scholarly journals Studi Deskriptif Penyebab Kejadian Ketuban Pecah Dini (KPD) pada Ibu Bersalin

2017 ◽  
Vol 5 (2) ◽  
pp. 134
Author(s):  
Budi Rahayu ◽  
Ayu Novita Sari

<em>Premature Rupture Membranes is a rupture of the membranes prematurely. KPD Cause not known with certainty, but nothing to do with uterine hypermotility, thin membranes, infections, multiparous, maternal age, </em>location<em> of the fetus, and previous history of premature rupture of membranes. Impact of the KPD can cause maternal or neonatal infection, hypoxia or compression of the umbilical cord, fetal deformity syndrome, increased Caesarean </em>labour<em> or normal delivery failure, and increased morbidity and maternal perinatal mortality. This study was to identify the cause of the incident picture premature rupture in women giving birth in hospitals in Yogyakarta. This study uses descriptive design quantitative used retrospective time approach. The population in this study are all mothers who have premature rupture of membranes in hospitals in Yogyakarta in obtained from medical records. Premature rupture of </em>membrane<em> in Yogyakarta Hospital there </em>are<em> 427 cases. A sampling technique that with a total sampling with 427 respondents. Analysis of the data used univariate analysis. The results that most respondents are multipara many as 245 people (57.4%), aged 20-35 years as many as 265 people (62.1%), gestational age ≥37 weeks as many as 343 people (80.3%), over </em>distensi<em> uteri as many as 410 people (96.1%), where the fetus head presentation many as 396 people (92.7). In conclusion, an overview of the causes of premature rupture events on maternal includes multipara, 20-35 years of age, gestational age ≥37 weeks, normal uterine enlargement, and the location of the fetus normal presentation.</em>

Author(s):  
Desi Hariani

ABSTRAK Ketuban pecah dini adalah pecahnya selaput ketuban pada setiap saat sebelum permulaan persalinan tanpa memandang apakah pecahnya selaput ketuban terjadi pada kehamilan 24 minggu atau 44 minggu. Kadar hemoglobin adalah ukuran pigmen respiratorik dalam butiran-butiran darah merah. Kelainan letak janin merupakan malpresentasi janin atau kelainan letak janin yang dapat membuat ketuban bagian terendah langsung menerima tekanan intra uteri yang dominan. Tujuan penelitian ini adalah mengetahui hubungan kadar hemoglobin ibu dan letak janin dengan kejadian ketuban pecah dini di klinik alisa talang keramat kenten Palembang Tahun 2018. Desain penelitian ini menggunakan metode survey analitik dengan pendekatan crossectional. Sampel berjumlah 63 orang. Pengambilan menggunakan teknik total sampling. Pengumpulan data menggunakan lembar checklist.Hasil analisis univariat didapatkan jumlah ibu yang mengalami ketuban pecah dini (22,3%), HB tidak normal (41,3%) dan letak sungsang (6,3%).  Dari hasil analisis bivariat dengan uji statistik Chi – Square ada hubungan bermakna antara kadar hemoglobin ibu p value  = 0,001 < α 0,05 nilai OR = 0,049 dan letak janin p value = 0,001 < α 0,05 nilai OR = 0,032 dengan kejadian ketuban pecah dini secara statistik terbukti. Melalui penelitian ini, diharapkan dapat memberikan pelayanan kesehatan yang lebih baik lagi pada ibu hamil dan bersalin sehingga tidak terjadi komplikasi.   Kata Kunci : Ketuban Pecah Dini, Kadar Hemoglobin, Letak Janin ABSTRACT Premature rupture of membranes isthe  rupture of the membranes at any time before the onset of labor, regardless of whether the rupture of the membranes occurs at 24 weeks or 44 weeks' gestation. Hemoglobin levels are the size of respiratory pigments in red blood granules. Fetal abnormalities are malpresentations of fetuses or fetal abnormalities that can make the lowest part of the membrane directly accept the dominant intrauterine pressure. The aim of this study is to know the correlation between maternal hemoglobin level and fetal location toward the incidence of premature rupture of membranes at klinik alisa talang keramat kenten The study design using analytical survey method with crossectional approach. The sample numbered 63 people. Taking by using total sampling technique. Data collection using checklist sheet. The result of univariate analysis showed that the number of mothers who had membranes rupturedearly was (22.3%), HB was not normal  (41.3%) and breech position was (6.3%). From bivariate analysis with Chi-Square statistical test there was a significant correlation between maternal hemoglobin level p value = 0.001 <α 0.05 value OR = 0.049 and fetal location p value = 0.001 <α 0.05 value OR = 0.032 with incidence of premature rupture of membranes was statistically proven. Through this research, it is expected to provide better health services in pregnant and maternity women so thereis no complications occur. Key word  : Premature rupture of membranes, Hemoglobin levels, Fetal Location


1970 ◽  
Vol 28 (1) ◽  
pp. 17-23 ◽  
Author(s):  
S Akter ◽  
R Akter ◽  
M Rashid

Objective: The aim of this study was to see the maternal and fetal outcome of preterm pre labor rupture membrane and to identify the risk factors for preterm pre labor rupture membrane. Methods and Material: This was a cross-sectional descriptive type study carried out in Dhaka Medical College Hospital, Dhaka, during April to September, 2005 (6months) in the Department of Obstetric and Gynecology. 50 pregnant women with preterm premature rupture of the membrane (gestational age 29-0 to 36-6 weeks) were included in this study. Results: The mean age of the women was 27.24±6.28years and 36% of them more than 30 years old. Sixty two percent women were multi gravid .Socio-economic condition, level of education and antenatal care of the women was low. Median gestational age of the patient was 35 weeks. Fifty six percent had previous history of PROM, preterm delivery, abortion, MR and dilatation and curettage. Sixty two percent women had history of sexual activity between 2 to 7days. Seventy two percent women had UTI, anaemia, and lower genital tract infection. Mean duration of the latent period was 18.87 ±16.17hours and time interval of rupture membrane and delivery was 27.60 ± 21.127 hours. Eighty four percent patient delivered by vaginal route and Fifty four percent delivered within 24 hours of ruptured membrane. Forty two percent newborn suffered from neonatal asphyxia, respiratory distress syndrome, neonatal jaundice and neonatal sepsis. Thirty two percent women suffered from chorioamnionitis, abruptio placent and endometritis.Conclusion: PPROM is malnutrition and poverty related disease. Antenatal care is an important tool to prevent PPROM by identifying the risk factors and its management. Steroid for fetal lung maturity, antibiotics to prevent fetal and maternal infection and induction and /or augmentation of labor will speeded delivery and reduce hospital stay and infection. Key words: Premature rupture of the membrane; maternal and neonatal outcome; risk factors. DOI: 10.3329/jbcps.v28i1.4639 J Bangladesh Coll Phys Surg 2010; 28: 17-23


2019 ◽  
Vol 7 (2) ◽  
pp. 137-142
Author(s):  
Budi Rahayu

Background: Premature rupture of membranes (PROM)is a rupture of membranes before any signs of labor and awaited before the labor occurs. The problem of PROM is a major obstetric issue, because the impact of PROM is an infection in the maternal and ends in an increased incidence of cesarean section due to a failed normal childbirth and neonatal. Factors that causePROMitself is not known for certain, but if we know earlier about the predisposing factors of PROM preventive efforts will be more helpful and reduce maternal and neonatal morbidity and mortality. Objective: Relationship of maternal age, parity, gestational age, and over distention with incidence of premature rupture of membranes in Yogyakarta Hospital. Research Of Method: This research uses retrospective study approach with data focus case control approach. The case population in this research is all maternal mothers who experience premature rupture of membranes in RSUD Yogyakarta in 2017 obtained from medical record. Sampling technique is by total sampling with the number of 427 respondents. Data analysis used is bivariate analysis. Result: Parity has nothing to do with the incidence of premature rupture of membranes due to the value of p value 0.142> 0.05, with the OR value of 0.814. Age of pregnant women has nothing to do with the incidence of premature rupture of membranes because the value of p value 0.671> 0.05, with the value of OR 1.062. Age pregnancy has nothing to do with the incidence of premature rupture of membranes because the value of p value 0.288> 0.05, with OR 1,207 nialai. Uterine overdistesi has nothing to do with the incidence of premature rupture of membranes due to the p value of 0.571> 0.05, with the value of OR 1.240. Conclusion: There is no relationship between maternal age, parity, gestational age, and overdistence with premature rupture of membranes in Yogyakarta Hospital. Keywords: Maternal age, Parity, Age of Pregnancy, Overdistence, and premature rupture of membranes (PROM)


2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Simon Byonanuwe ◽  
Emmanuel Nzabandora ◽  
Baltazar Nyongozi ◽  
Theophilus Pius ◽  
David Santson Ayebare ◽  
...  

Background. Premature rupture of membranes (PROM) is a common condition in developed and developing countries and poses a serious threat to the maternal and fetal well-being if not properly managed. This study delineated the prevalence and predictors of PROM in the western part of Uganda so as to guide specific preventive measures. Methods. A cross-sectional study design was conducted in the months of September 2019 to November 2019. A total of 334 pregnant women above 28 weeks of gestation admitted at the maternity ward of KIU-TH were consecutively enrolled. Interviewer-administered questionnaires were used to obtain the data. Descriptive statistics followed by binary logistic regression were conducted. All data analyses were conducted using STATA 14.2. Results. Of the 334 pregnant women enrolled, the prevalence of PROM was found to be 13.8%. The significant independent predictors associated with lower odds of PROM were no history of urinary tract infection (UTI) in the month preceding enrollment into the study (aOR=0.5, 95% CI: 0.22-0.69, p=0.038) and gestational age of 37 weeks or more (aOR=0.3, 95% CI: 0.14-0.71, p=0.01) while history of 3 or more abortions (aOR=13.1, 95% CI: 1.12-153.62, p=0.05) was associated with higher likelihood of PROM. Conclusions. Majorly urinary tract infections, low gestational age, and abortions influence premature rupture of membranes among women. There is a great need for continuous screening and prompt treatment of pregnant women for UTI especially those with history of 3 or more abortions at less than 34 weeks of gestation.


2018 ◽  
Vol 7 (2) ◽  
pp. 137-142
Author(s):  
Budi Rahayu

Background: Premature rupture of membranes (PROM)is a rupture of membranes before any signs of labor and awaited before the labor occurs. The problem of PROM is a major obstetric issue, because the impact of PROM is an infection in the maternal and ends in an increased incidence of cesarean section due to a failed normal childbirth and neonatal. Factors that causePROMitself is not known for certain, but if we know earlier about the predisposing factors of PROM preventive efforts will be more helpful and reduce maternal and neonatal morbidity and mortality.Objective: Relationship of maternal age, parity, gestational age, and over distention with incidence of premature rupture of membranes in Yogyakarta Hospital.Research Of Method: This research uses retrospective study approach with data focus case control approach. The case population in this research is all maternal mothers who experience premature rupture of membranes in RSUD Yogyakarta in 2017 obtained from medical record. Sampling technique is by total sampling with the number of 427 respondents. Data analysis used is bivariate analysis.Result: Parity has nothing to do with the incidence of premature rupture of membranes due to the value of p value 0.142> 0.05, with the OR value of 0.814. Age of pregnant women has nothing to do with the incidence of premature rupture of membranes because the value of p value 0.671> 0.05, with the value of OR 1.062. Age pregnancy has nothing to do with the incidence of premature rupture of membranes because the value of p value 0.288> 0.05, with OR 1,207 nialai. Uterine overdistesi has nothing to do with the incidence of premature rupture of membranes due to the p value of 0.571> 0.05, with the value of OR 1.240. Conclusion: There is no relationship between maternal age, parity, gestational age, and overdistence with premature rupture of membranes in Yogyakarta Hospital. Keywords: Maternal age, Parity, Age of Pregnancy, Overdistence, and premature rupture of membranes (PROM)


2021 ◽  
Vol 1 (3) ◽  
pp. 249-253
Author(s):  
Ira Rahmawati ◽  
Dini Kurniawati ◽  
Yeni Fitria

Babies born with low birth weight (LBW) have a high risk and will have an impact on subsequent development. Studies show that the use of hormonal contraceptives can increase the risk of experiencing subjective health complaints than non-hormonal contraceptives. The study is an analytical descriptive study that aims to identify the effect of hormonal contraceptive used on low birth weight baby delivery. The study was conducted in three agricultural hospitals and three public hospitals in the Agriculture area of Besuki Residency. Data analysis of the sample was carried out by quota sampling. Characteristics of respondents were displayed by univariate analysis. The total number of participants in this study were 441 participants. Participants were divided into several data categories such as age, parity, medical history, previous history of preeclampsia, low birth weight babies, contraceptives used, complications of premature rupture of membranes. There two factors, that can predict the low birth weight baby delivery. They are hormonal contraceptives use and premature rupture of membranes. The test results get the hormonal contraceptive used factor to be the strongest factor (OR 19,12). Thus it was concluded "the hormonal contraceptive used factor is an abdominal factor of low birth weight baby delivery with a significance value of 0.000 (p0.05).


2021 ◽  
pp. 1-8
Author(s):  
Man Yan Chung ◽  
Wing Cheong Leung ◽  
Wing Ting Tse ◽  
Yuen Ha Ting ◽  
Kwok Ming Law ◽  
...  

<b><i>Introduction:</i></b> Fetal pleural effusion may require in utero shunting which is associated with procedure-related complications. <b><i>Objective:</i></b> To evaluate the efficacy and complications of the newly designed Somatex shunt in treating fetal pleural effusion. <b><i>Methods:</i></b> Consecutive cases with primary fetal pleural effusion who were treated with the Somatex shunt between 2018 and 2019 were evaluated. Perinatal outcomes and complications were retrospectively analyzed. <b><i>Results:</i></b> There were 6 cases of unilateral and 1 case of bilateral pleural effusion, and hence a total of 8 pleuroamniotic shunting procedures were performed. The median gestational age at diagnosis and shunting was 20.7 and 22.6 weeks, respectively. All 8 procedures were successful, achieving complete in utero drainage. All but one were live births (85.7%) with a median gestational age of 38 weeks. The single case of in utero death occurred 4.7 weeks after successful shunting, and no cause could be identified after autopsy. The rates of preterm birth and premature rupture of membranes were 33.3% (2/6) and 16.7% (1/6), respectively. Four of the 8 procedures (50%) had minor shunt-related complications such as dislodgement and entrapment, occurring at a median of 7.7 weeks after shunting. None of the shunts became blocked. <b><i>Conclusions:</i></b> The Somatex shunt is effective in relieving fetal pleural effusions with good survival rate. Overall, it was a safe instrument, though minor shunt complications occurred.


Author(s):  
Marion Lecorguillé ◽  
Juliane Léger ◽  
Anne Forhan ◽  
Marie Cheminat ◽  
Marie-Noëlle Dufourg ◽  
...  

Abstract Women with thyroid diseases at the beginning of pregnancy may have suboptimal thyroid hormone levels because of potential difficulties in compensating for the physiological thyroid hormone changes occurring in pregnancy. Our objective was to study the association between preexisting thyroid diseases, pregnancy complications, and neonatal anthropometry. In total, 16,395 women from the ELFE French longitudinal birth cohort were included, and 273 declared pre-pregnancy thyroid diseases. Associations were investigated with multivariable regression models, with adjustment for relevant potential confounders. Body mass index (BMI) was additionally adjusted for in a second stage. As compared with other women, women with pre-pregnancy thyroid diseases were more frequently obese (19.6% vs. 9.8%) and had greater odds of gestational diabetes development (odds ratio [OR] = 1.58 [95% confidence interval [CI] 1.08, 2.30]) or had undergone treatment for infertility (OR = 1.57 [95% CI 1.07, 2.31]). After adjustment for BMI, the association with gestational diabetes was no longer significant (OR = 1.27 [95% CI 0.86, 1.88]). After excluding women with another medical history, those with pre-pregnancy thyroid diseases had increased odds of premature rupture of membranes (OR = 1.51 [95% CI 1.01, 2.25]). Children born from mothers with hypothyroidism before conception due to a disease or as a potential side effect of treatment had a smaller head circumference at birth than other children (β = −0.23 [95% CI −0.44, −0.01] cm). In conclusion, pre-pregnancy thyroid diseases were associated with risk of infertility treatment, gestational diabetes, and premature rupture of membranes. The association between history of hypothyroidism and moderate adverse effects on fetal head circumference growth needs replication.


PEDIATRICS ◽  
1964 ◽  
Vol 33 (3) ◽  
pp. 467-467
Author(s):  
KIT G. JOHNSON

As the article by Pryles, et al. entitled "A Controlled Study of the Influence on the Newborn of Prolonged Premature Rupture of the Amniotic Membranes and/or Infection in the Mother," Pediatrics, Vol. 31, pp. 608-622, has not yet received comment in your journal, perhaps it is not too late to ask the authors to fill three hiati which I felt existed in their presentation of this excellent study. As antibiotics apparently were used (according to Table X) in some infants prior to the diagnosis of clinical sepsis, what were the comparative morbidity and mortality results in this group versus the group in which treatment was deferred until the diagnosis of clinical sepsis could be made?


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