Labor Profile with Premature Rupture of Membranes (PROM) in Sanglah Hospital, Denpasar, B ali, Period January 1-31 December, 2015

Background The article discussed a case of PROM associated with maternal and perinatal morbidity and mortality. Maternal complications that may occur include chorioamnionitis, placental abruption, cord compression, cord prolapse, and sepsis. Objective The purpose of this study was to determine the profile of labor with premature rupture of membranes at Sanglah Denpasar Hospital between January 1 and December 31, 2015. Methods This is a retrospective descriptive study. This research took place in the delivery room and medical record installation of Sanglah Hospital, Denpasar. The sample of this study include all cases of labor with PROM in the delivery room of Sanglah Denpasar Hospital between January 1 and December 31, 2015, who meet the present studys enrolment eligibility criteria. Results Within the period of one year between January 1 and December 31, 2015, the number of pregnancies with PROM in Obstetric Triage of Sanglah Denpasar Hospital obtained from the register book of new patients with obstetrics and gynecology was 222 cases. Those study subjects who had full-term pregnancy at the time of this study were as many as 179 cases (80.63 %) and there were 43 preterm pregnancy cases (19.37 %). Most commonly occurred in the age group of 2134 years, as many as 148 cases (69.81 %), which were as many as 179 cases in a full- term (84.4 %) and 33 cases in preterm (15.57 %). The highest occurred in the primigravida group, that is 87 cases (41.05 %). Rupture of membrane with less than 12 hours duration was most prevalent at 207 cases (97.65 %) and only 5 cases (2.35 %) where the rupture lasted more than 12 hours. The highest risk factor of PROM was idiopathic, which was prevalent in 172 cases (81.13 %). Of the 212 cases of PROM in this study, abdominal delivery ranks highest at 50.47 %, followed by vaginal delivery of 42.93 %. Spontaneous vaginal delivery was to be found more common, which occurred in 88 cases (96.70 %). Of the 107 cases of cesarean section, it was found that the most indicted criteria was cesarean section scars in 42 cases (39.25 %), followed by a breech presentation and fetal distress, respectively, at 20.57 % and 13.09 %. Chorioamnionitis was ranked at the top of maternal morbidity cases of PROM, which occurred in as many as 2 cases (0.94 %) followed by umbilical cord prolapse and UTI, respectively, at 0.47 %. Conclusion The conclusion of this research is out of the 1450 total number of deliveries performed, there were as many as 212 (14.62 %) cases of delivery with a history of PROM. The highest occurred in the primigravida, with spontaneous delivery, chorioamnionitis was found related of PROM.