scholarly journals Hubungan Paritas dengan Kejadian Ketuban Pecah Dini

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Desi pramita sari Desi Pramita sari

Premature rupture of membranes can cause various complications such as infection, prolonged parturition, postpartum hemorrhage, maternal morbidity and mortality, while in the fetus PROM can cause premature birth, decreased umbilical cord, hypoxia and secondary asphyxia. Based on the data taken at Batam city, the highest number of PROM cases from 3 hospitals was 546 cases, Harapan Bunda’s Hospital. This study aims to determine relationship Parity with premature rupture of membranes at Harapan Bunda Hospital Batam City. This research used method quantitative analitic survey with cross sectional design with 60 samples. The Conclusion the results obtained were there is relationship parity with premature rupture of membranes (p value = 0,001). Suggestions to clients and community to increase their knowledge about the cause PROM so that they can prevent or detect early complications that will occur in the future.

2019 ◽  
Vol 26 (05) ◽  
Author(s):  
Fehmida Parveen Memon ◽  
Majida Khan ◽  
Samya Aijaz

Objectives: To determine the thrombocytopenia as marker of maternal sepsis and its related maternal morbidity and mortality at tertiary care Hospital. Study Design: Cross-sectional study. Setting: Gynaecological and Obstetrical department of Liaquat University Hospital, Hyderabad. Period: 6 months from March 2017 to August 2017. Material and Methods: All the pregnant females with diagnosis of sepsis were enrolled in the study. All the females with chronic hepatitis were excluded. After complete clinical examination every women underwent 5cc blood sample for complete blood picture. Thrombocytopenia was characterized as a platelet count below 150.000/mm3. Data regarding maternal mortality and maternal complications was filled in the proforma. Results: Total 120 septic mothers were included in the study, 70 patients had thrombocytopenia and 50 were with normal platelets. Most of the women 71.7% were with age groups of 20-30 years. Out of total women 65.0% were un-booked. According to the maternal morbidity, septic shock was most common 36.7%, multi-organ failure was in 08.3%, prolonged Hospital stay was in 16.7%, ICU admission occurred in 18.3% patients, while renal failure, respiratory failure, hepatic failure, coagulopathy and metabolic acidosis were found with percentage of 09.2%, 02.5%, 10.8%, 10.8% and 03.3% respectively. Mortality rate was found among 8.3% out of total cases. Almost all complications were higher among women with thrombocytopenia as compare to women with normal platelets level, while statistically p-value was quite insignificant. Mortality was significantly high among patients with thrombocytopenia p-value 0.032. Conclusion: It was concluded that thrombocytopenia is a good marker for adverse outcome among septic mothers. Maternal morbidity and mortality was higher among septic women with thrombocytopenia.


2021 ◽  
Vol 4 (1) ◽  
pp. 74-81
Author(s):  
Alfitra Salam ◽  
Nadyah ◽  
Fhirastika Annisha Helvian

Background : Nutritional status could be used as an assessment of the risk of premature rupture of membranes. One way to determine the nutritional status of pregnant women is to calculate the gestational weight gain of women based on body mass index before pregnancy. Objective : The purpose of this study was to determine the relationship between gestational weight gain and the occurrences of premature rupture of membranes. Methodology : An observational analytic study with a cross sectional approach was adopted in this study. The data of this study were collected from the patients’ medical records at RSUD Lamaddukelleng of Wajo Regency in which the inclusion and exclusion sampling criteria were used. A total of 90 samples of patients’ medical record was obtained related to premature rupture of membranes. The collected data were processed and analyzed using the Chi-Square test with the p value of <0.05. Result : The results of the study indicated that there was a significant relationship between weight gain during pregnancy and the occurrence of premature rupture of membranes with the p value of 0.016. Conclusion : This study concluded that while there is a significant relationship between weight gain during pregnancy and premature rupture of membranes


2021 ◽  
Vol 15 (6) ◽  
pp. 1511-1515
Author(s):  
Estiyani Wulandari ◽  
Lenna Maydianasari ◽  
Eva Yusnidhar

Aim: This research aims to identify the correlation between parity and premature rupture of membrane (PROM) incidence at KIA Sadewa Hospital in 2013. Methods: The research was observational analytic research with a cross-sectional design. The sampling employed total sampling. This research population was all women giving birth at KIA Sadewa Hospital from January to December 2013 who had complete data as many as 2,645 women. The samples used in this study were 2388 women with expected delivery and 257 women who experienced the PROM. The data were secondary data obtained from medical records and then analyzed in univariate and bivariate analysis using a chi-square test with p-value = 0.005. Results: Women giving birth at KIA Sadewa Hospital in 2013 were mostly multipara. The incidence of premature rupture of membrane at KIA Sadewa Hospital in 2013 indicated 9.7% of them experiencing the PROM and 90.3% not experiencing the PROM. Conclusion. There was a correlation between parity and the incidence of premature rupture of membrane at KIA Sadewa Hospital in 2013. There is a correlation between parity with the incidence of premature rupture of membrane at KIA Sadewa Hospital in 2013. Keywords: Parity, Premature Rupture of Membrane


2020 ◽  
Vol 2 (3) ◽  
pp. 99
Author(s):  
Muhamad Ulil Albab ◽  
Heriyanti Widyaningsih ◽  
Sri Hartini ◽  
Ambarwati Ambarwati

Asphyxia and Intrauterine fetal dead (IUFD) are a threat if a premature rupture of membranes is not immediately treated quickly and appropriately. Neonatal asphyxia can occur due to complications from premature rupture of membranes. IMR in Indonesia is the fifth country for ASEAN countries, 35/1000 birth. Based on data from RA Kartini Hospital in Jepara, asphyxia cases from approximately (12,6%) and incidence of premature rupture of membranes 816 cases or around (85,8%). While the incidence of neonatal asphyxia born from PROM totalled 15 cases or about (1,6%).  This research using quantitative descriptive methods with cross-sectional design. This research was conducted on April 21-23, 2020 using a total sampling method of 148 respondents. The data used are secondary data with a single variable, namely the incidence of neonatal asphyxia in mothers with maternity premature rupture of membranes. Data analysis uses a descriptive statical test. Aims to know the description of the incidence of neonatal asphyxia in mothers with maternity premature rupture of membranes in General Hospital of Raden Ajeng Kartini Jepara 2019 and describe the incidence of neonatal asphyxia in mothers with maternity premature rupture of membranes in General Hospital Raden Ajeng Kartini Jepara 2019. The result showed that of 148 respondents on average had no risk age (20-35 years) as many as 120 respondents (81,1%) and the average parity PROM mothers as many as 148 respondents had multiparous parity of 85 respondents (57,4%). Then from 148 PROM mothers, 6 respondents (4,1%) gave birth to babies who had asphyxia. The highest incidence of neonatal asphyxia in mothers with maternity premature rupture of membranes was mild asphyxia of 3 respondents (2,0%), moderate to severe asphyxia of 2 respondents (1,4) and moderate asphyxia of 1 respondent (0,7%). The average degree of asphyxia in women with premature rupture of membranes is mild asphyxia.


Author(s):  
Hermin Sabaruddin ◽  
Chalid Muthaher ◽  
M. Robyanoor AR

ABSTRAKKetuban pecah dini (KPD) didefinisikan sebagai pecahnya selaput ketuban sebelum terjadinya persalinan yang terjadi pada atau setelah usia gestasi 37 minggu disebut KPD aterm atau premature rupture of membranes (PROM) dan sebelum usia gestasi 37 minggu atau KPD preterm atau preterm premature rupture of membranes (PPROM). Insiden ketuban pecah dini di Indonesia berkisar 4,5% sampai 7,6 % dari seluruh kehamilan. KPD Preterm terjadi pada terjadi pada sekitar 2-3% dari semua kehamilan tunggal dan 7,4% dari kehamilan kembar. Penelitian ini merupakan penelitian observasional analitik secara retrospektif deskriptif cross sectional. Pengambilan data diambil dari rekam medis pasien rawat inap kamar bersalin di RSUD.Ulin Banjarmasin pada periode januari– desember 2017. Pada penelitian ini menunjukkan bahwa sebagian besar variabel faktor risiko yaitu usia, pendidikan, usia kehamilan dan paritas menunjukkan hubungan terhadap kejadian KPD preterm. Hasil analisis menunjukkan terdapat hubungan yang signifikan pada usia ibu 18-20 tahun sebesar 63.6% dengan OR (95%CI)= 7.56 (6.206-7.687). Faktor risiko pada sampel pendidikan paling banyak pada tingkat pendidikan rendah sebesar 65,1% dengan OR (95% CI) = 7.244 (6.172-7.343) dibandingkan dengan ibu tingkat pendidikan tinggi sebesar 37.3%. Pada variable usia kehamilan sampel terbanyak ditemukan pada usia kehamilan 28-34 minggu sebanyak 100% dengan OR (95%CI) = 94.0 (78.2-130.3). Pada variabel paritas terbanyak pada multigravida yaitu 45.9% dengan OR (95%CI) = 2.26-2.32) namun hasil ini tidak signifikan dikarenakan p value >0.005. Ditemukan hubungan faktor risiko pada usia ibu 18-20 tahun, pendidikan rendah, dengan usia kehamilan 28-34 minggu, namun tidak signifikan pada paritas multigravida.Kata-kata kunci : Ketuban pecah dini preterm, kehamilan ABSTRACTPremature rupture of membranes (PROM) are defined as rupture of the membranes before the onset of labor and which occur at or after 37 weeks gestational age is called premature rupture of membranes (PROM) and before 37 weeks gestational age is called preterm premature rupture of membranes (PPROM). The incidence of premature rupture of membranes in Indonesia is from 4.5% to 7.6% of all pregnancies. Preterm KPD occurs at 2-3% of all single pregnancy and 7.4% of twin pregnancy. This study was a cross sectional descriptive observational analytic study. The data was taken from the medical records of Delivery Room in RSUD Ulin Banjarmasin at January-December 2017. In this study, the majority of risk factor, age, education, gestational age and parity showed a relationship to Insidence of PPROM. The results of the analysis showed that there was a significant relationship between the age of 18-20 years percentage was 63.6% with OR (95% CI) = 7.56 (6,206-7,687). The most sample at low education level was 65,1% with OR (95% CI) = 7.244 (6.172-7.343) compared to the high education level was 37.3%. Criteria for gestational age, the most samples were found at 28-34 weeks gestational age with percentage of PPROM was 100% with OR (95% CI) = 94.0 (78.2-130.3). Then at parity most Insidece in multigravida was 45.9% with OR (95% CI) = 2.26-2.32) but this result is not significant because p value> 0.005. We found a correlation between risk factors at maternal age 18-20 years, the low education and gestational age of 28-34 weeks, but not significant in multigravida parity.Keywords : Preterm premature rupture of membranes (PPROM), pregnancy


Author(s):  
Azizah Nurdin ◽  
Haizah Nurdin ◽  
Rahmayanti . ◽  
Mutmainnah Sari

Background: As many as 20% of maternal deaths are caused by premature rupture of membranes (PROM). The high rate of PROM is believed to affect newborn asphyxia. In addition, the high rate of cesarean section is one of the reasons or most frequent indications of PROM. Therefore, researchers were interested in knowing how the relationship between PROM and delivery method and newborn asphyxia was.Methods: This study was an analytical study conducted with a cross-sectional approach by taking secondary data from patients through medical records of pregnant women who experienced PROM in January 2020 to July 2021.Results: This study found that the incidence of PROM was more dominant in multiparous women 55.4%, in term pregnancy 79.2%, duration of PROM ≥12 hours 55.4%, have normal leukocyte levels 76.2%, the incidence of asphyxia (mild asphyxia) 90.1% and the rate of cesarean section as much as 24%. The bivariate analysis found a significant relationship between the length of PROM and the method of delivery (p value 0.049) and the duration of PROM with newborn asphyxia (p value 0.040) and there was no significant relationship between maternal leukocyte count and newborn asphyxia (p value 0.444).Conclusions: The longer the duration of PROM with delivery, the greater the chance of infection for the mother and fetus. The length or duration of PROM will have an impact on the method of delivery and increase the likelihood of asphyxia in newborns. 


2019 ◽  
Vol 3 (1) ◽  
pp. 8
Author(s):  
Diah Nur Anisa ◽  
Detty S Nurdiati ◽  
Wiwin Lismidiati

Postpartum hemorrhage is one of the causes of the hight of the maternal mortality rate (MMR) in Indonesia. Maternal mortality in Bantul regency has been increased than the last. The incident of prevention of midwives in the prevention of postpartum hemorrhage during labor proses. To find out the relationship between the length of work and the behavior of midwives in the prevention of postpartum hemorrhage in Bantul regency. This study included a type of correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five health centers. Retrieval of data in this study used an observation sheet to see the actions of midwifes in conducting active management in the third stage as preventive measure for postpartum hemorrhage and the identity sheet of respondents to see the length of work that had been undertaken by midwives. The result of this research showed that the mayority of midwives who have length work ≥ 10 years, it was 47 people (69%), and midwives who have good behavior in prevention of postpartum hemorrhage was 40 people (58,8%). The result of correlation test between length work and midwives behavior in prevention of postpartum hemorrhage obtained p = value 0,851 (p > 0,05). There no relatinship of long work with the behavior of midwives in theprevention of postpartum hemorrhage in Bantul regency.


2010 ◽  
Vol 4 (5) ◽  
pp. 223
Author(s):  
Titik Kuntari ◽  
Siswanto Agus Wilopo ◽  
Ova Emilia

Abortus menjadi masalah yang penting dalam kesehatan masyarakat karena berpengaruh terhadap morbiditas dan mortalitas maternal. Di Indonesia, belum ada data yang komprehensif tentang kejadian abortus, berbagai data yang ada sebelumnya berdasarkan survei dengan cakupan yang relatif terbatas. Abortus yang tidak aman bertanggung jawab terhadap 11% kematian ibu di Indonesia. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian abortus di Indonesia. Penelitian ini dilaksanakan dengan metode observasional menggunakan disain studi cross sectional. Data penelitian diperoleh dari data Survei Demografi dan Kesehatan Indonesia 2002-2003. Analisis data dilakukan secara bertahap yaitu: analisis univariat, analisis bivariat dan analisis multivariat dengan regresi logistik. Hasil menunjukkan bahwa risiko abortus meningkat seiring dengan peningkatan usia ibu. Wanita dengan paritas 0-2 berisiko lebih tinggi untuk mengalami abortus dibandingkan wanita dengan paritas 3 atau lebih (OR=5,2, IK 95%=3,49-7,89). Wanita yang bekerja berisiko 2,7 kali lebih tinggi untuk mengalami aborsi daripada wanita yang tidak bekerja (OR= 2,7 , IK 95%= 2,10-3,58). Selain itu, risiko abortus meningkat pada wanita yang menikah pada usia 30 tahun atau lebih (OR=1,8, IK95%= 1,30-2,48). Risiko abortus tidak berhubungan bermakna dengan riwayat abortus sebelumnya, tingkat pendidikan dan tingkat sosial ekonomi.Kata kunci : Abortus, tren abortus, determinan abortus, IndonesiaAbstractAbortion has become a main problem in public health because of its impact on maternal morbidity and mortality. There is no comprehensive data on abortion in Indonesia. So far, data were based on survey with limited coverage. Unsafe abortion is responsible to 11 percent of maternal mortality in Indonesia. This research objective is to determine factors related to abortion in Indonesia. The study was an observational method with cross sectional design. Thesedata are gathered from Indonesian Demography and Health Survey 2002–2003. Data analysis used univariate, bivariate and multivariate analysis with logistic regression. The risk of an abortion increased in line with the increasing of maternal age. Women with 0-2 parity have higher risk than multiparity (OR=5.2, IK95%=3.49-7.89). Employed women have higher risk than unemployed (OR=2.7, IK95%=2.10-3.58). The risk of abortion increased among women married at 30 years old or over (OR=1.8, IK95%=1.30-2.48). There is no significant association between history of abortion, education, socioeconomic and risk of abortion.Key words : Abortion, trend of abortion, abortion’s determinant, Indonesia


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.


2020 ◽  
Author(s):  
Tijani Idris Ahmad Oseni ◽  
Mojeed O Momoh ◽  
Christopher Chidozie Affusim

Abstract Background: Nigeria has one of the highest maternal morbidity and mortality worldwide. Use of modern contraceptive has been shown to significantly reduce maternal morbidity and mortality. However, contraceptive use is still low among young women in Nigeria. This study was to determine the prevalence and determinants of contraceptive use among female undergraduates in Edo State.Methods: The study was a cross sectional study. 360 female undergraduates attending Irrua Specialist Teaching Hospital who met the eligibility criteria were consecutively recruited and questionnaire administered to them. The results were analysed using epi info 3.5.4 statistical software and significance level was set at p value less than 0.05.Results: The prevalence of contraceptive use among female undergraduates was found to be 28% despite 100% knowledge of contraception. Reasons for non-usage included fear of future infertility, refusal by male partner, fear of safety profile of the methods and lack of interest. Determinants of contraceptive use among the study population were older age (p = 0.02), being single (p = 0.04) and high socioeconomic status (p < 0.001).Conclusion: Contraceptive use is low among female undergraduates despite adequate knowledge due to fear of adverse effects and non-cooperation by male partner.Implication for Action: There is need for greater advocacy and education on the safety profile of modern contraception by policy makers, as well as educating men on the importance and benefits of contraception as their cooperation is key to increased usage.


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