), infection (15%), hypertensive disorders in pregnancy (13%), complications of unsafe abortion (13%) or a long labor (7%), when compared to countries in the ASEAN countries and the developed countries ' then ibuImaternal mortality in Indonesia is about 3-6 times larger than the ASEAN countries and more than 50 times the maternal mortality in developed countries. The pattern of the disease penyabab-causes of maternal deaths due to obstetric complications 84% directly and is dominated by the classical Trias, i.e. bleeding (46,7%), Toxemia (24.5%) and infection (8%) (Jacob, 2006).Bleeding in pregnancy should always be considered as a dangerous abnormalities in pregnancy, bleeding young called Abort, whereas on the old pregnancy antepartum hemorrhage is called. Theoretical boundaries between young and old pregnancy pregnancy is a pregnancy 22 weeks, given the likely life of the fetus outside the uterus (Wiknjosastro, 2005).
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