scholarly journals The Analysis of the Determinant Factor of Premature Rupture of Membrane on the Inpartu Mother in the IRNA 1 RSU Moh. Noer Pamekasan

2018 ◽  
Vol 2 (1) ◽  
pp. 59-67
Author(s):  
Lailatul Hafidah

Early Rupture of membranes is a rupture of the membranes when inpartu with opening at primipara less than 3 cm and in multiparas less than 5 cm, without depending on gestational age. Some factors which are suspected to be the cause of premature rupture of membranes are parity, history of KPD, sexual status and anemia. The purpose of this study is to analyze the determinant factor of premature rupture of membranes on the inpartu mother in the Inpatient Installation Room 1 RSU Moh. Noer Pamekasan.  The type of research is quantitative research with cross sectional research design. The study was conducted on January 30 to March 15, 2018 in the Inpatient Installation Room 1 RSU Moh. Noer Pamekasan. The sample is 59 respondents taken with simple random sampling. The independent variables are parity, history of premature rupture of membranes, sexual status and anemia. Dependent variable is premature rupture of membranes. The data was analyzed by using logistic regression test with p = 0,05. The results showed that the variable X1 (parity) with p = 0.037; OR = 0,008, variable X2 (history of KPD) with p = 0,049; OR = 23.736), Variable X3 (sexual relationship status) with p = 0,064; OR = 19.770; Variable X4 (anemia) with p = 0,628; OR = 2,132. So it can be concluded that the factors which affect Y (the incidence of premature rupture of membranes) is a parity factor and history of KPD and the most dominant factor is the parity with the effect of 0.008.The high parity or parity of grandemultipara and the history of KPD to the previous labor affects the occurrence of premature rupture of membranes in the Inpatient Installation Room 1 RSU Moh.Noer.  So it is necessary to do health education about the factors which affect the occurrence of premature rupture of membranes to prevent premature rupture of membranes recurring at the next labor

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.


Author(s):  
Surekha S. Mohan ◽  
Chamaraja Thippeveeranna ◽  
Naorem N. Singh ◽  
Laiphrakpam R. Singh

Background: Preterm premature rupture of membranes (PPROM) is one of the most common complications of pregnancy. It is an important cause of perinatal morbidity and mortality. Objective of present study was to determine incidence, risk factors, maternal, fetal outcome of PPROM occurring in patients attending a tertiary hospital in North Eastern India.Methods: This descriptive cross- sectional study was carried out in the department of Obstetrics and Gynecology, Regional Institute of Medical Sciences, Imphal, India. Out of 15,969 deliveries between July 2010 to December 2011, 358 pregnant patients with spontaneous preterm premature rupture of membranes from 28-0 to 36-6weeks gestation were reviewed. After excluding patients with uterine anomalies, intrauterine deaths and congenital anomalies 293 patients were included and evaluated in this study.Results: The incidence of PPROM was 2.2%. Out of 293 patients 86% were singleton pregnancies, 12.9% were twins and 1.02% were triplets. 48.4% had previous history of termination of pregnancy, 28.6% history of previous PPROM and 16.3% had urinary tract infection. The mean gestational age at the onset of membrane rupture was 34.1+2.4 weeks and the latency from the membrane rupture to delivery interval ranged from 0-72 days with a mean of 48.4 hours. There were 7stillbirths (2.38%) and 4 neonatal deaths (1.02%) resulting in perinatal deaths of 3.29% and perinatal mortality rate of 0.329 per 1000 births due to PPROM. Maternal morbidity was minimal with postpartum haemorrhage in 11 patients (4.1%), abruptio placentae in 7 patients (2.3%) and sepsis in 43patients (14.6%). 66 patients (22.5%) underwent caesarean section for which malpresentations were the major cause.Conclusions: Despite remarkable advances in perinatal care, preterm premature rupture of membranes continues to cause perinatal morbidity and mortality. Strategies should be developed for its prevention. Management protocol should be improved in regard to vaginal swab culture and use of specific antibiotics.


2021 ◽  
Vol 5 (1) ◽  
pp. 7-18
Author(s):  
Abdul Aziz ◽  
Siti Farida ◽  
Byba Melda Suhita

Pregnancy is a moment that is highly desired by husband and wife. This can make the family more harmonious because it has a child who is always coveted. But in reality, sometimes pregnancy is accompanied by several obstacles, such as premature rupture of membranes. The purpose of this study is to analyzethe effect of economic status, fetal position and family support on the incidence of premature rupture of membranes in inpartu patients at the Pragaan Health Center, Sumenep Regency. The design of this research is an observational quantitative research with a cross sectional approach with the focus of the research being directed at analyzingthe effect of economic status, fetal position and family support on the incidence of premature rupture of membranes in inpartu patients at the Pragaan Health Center, Sumenep Regency. The total population of 160 respondents and a sample of 100 respondents were taken by Accidental Sampling technique. The findings show that almost half of the respondents haveeconomic status middle class category as many as 42 respondents (42%).Almost half of the respondents experienced an anterior fetal position as many as 39 respondents (39%). Most of the respondents have family support in the less category as many as 62 respondents (62%). Most of the respondents experienced premature rupture of membranes as many as 56 respondents (56%). Based on the results of the Logistics Regression analysis shows that the p-value <0.05 then H1 is accepted so it is concluded that there is an effect of economic status, fetal position and family support for the incidence of premature rupture of membranes in inpartu patients at the Pragaan Health Center, Sumenep Regency. It is hoped that both pregnant women can manage the needs and things that must be done during pregnancy until delivery, starting from maintaining a lifestyle and even monitoring the development of the fetus in order to reduce the incidence of KTD.


2018 ◽  
Vol 2 (1) ◽  
pp. 38-48
Author(s):  
Hilmah Noviandry Rahman

Post Partum Blues (PPB) is sadness or moodiness after delivery which occurs on the third day to two weeks. The incidence of PPB in Indonesia is experienced up to 50-80% of new mothers. Some factors that are suspected to be the cause of PPB are knowledge, type of delivery, husband support, and parity. The purpose of this study was to analyze the factors affecting post partum blues on post partum mothers at Puskesmas Proppo Kabupaten Pamekasan. This research type is quantitative research with cross sectional research design. The study was conducted on January 25 to February 25, 2018 at Puskesmas Pamekasan with 110 postpartum mothers. The sample size is 86 respondents taken with simple random sampling. The independent variables are knowledge, type of labor, support of husband and parity. Dependent variable is post partum blues event. Data were analyzed using logistic regression test with p = 0,05. The results showed that variable X1 (knowledge) with p = 0,007; OR = 8,149, Variable X2 (type of labor) with p = 0,485; OR =1,822, Variable X3 (husband support) with p = 0,005; OR = 4,518, Variable X4 (parity) with p = 0,749; OR = 1,153. So it can be concluded that the factors that affect Y (post partum blues events) is the factor of knowledge and support of the husband, with the most dominant factor is the support of husbands with the effect of 4.581. The low knowledge of postpartum mothers on PPB, and sufficient support of husbands led to the incidence of PPB in Puskesmas Proppo Kabupaten Pamekasan. So it needs health promotion efforts even more intense so as not to happen on PPB.


2020 ◽  
Vol 6 (2) ◽  
pp. 35-43
Author(s):  
Lilin Turlina ◽  
Faizatul Ummah ◽  
Sulistyowati

The incidence of premature rupture of membranes (PRM) ranges from 8-10% at term pregnancy and 1% in preterm pregnancy. The incidence of PRM at RSUD dr. SoegiriLamongan in 2017 amounted to 16,43%. The purpose of this study was to analyze risk factors of the occurrence of premature rupture membranes in RSUD Dr. SoegiriLamongan. The research used descriptive analytical method with cross sectional approach. The sample is 268 maternity mothers, divided into 134 mothers giving birth with PRM  and 134 normal maternity mothers at Dr. Soegiri Lamongan on 2018. Sampling is done by simple random sampling. Data collection uses patient medical record and with multivariate multiple logistic regression analysis.The results showed that presentation abnormalities with a p value of 0.045 <0.05 and CPD with a p value of 0.002 <0.05. Based on the Odds Ratio (OR) values ​​as follows: Maternal age OR 1,141, OR parity 0.933, OR fetal presentation 2,779, OR Twins 1,394, OR CPD 6. and OR Large infants 0.783.Meaning that there was a significant influence between fetal presentation and CPD on PRM.


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.


2017 ◽  
Vol 3 (2) ◽  
pp. 19
Author(s):  
Yanu Yufita Lestariningsih

Premature rupture of  membranerevolves 5-10% from all birth. Impact a birth premature that espoused broken fetal membrane early causess 12-15% asphyxia neonatorum. The purpose of the study to determine the correlation between premature rupture of  membrane with the incidence of asphyxia neonatorum. The research method used is analytic with retrospective cohort approach with independent variable of premature rupture of membrane, dependent variable asphyxia neonatorum. The study was conducted on 7 June to 12 July 2017. The population of 1519 mothers inregional public hospital of Kediri regency 2016. Sample 139 respondents, taken by simple random sampling, was analyzed by Chi Square test with a significant of 0.05. Result of research most of respondent with rupture of membrane counted 46 respondents, almost all respondents that is 82.6% gave birth baby with asphyxia. From result of Chi Square test obtained by result of p-value equal to 0.000 (<0.05), result of coefficient of contingency (C) equal to 0.639 with closeness strong relation, so H1 received H0 rejected which means there is significant relation with closeness strong between premature rupture of membrane with asphyxia neonatorum inregional public hospital of Kediri regency 2016. Relative Risk (RR) 1.65 which means the possibility of a baby experiencing asphyxia neonatorum of 1.65 times in maternal who experience premature rupture of membranes compared to mothers who did not experience premature rupture of membranes.


2018 ◽  
Vol 18 (2) ◽  
pp. 328
Author(s):  
Nel Efni

The causes of drug abuse are complex due to the interaction of various factors, including individual factors such great curiosity to try and unknowingly or think long about the consequences later in life, environmental factors such as family problems or a broken home or social environment / community one even all members become abusers drug. This research is a quantitative research using Cross sectional design. The population in this study is the victim of drug abuse which amounted to 545 people and a total sample of 40 respondents using simple random sampling technique and the data were analyzed using univariate and bivariate by using the chi-square test. There is The relationship of knowledge and family support to the behavior of drug abuse in class IIA prison  Jambi. Expected to be used as inputs in the preparation of the program increased knowledge about the dangers of drugs.


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