The Relationship of Premature Rupture of Membranes with The Incidence of Asphyxia Neonatorum in PKU Muhammadiyah Kotagede Yogyakarta’s Hospital

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Rahmah Widyaningrum
Maulida Rahmawati Emha
Haderiani

Abstract

One of the indicator of the degree of health in an area is the infant and maternal mortality rate. One of the major cases were made neonatal mortality was asphyxia who is reach 33.6% of death rates. Cause of asphyxia in newborn is still high, one of reason it happened premature rupture of membranes (PROM). The incidence of asphyxia in PKU Muhammadiyah Maternal and Pediatric Hospital Kotagede in the last 3 years (2014-2016) increased 4-6.1%. The results of the interviews showed that the high incidence of asphyxia was caused by: childbirth of the sectio secarea, small-sized pelvis, and premature rupture of membranes. Premature ruptured of membranes was affects the case of asphyxia because there are reduce of amnion fluid were crampes the umbilical cord and obstruct the blood carrying of mother's oxygen to the baby. The purpose of this study was to determine the relationship between premature ruptured of membrane with the incidence of neonatorum asphixia at PKU Muhammadiyah Maternal and Pediatric Hospital Kotagede. This research was an observational analytic study with retrospective design using medical record data of mother from August 2015-August 2016. 500 record data will be collected and association between variables will be analyzed using chi square test. Result of research show’s that mother had experiencing premature ruptured of membrane (PROM) is 83 people (16,6%) and asphyxia incidence as many as 198 neonatus (39,6%). The chi-square test result is 0.000 (p <0,05). There is a relationship between premature ruptured of membrane with the incidence of neonatorum asphixia at pku muhammadiyah maternal and pediatric hospital kotagede. Early detection and management of premarure rupture membranes in mothers can reduce of high incidence of emergencies and asphyxia neonatal.

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