scholarly journals Tinjauan Kasus Kegawatdaruratan Maternal Dan Neonatal

2018 ◽  
Vol 4 (2) ◽  
pp. 63-69
Author(s):  
Sefita Aryuti Nirmala ◽  
R. Tina Dewi Judistiani ◽  
Sri Astuti ◽  
Wulan Tanti Aprianti
Keyword(s):  
Maternal Mortality ◽  
Medical Record ◽  
Live Birth ◽  
Maternal Age ◽  
Health Condition ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Life Threatening ◽  
Descriptive Method

The maternal mortality (AKI) and the neonatal mortality (AKN) in Kabupaten Sumedang is caused by the maternal urgency and neonatal. The maternal urgency is a dangerous phenomena that can be a life-threatening caused by the problems of pregnancy, labor, and postpartum. It is the phenomena that threatens the life of newborn babies in the range of 0-28 days old. This study aimed to investigate the maternal and neonatal urgency in Puskesmas PONED Tanjungsari in 2015. Descriptive method with cross sectional approachment was used in this study. The data was retrospectively gained from the medical record of the patients that experienced maternal and neonatal urgency in Puskesmas PONED Tanjungsari Kabupaten Sumedang in 2015.  The cases of maternal urgency that frequently happened in Puskesmas Tanjungsari was premature rupture of membranes that reached 28 cases or 37,8%. Meanwhile, in 2015, there was no neonatal urgency happened and recorded in Puskesmas PONED Tanjungsari. The characteristics of maternal age that experienced the maternal urgency was about 20-35 years ord with 51 cases happened or 68,9%. The number of live birth in range of 2-3 reached 37 cases or 50%. The referal cases with a healthy condition reached 72 cases or 97,3% and for them who got complicated cases reached 2 cases or 2,7%.  The cases of maternal and neonatal urgency that happened in Puskesmas Tanjungsari mostly caused by the premature rupture of membranes with the characteristics of maternal age about 20-35 years old and the number of live birth in range of 2-3. Puskesmas Tanjungsari has followed the clinic procedure before referring the patients to the nearest PONEK hospital by doing stabilization to the patients. Moreover, the condition of the patients reffered to the nearest PONEK hospital were mostly in a good and health condition.

scholarly journals GAMBARAN KETUBAN PECAH DINI, WARNA KETUBAN JELEK DAN INFEKSI IBU DENGAN KEJADIAN INFEKSI PADA BAYI BARU LAHIR DI RSUD ABDUL WAHAB SJAHRANIE SAMARINDA

2020 ◽  
Vol 8 (1) ◽  
pp. 1-7
Author(s):  
Amalia Rizkiannur Putri ◽  
Sukartini ◽  
Evi Fitriany
Keyword(s):  
Risk Factors ◽  
Medical Records ◽  
Sampling Technique ◽  
Maternal Infection ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Risk Of Death ◽  
Descriptive Method

The early 28 days of life called the neonatal period is the most vulnerable period for infants. The infants face the highest risk of death in the first month after birth. The most common cause of infant death is asphyxia, prematurity, and infection. Infection in newborns is defined as a condition where the newborns have a disease caused by microorganisms. One of the risk factors causing infection in newborns includes factors from the mother, such as premature rupture of membranes, green or meconium and smelly amniotic fluid, maternal infection, and others. The main objective of this research was to describe the risk factors of incidence of infection in newborns at RSUD Abdul Wahab Sjahranie Samarinda. This research uses a retrospective descriptive method with the cross-sectional approach. Sampling was done by taking data on medical records of patients at the RSUD Abdul Wahab Sjahranie Medical Record Installation using total sampling technique. The results obtained were 99 samples that met the inclusion and exclusion criteria with details of patients who experienced premature rupture of membranes by 18 people (18,2%), poor amniotic color by 62 people (62,6%), mothers who had leukocytosis by 15 people (15,2%), and the incidence of infection in newborns by 2 people (2%). the collected data were tabulated bu frequency and percentage and displayed in tables

scholarly journals KARAKTERISTIK KEHAMILAN DENGAN KETUBAN PECAH DINI PRETERM DI RSUD ULIN BANJARMASIN

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Hermin Sabaruddin ◽  
Chalid Muthaher ◽  
M. Robyanoor AR
Keyword(s):  
Gestational Age ◽  
Medical Records ◽  
Maternal Age ◽  
Education Level ◽  
P Value ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Preterm Premature Rupture ◽  
Low Education

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

scholarly journals Maternal Near-Miss Obstetric Events and Maternal Mortality

2021 ◽  
Vol 15 (5) ◽  
pp. 980-983
Author(s):  
Shehla Channa ◽  
Hina Akmal Memon ◽  
Nayab Qasim ◽  
Abdul Rauf Memon ◽  
Ikram Ahmed Tunio ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Live Birth ◽  
Maternal Death ◽  
Maternal Health Services ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Cross Sectional ◽  
Life Threatening

Aim: To know about the prevalence, characteristic and nature of near miss events and to relate the nature of near miss events with that of maternal mortality. Study design: Descriptive cross sectional study Place and duration of study: Department of Obstetrics & Gynecology Unit IV, LUMHS Jamshoro from 1st January 2020 to 31st December 2020 Methodology: Pregnancy outcomes segregated into maternal death, near-miss event, or live birth categories. Age, level of education, religion, and residence were socio demographic variables. Obstetrics characteristics and nature of maternal near-miss events also studied. Result: The prevalence of maternal near-miss event was 5.6%, and the maternal near-miss events were seen more in multigravida, pregnant women with the lack of antenatal care in referral cases. Live birth as fetal outcome was 75%. The maternal death to near-miss ratio in this study was 1:5. 44 (42.3%) postpartum haemorrhage and 28 (26.9%), hypertensive disorders cases were leading cause of maternal near-miss events. Conclusion: Every fifth women who survived life-threatening complications, one died. Maternal near-miss should be adopted as an indicator for evaluating maternal health services. Keywords: Maternal near-miss (MNM), Maternal mortality, Life-threatening complication

scholarly journals Gambaran Faktor Penyebab Ketuban Pecah Dini Pada Ibu Bersalin

2020 ◽  
Vol 7 (1) ◽  
pp. 18-24
Author(s):  
Etty Nurkhayati ◽  
Raudotul Hasanah
Keyword(s):  
Maternal Mortality ◽  
Health Center ◽  
Community Health Center ◽  
Secondary Data ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
First Semester ◽  
Measure Health Status ◽  
Data Survey ◽  
Perinatal Data

One indicator to measure health status is maternal mortality and perinatal mortality. The Indonesian Health Demographic Survey (SDKI) data shows that infant and maternal mortality during childbirth has decreased since 2015 to the first semester of 2017. This study aims to determine the causes of premature rupture of membranes in maternity in the Pontang Community Health Center Working Area in 2018. Population in the study this were all mothers giving birth at Pontang Health Center. The sample was determined using secondary data, namely data obtained from Pontang Public Health Center in 2018 for women who experienced KPD as many as 145 people. The results of the study showed that the majority of mothers who experienced KPD at the age of 20-35 years with a percentage of 83.5%. Most mothers who experience KPD at 37-42 weeks' gestation are 69%. Most of the mothers who experienced KPD at primipara parity were 84 respondents with a percentage of 58%. It is expected that the Puskesmas can provide information on how to prevent premature rupture of the membranes .   Keywords: Causing Factors, Labour, Early Rupture of Membranes ABSTRAK   Indikator kesehatan suatu negara dapat dilihat dengan salah satu indikatornya adalah dengan angka kematian ibu dan angka kematian perinatal. Data Survey Demografi Kesehatan Indonesia (SDKI) mencatat angka kematian bayi dan ibu saat melahirkan mengalami penurunan  hingga semester pertama 2017. Penelitian ini bertujuan untuk mengetahui faktor penyebab  ketuban pecah dini pada ibu bersalin di Puskesmas Pontang Tahun 2018. Populasi pada penelitian ini adalah seluruh ibu bersalin di Puskesmas Pontang. sampel ditentukan menggunakan data sekunder yaitu data yang diperoleh dari Puskesmas Pontang tahun 2018 pada ibu bersalin yang mengalami KPD yaitu sebanyak 145 orang. Hasil penelitian menunjukan Sebagian besar ibu yang mengalami KPD pada ibu berumur 20 sampai 35 tahun dengan presentase 83,5%. Sebagian besar ibu yang mengalami KPD pada usia kehamilan 37-42 minggu presentase 69%. Sebagian besar ibu yang mengalami KPD pada paritas primipara 84 responden dengan presentase 58%. Diharapkan pihak Puskesmas mampu memberikan informasi tentang cara pencegahan ketuban pecah dini.   Kata Kunci: Faktor Penyebab, Persalinan, Ketuban Pecah Dini.

scholarly journals Risk factors for surgical site infections after caesarean section at Yaounde, Cameroon

2021 ◽  
Vol 10 (11) ◽  
pp. 4048
Author(s):  
Pierre M. Tebeu ◽  
Aurelien Kamdem ◽  
Jean P. Ngou-Mve-Ngou ◽  
Esther Meka ◽  
Jesse S. S. Antaon ◽  
...  
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Surgical Site Infections ◽  
Biomedical Sciences ◽  
Midline Incision ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Factors Associated ◽  
Chi Squared

Background: Surgical site infection is the invasion by microorganisms of the tissue layers affected by the surgical procedure. Maternal morbidity from infections has been shown to be higher after caesarean section compared to the vaginal delivery. Objective of the research was to analyze the risk factors associated with surgical site infections after caesarean section.Methods: This was a cross sectional (affected/non affected) study approved by the institutional committee for ethics and research of the faculty of medicine and biomedical sciences. A total of 310 medical files were assessed, 62 files from patients with surgical site infections and 248 files from patients without any complications. The data was collected using a pretested questionnaire and analyzed using the statistical package for the social sciences (SPSS) software version 22.0. The Chi squared and the Fisher exact tests were used to assess homogeneity between the 2 groups. Odd ratio 95% confidence interval was used to assess the association between the variables.Results: The proportion of surgical site infections during the study was 1.81%. Factors associated with surgical site infections were premature rupture of membranes (OR: 2.065; 95% CI 1.051-4.05; p=0.035); the vertical midline incision (OR=5.26; 95% CI; 1.41-19.57; p=0.013) and a operation by a resident physician doctor (OR=1.98; 95% CI 1.09-3.59; p=0.02).Conclusions: A factors associated with surgical site infections after caesarean section are a premature rupture of membranes, vertical midline incision and the qualification of the practitioner.

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
Keyword(s):  
Quantitative Research ◽  
Simple Random Sampling ◽  
Dominant Factor ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cross Sectional ◽  
High Parity ◽  
Sexual Status ◽  
History Of ◽  
Determinant Factor

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

HUBUNGAN ANTARA KENAIKAN BERAT BADAN SELAMA KEHAMILAN DENGAN KEJADIAN KETUBAN PECAH DINI DI KABUPATEN WAJO

2021 ◽  
Vol 4 (1) ◽  
pp. 74-81
Author(s):  
Alfitra Salam ◽  
Nadyah ◽  
Fhirastika Annisha Helvian
Keyword(s):  
Weight Gain ◽  
Nutritional Status ◽  
Gestational Weight Gain ◽  
Significant Relationship ◽  
P Value ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Gestational Weight ◽  
Weight Gain During Pregnancy

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

scholarly journals A Comparative Study Between Expectant Management and Active Interference in Term PROM

2017 ◽  
Vol 7 (2) ◽  
pp. 66-68
Author(s):  
Bipul Biswas ◽  
Israt Jahan ◽  
Fahmida Sharmin Joty ◽  
Eva Rani Nandi ◽  
Farhana Dewan
Keyword(s):  
Cohort Study ◽  
Prospective Cohort ◽  
Expectant Management ◽  
Time Interval ◽  
Management Option ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

Background: Premature rupture of membranes (PROM) at term is an obstetrics problem which seeks special attention.Objective: The purpose of this study was to find out the better management option of term PROM.Methodology: This cross-sectional prospective cohort study was carried out in the department of Shaheed Suhrawardy Medical College Hospital between July 2012 to June 2013. Pregnant women presented with term PROM without any contraindication of vaginal delivery were included in the study. One group of patients ware managed expectantly and in other group was induced actively to identify the better outcome. Results: Time interval and hospital stay is less in active interference but failure is more. Foetal and maternal outcome is better in expectant management.Conclusion: Expectant management is a better option in the management of term PROM regarding both maternal and neonatal outcome.J Shaheed Suhrawardy Med Coll, December 2015, Vol.7(2); 66-68

scholarly journals Heat Shock Protein 70 (Hsp70) Level is Lower in Premature Rupture of Membrane

2014 ◽  
pp. 69-75
Author(s):  
Muhammad RA Radam ◽  
Soetrisno Soetrisno ◽  
Supriyadi H Respati
Keyword(s):  
Heat Shock ◽  
Heat Shock Protein ◽  
Heat Shock Protein 70 ◽  
Characteristic Curve ◽  
Diagnostic Value ◽  
Cross Sectional Study ◽  
Hsp 70 ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cross Sectional

AbstractObjective: To prove wheth er the levels of Heat Shock Protein 70 (Hsp70) was lower in women experiencing premature rupture of membranes than in women with normal aterm pregnancy in order to explain occurrence of pregnancy premature rupture of membranes at termin biomolecular (Hsp70). Method: This was an obse rvational resear ch and the study design was a cross-sectional study. The number of all samples was 60 women, divided into 2 groups and each group contained 30 women. Independ ent var iable: Heat Shock Protein 70 level, Depend ent var iable: Premature Rupture of Membrane. Data was analyzed by t test Result: Based on matern al character istic on both groups, the mean levels of Hsp70 in serum of pr egnant women with PROM lower (0.36) compared to normal pregnant group (3.94) and this difference was statistically significant (p<O.OOl). Diagnostic valu e of the power levels of Hsp 70 in th e PROM compared with norm al pregnancies analysis using Receiver Operating Characteristic curve (ROC) in SPSS17.0 for Windows for by 0.833 or 83.3%, it can be concluded that the diagnostic value of the PROM Hsp70 levels were good (>50%). Conclusion: Theme an levels of Hsp 70 in premature rupture of membranes obtained lower levels than in normal full-term pregnancy and this difference was sta tistically significant. Keywords: Heat Shock Protein 70, maternal stress, PROM

Sign in / Sign up

Export Citation Format

Share Document