Determinant of Premature Rupture of Membrane in Indonesia (Secondary Data Analysis of Idhs 2017)

Abstract

Premature rupture of membranes (PRoM) constitutes 5-10% of the causes of complications in full-term

pregnancy and 30% of preterm pregnancy. In Indonesia, according to Riskesdas data in 2018, ProM is the

biggest delivery complication of 5.6% in women aged 10 - 54 years. Based on IDHS 2017 data, it is the

third biggest complication during labor with a percentage of 16.1%, which increased from 14.9% in 2012.

Premature rupture of membranes risks troubled mothers and fetuses that potentially cause maternal and

perinatal morbidity and mortality. Little is known about the determinants of PRoM in Indonesia. Therefore,

this study was conducted to identify the determinants of the ProM in Indonesia. This research method

using logistic regression analysis to individual data IDHS 2017 by enclosing 4 independent variables: age,

parity, amount of iron tablet consumption, and smoking habit to predict the incidence of PRoM. Sample of

this study counted 12,340 people. Based on multivariate analysis found that consumption of Fe tablets is

significantly related to PRoM by Odds Ratio (OR) 0.7 (95% CI: 0.631 - 0.777) controled by maternal age.

The conclusion of this study is mothers who consume ? 90 iron tablets during pregnancy are 0.7 times low

risk of experiencing PRoM than mothers who consume iron tablets < 90 tablets during pregnancy.