FAKTOR FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KETUBAN PECAH DINI (KPD) DI RUANG KEBIDANAN RSUD LAHAT TAHUN 2025

FAKTOR FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KETUBAN PECAH DINI (KPD)
DI RUANG KEBIDANAN RSUD LAHAT TAHUN
2025
Destri Intan Sari
Program Studi Sarjana Terapan Kebidanan Poltekkes Kemenkes Palembang Jalan Jendral Sudirman KM 3.5 Nomor 1365 Komplek RS Moh. Hoesin Palembang 30126. Telepon/Fax (0711) 373104
Email : Destriintansari3@gmail.com

ABSTRAK
Latar Belakang: KPD adalah pecahnya ketuban sebelum waktunya melahirkan, sebelum inpairtu pada pembukaan 4cm fase laten. kejadIan KPD dipengaruhi oleh beberapa faktor antara lain umur ibu, paritas, infeksi, kehamilan ganda, hidramnion, kelainan letak janin, dan inkompetensi serviks. Menurut data rekam medis di Ruang Kebidanan RSUD Lahat Tahun 2025 jumlaih ibu bersalin sebanyak 1.721 orang dan 401 (23,3%) mengalami Ketuban Pecah Dini.
Tujuan: Mengetahui hubungan usia, paritas, dan gemelli dengan kejadian ketuban pecah dini di Ruang Kebidanan RSUD Lahat Tahun 2025.
Metode Peneltan: Jenis penelitiain ini adalah kuantitatif dengan desain Case Control. Data yang diambil adalah data sekunder. Pengumpulan data dilakukan bulan Februari-April 2026 dengan mengambil data rekam medis di Ruang Kebidanan RSUD Lahat Tahun 2025. Populasi dari penelitian ini adalah semua ibu bersailin tahun 2025 yang berjumlah 1.721 orang. Jumlah sampel 160 orang yang terdiri dari 80 kelompok kasus dan 80 kelompok kontrol. Besar sampel ditentukan menggunakan rumus Slovin. Pengumpulan data dilakukan menggunakan formait pengumpulan data. Analisis data univariat dan bivariat dengan komputerisasi menggunakan tabel distribusi frekuensi dan uji statistik chi-square.
Hasil: Sebagian besar responden berada padai usia tidak berisiko (82,5%), memiliki paritas risiko rendah (55,6%), dan tidak mengalami gemelli (98,8%). Hasil analisis bivariat menunjukkan bahwa usia tidak berhubungan dengan kejadian KPD (p =0,298; OR=1,693), gemelli tidaik berhubungan dengan kejaidian KPD (p=0,497; OR=0,125), sedangkan paritas berhubungan dengan kejadian KPD (p=0,000; OR=3,717).
Kesimpulan: Terdapat hubungan antara paritas dengan kejadian ketuban pecah dini, sedangkan usia dan gemelli tidak berhubungan dengan kejadian ketuban pecah dini di Ruang Kebidanan RSUD Lahat Tahun 2025

Kata Kunci: Ketuban Pecah Dini, Usia, Paritas, Gemelli

FACTORS ASSOCIATED WITH THE INCIDENCE OF PREMATURE RUPTURE OF MEMBRANES (PROM) IN THE OBSTETRIC WARD OF LAHAT REGIONAL GENERAL HOSPITAL IN 2025
Destri Intan Sari
Applied Bachelor of Midwifery Study Program, Poltekkes Kemenkes Palembang
Jalan Jendral Sudirman KM 3.5 No. 1365, Moh. Hoesin Hospital Complex, Palembang 30126
Tel/Fax: (0711) 373104
Email: Destriintansari3@gmail.com
ABSTRACT
Background: Premature Rupture of Membranes (PROM) is the rupture of the amniotic membranes before the onset of labor, occurring before the active phase of labor at 4 cm cervical dilation. The incidence of PROM is influenced by several factors, including maternal age, parity, infection, multiple pregnancy, polyhydramnios, fetal malpresentation, and cervical incompetence. According to medical record data from the Obstetric Ward of Lahat Regional General Hospital in 2025, there were 1,721 women who gave birth, of whom 401 (23.3%) experienced PROM.
Objective: To determine the relationship between maternal age, parity, and twin pregnancy (gemelli) and the incidence of premature rupture of membranes in the Obstetric Ward of Lahat Regional General Hospital in 2025.
Methods: This study employed a quantitative method with a case-control design. The data used were secondary data obtained from medical records. Data collection was conducted from February to April 2026 by reviewing medical records of women who gave birth in the Obstetric Ward of Lahat Regional General Hospital in 2025. The study population consisted of all women who gave birth in 2025, totaling 1,721 women. The sample consisted of 160 respondents, including 80 cases and 80 controls. The sample size was determined using the Slovin formula. Data were collected using a data collection form. Univariate and bivariate analyses were performed using computerized analysis, frequency distribution tables, and the chi-square statistical test.
Results: Most respondents were in the non-risk age group (82.5%), had low-risk parity (55.6%), and did not experience twin pregnancy (98.8%). The results of the bivariate analysis showed that maternal age was not significantly associated with the incidence of PROM (p = 0.298; OR = 1.693). Twin pregnancy was also not significantly associated with PROM (p = 0.497; OR = 0.125). However, parity was significantly associated with the incidence of PROM (p = 0.000; OR = 3.717).
Conclusion: There was a significant association between parity and the incidence of premature rupture of membranes, while maternal age and twin pregnancy were not significantly associated with PROM in the Obstetric Ward of Lahat Regional General Hospital in 2025.

Keywords: Premature Rupture of Membranes, Maternal Age, Parity, Twin Pregnancy