The effect of mother's age on premature rupture of membranes at Dewi Sartika General Hospital, Kendari City

Andryani 1, Dian Rosmala Lestari 1, Efa Kelya Nasrun 2, Juli Purnama Hamudi 1, Muhammad Al Rajab 3, * and Fitrah Kurnia Ayu 4

1 Department of Diploma in Midwifery, STIKES Pelita Ibu, Indonesia
2 Department of Midwifery Profession, STIKES Pelita Ibu, Indonesia.
3 Department of Hospital Administration, Pelita Ibu Institute of Health Science, Indonesia.
4 Department of Bachelor's in Midwifery, STIKES Pelita Ibu, Indonesia.
Research Article
World Journal of Advanced Research and Reviews, 2024, 22(03), 1085–1093
Article DOI: 10.30574/wjarr.2024.22.3.1831
Publication history: 
Received on 09 May 2024; revised on 16 June 2024; accepted on 19 June 2024
Overview: This study aims to identify the influence of maternal age on the occurrence of preterm premature rupture of membranes (PPROM) at Dewi Sartika General Hospital in Kendari City. Utilizing a cross-sectional survey design, this research analyzes the relationship between maternal age and PPROM incidence at a single measurement point.
Body of Knowledge: Preterm premature rupture of membranes (PPROM) is a condition where the amniotic sac ruptures before the onset of labor signs. This poses risks of increased infection and other complications during pregnancy. Previous research indicates that both very young and older maternal age elevate the risk of PPROM, which can lead to premature delivery and fetal morbidity.
Methods: This study employed a cross-sectional survey design with a total sample of 91 pregnant women selected via total sampling technique. Data were collected through interviews and medical records, then analyzed using SPSS software. The primary variables analyzed included maternal age and PPROM incidence.
Results: The research findings reveal that 41 mothers (45.1%) fell into the high-risk age category for PPROM, while 50 mothers (54.9%) were in the low-risk category. A total of 60 respondents (65.9%) experienced PPROM. Statistical tests indicated a significance level (sig) of 0.003 (<0.05), indicating a significant impact of maternal age on PPROM incidence, with an odds ratio of 3.514. This suggests that pregnant women outside the ideal age range (20-35 years) are at 3.514 times higher risk of experiencing PPROM.
Recommendation: Healthcare providers, particularly midwives, are advised to enhance public awareness regarding pregnancy danger signs, including PPROM. The importance of early pregnancy check-ups should also be emphasized to detect pregnancy complications early and minimize risks. Intensive education on pregnancy care for women at high-risk ages is also crucial in reducing PPROM incidence and associated complications.
Preterm premature rupture of membranes; Maternal age; High-risk pregnancy; Pregnancy risk; Maternal health
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