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. 2020:42:e2020025.
doi: 10.4178/epih.e2020025. Epub 2020 Apr 10.

Effect of premature rupture of membranes on preterm labor: a case-control study in Cilegon, Indonesia

Ita Marlita Sari  1 , Asri C Adisasmita  2 , Sabarinah Prasetyo  3 , Dwirani Amelia  4 , Ratih Purnamasari  5
Affiliations

Effect of premature rupture of membranes on preterm labor: a case-control study in Cilegon, Indonesia

Ita Marlita Sari et al. Epidemiol Health. 2020.

Abstract

Objectives: The global prevalence of preterm labor is approximately 11.1% of live births. However, preterm labor contributes to 75-80% of neonatal morbidity and mortality. The morbidity experienced by preterm infants may continue to influence their subsequent development, imposing physical, psychological, and economic burdens. Premature rupture of membranes (PROM) is a causal factor that may affect preterm birth. Previous studies have shown an association between PROM and preterm labor, but this association should be investigated in more diverse populations. Therefore, this study was conducted in Cilegon, Indonesia to determine the magnitude of the risk of preterm labor associated with PROM at Cilegon Hospital from July 2014 to December 2015.

Methods: This case-control study used data from patients' medical records. The cases were all mothers who delivered at less than 37 weeks of gestation, while the control population comprised all mothers who delivered at greater or equal to 37 weeks. The data were analyzed using logistic regression.

Results: The bivariate analysis yielded an odds ratio (OR) of 2.97 (95% confidence interval [CI], 1.92 to 4.59) before controlling for covariates. The model derived through multiple regression analysis after controlling for education, history of preterm labor, and anemia resulted in an OR of 2.58 (95% CI, 1.68 to 3.98).

Conclusions: Mothers who experience PROM during pregnancy were at a 2.58 times higher risk of preterm labor after controlling for education, history of preterm labor, and anemia.

Keywords: Case control studies; Indonesia; Obstetric labor; Pregnant women; Premature birth; Rupture.

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Conflict of interest statement

The authors have no conflicts of interest to declare for this study.

Figures

Figure 1.
Figure 1.
Sampling Process.
See this image and copyright information in PMC

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