Relationship between Premature Rupture of the Membrane and Cesarean Delivery: Case from Jakarta, Indonesia

Abstract

Premature rupture of membranes (PROM) is the spontaneous rupture of the membranes before the onset of signs of labor. It can occur both before term (<37 weeks) and after term (> 37 weeks). Caesarean delivery is a surgical technique to deliver the fetus through an incision in the abdominal wall and uterine wall. This procedure is performed to minimize all complications from premature rupture of membranes. This study aims to determine the relationship between premature rupture of membranes and delivery of sectio caesarea at the UKI General Hospital in the 2019 period by using a descriptive content analysis method (analysis of medical records documents) with a cross-sectional approach and obtained 65 samples who experienced premature rupture of membranes. The results showed that 53 samples (81.55%) experienced premature rupture of membranes and performed sectio caesarea, while 12 samples (18.45%) had premature rupture of membranes but did not perform sectio caesarea with p-value = 0.001 (p <0.05) from the results of the chi-square statistical test. From the results of the analysis, it was found that there was a relationship between premature rupture of membranes and delivery of cesarean section at the UKI General Hospital for the 2019 period. It is suggested that patients avoid the factors that can cause premature rupture of the membranes, which have been told by the doctor or health worker and the patient's family to support the patient to remind them to avoid factors that can cause premature rupture of the membranes.