Association Between Parity and Premature Rupture of Membranes Among Women in Labor at Kotaanyar Community Health Center

Abstract

Introduction: Premature Rupture of Membranes (PROM) is one of the obstetric complications that contributes to increased maternal and neonatal morbidity and mortality. One factor suspected to be associated with the occurrence of PROM is parity, as changes in the structure of the uterus and cervix resulting from previous deliveries can affect the strength of the amniotic membranes. This study aims to analyze the relationship between parity and the incidence of Preterm Rupture of Membranes among women in labor at the Kotaanyar Community Health Center in Probolinggo Regency in 2024.

Method: An observational analytical design with a cross-sectional approach was used. The study population consisted of all women in labor at the Kotaanyar Community Health Center in 2024, totaling 278 deliveries. The sample consisted of 84 respondents selected using total sampling with inclusion and exclusion criteria. Data were obtained from medical records and the Maternal and Child Health (MCH) booklet, then analyzed using the chi-square test with a significance level of 5% (α = 0.05).

Results:  showed that the majority of respondents were nulliparous mothers, totaling 39 (46.4%). The incidence of KPD and non-KPD cases was equal, with 42 respondents in each group (50%). Bivariate analysis yielded a p-value of 0.101 (p > 0.05).

Conclusion: There is no significant association between parity and the incidence of preterm rupture of membranes (PROM). However, women with higher parity are at greater risk of experiencing preterm rupture of membranes (PROM). Therefore, improved health education and optimized antenatal care (ANC) services are needed to support the early detection and prevention of preterm rupture of membranes (PROM).