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2026, Vol: 51, Issue: 1
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Original Research 


The association between patients' perceptions and adherence to management protocols and the occurrence of maternal delay in near-miss preeclampsia cases at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

Nadia Dwi Arini, Budi Prasetyo, Hanifa Erlin.


Abstract
Objective: To analyse the relationship between patient perception, treatment adherence, and maternal referral delay (Types I–IV) in near-miss preeclampsia cases according to the WHO near-miss criteria at Dr. Soetomo General Hospital.
Methodology: This study included 40 near-miss preeclampsia patients at the hospital. Data were collected through demographic information, medical record reviews, and questionnaires. Statistical analyses, including chi-square tests, were used to examine relationships between variables.
Results: Most patients were 20-39 years old (85%), married (90%), had a high school education (45%), and had given birth multiple times (67,5%). Significant associations were found between patient perceptions and treatment adherence (p=0.028) as well as between patient perceptions and maternal referral delay (p=0.012). The most common type of delay was Type I (decision to seek help, 60%), followed by Type IV (influenced by the community, 55%), Type II (reaching the health facility, 52,5%), and Type III (receiving adequate care, 50%).
Conclusion: Patient perceptions significantly influence treatment adherence and maternal referral delays in near-miss preeclampsia cases, particularly affecting decision-making and health-seeking behavior.

Key words: Near miss, WHO Near Miss Tool, preeclampsia, maternal perceptions, maternal delay.


 
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How to Cite this Article
Pubmed Style

Arini ND, Prasetyo B, Erlin H. The association between patients' perceptions and adherence to management protocols and the occurrence of maternal delay in near-miss preeclampsia cases at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. RMJ. 2026; 51(1): 148-151. doi:10.5455/rmj.20250701061817

Web Style

Arini ND, Prasetyo B, Erlin H. The association between patients' perceptions and adherence to management protocols and the occurrence of maternal delay in near-miss preeclampsia cases at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. https://www.rmj.org.pk/?mno=268046 [Access: February 25, 2026]. doi:10.5455/rmj.20250701061817

AMA (American Medical Association) Style

Arini ND, Prasetyo B, Erlin H. The association between patients' perceptions and adherence to management protocols and the occurrence of maternal delay in near-miss preeclampsia cases at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. RMJ. 2026; 51(1): 148-151. doi:10.5455/rmj.20250701061817


Vancouver/ICMJE Style

Arini ND, Prasetyo B, Erlin H. The association between patients' perceptions and adherence to management protocols and the occurrence of maternal delay in near-miss preeclampsia cases at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. RMJ. (2026), [cited February 25, 2026]; 51(1): 148-151. doi:10.5455/rmj.20250701061817


Harvard Style

Arini, N. D., Prasetyo, . B. & Erlin, . H. (2026) The association between patients' perceptions and adherence to management protocols and the occurrence of maternal delay in near-miss preeclampsia cases at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. RMJ, 51 (1), 148-151. doi:10.5455/rmj.20250701061817


Turabian Style

Arini, Nadia Dwi, Budi Prasetyo, and Hanifa Erlin. 2026. The association between patients' perceptions and adherence to management protocols and the occurrence of maternal delay in near-miss preeclampsia cases at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Rawal Medical Journal, 51 (1), 148-151. doi:10.5455/rmj.20250701061817


Chicago Style

Arini, Nadia Dwi, Budi Prasetyo, and Hanifa Erlin. "The association between patients' perceptions and adherence to management protocols and the occurrence of maternal delay in near-miss preeclampsia cases at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia." Rawal Medical Journal 51 (2026), 148-151. doi:10.5455/rmj.20250701061817


MLA (The Modern Language Association) Style

Arini, Nadia Dwi, Budi Prasetyo, and Hanifa Erlin. "The association between patients' perceptions and adherence to management protocols and the occurrence of maternal delay in near-miss preeclampsia cases at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia." Rawal Medical Journal 51.1 (2026), 148-151. Print. doi:10.5455/rmj.20250701061817


APA (American Psychological Association) Style

Arini, N. D., Prasetyo, . B. & Erlin, . H. (2026) The association between patients' perceptions and adherence to management protocols and the occurrence of maternal delay in near-miss preeclampsia cases at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Rawal Medical Journal, 51 (1), 148-151. doi:10.5455/rmj.20250701061817


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