Duration of Premature Rupture of Membranes with Infant APGAR Score in PROM Patients at Banten Hospital in 2023

Abstract

Premature rupture of membranes (PROM) is a labor disorder in the form of rupture of the amniotic membrane before labor occurs. According to the World Health Organization (WHO) 2014, the incidence of PROM in the world is 5-10% of total deliveries, while the proportion of PROM in Indonesia based on Riskesdas 2018 is 5.6% and Banten ranks second with a proportion of 7% PROM which exceeds the national PROM average. This study aims to determine whether there is a relationship between the duration of premature rupture of membranes and the APGAR score of infants in patients with COPD at Banten Hospital using a cross-sectional design through a retrospective approach with inclusion criteria in this study, namely mothers giving birth at Banten Hospital in the period January 1-December 31, 2023 who were diagnosed with COPD and exclusion criteria including, the presence of congenital malformations, giving birth to twins, fetal death during labor, and intrauterine growth restriction (IUGR). Sampling was done through proportional random sampling approach. Data processing was carried out using the chi-square or fisher statistical test using the p value limit of meaningfulness. 106 samples were obtained in this study. The proportion of PROM duration >12 hours was 53.8% and APGAR score <7 was 17%. Based on the results of statistical tests using chi-square there is a significant relationship between the length of PROM >12 hours with the 5th minute APGAR score in mothers with PROM at Banten Hospital in 2023 (p=0.025) with PR (IK 95%) 3.00 (1.06-8.54)]).