Hubungan Ketuban Pecah Dini dengan Kejadian Asfiksia Neonatorum di RSUD Panembahan Senopati Bantul Tahun 2026
Keywords:
Premature Rupture of Membranes, Asphyxia, NeonatorumAbstract
Neonatal asphyxia remains one of the leading causes of neonatal morbidity and mortality, both globally and nationally. Premature Rupture of Membranes (PROM) is thought to increase the risk of neonatal asphyxia through reduced amniotic fluid volume, umbilical cord compression, and impaired fetal oxygenation. Available data show that the infant mortality rate in Bantul Regency is among the highest in the Special Region of Yogyakarta, with neonatal asphyxia as one of the dominant causes, so further study of the relationship between these two conditions is needed. This study aimed to determine the relationship between premature rupture of membranes and the incidence of neonatal asphyxia at Panembahan Senopati Regional Hospital, Bantul, in 2026. This was a quantitative study with an analytic observational design and a cross-sectional approach, conducted at Panembahan Senopati Regional Hospital, Bantul, using secondary data from medical records. The population comprised 168 mothers with PROM, from which 63 respondents were selected by systematic random sampling based on inclusion and exclusion criteria. Data were analyzed univariately and bivariately using the Chi-Square test at a significance level of α = 0.05. The results showed that most respondents experienced term PROM (51 mothers; 81.0%), while preterm PROM occurred in 12 mothers (19.0%). Neonatal asphyxia was dominated by mild asphyxia (42 infants; 66.7%), followed by moderate asphyxia (16 infants; 25.4%), severe asphyxia (4 infants; 6.3%), and no asphyxia (1 infant; 1.6%). The Chi-Square test yielded p = 0.000 (p < 0.05), indicating a statistically significant relationship between premature rupture of membranes and the incidence of neonatal asphyxia. It can therefore be concluded that a significant relationship exists between premature rupture of membranes and neonatal asphyxia at Panembahan Senopati Regional Hospital, Bantul, in 2026. Early detection, close monitoring, and appropriate management of mothers with PROM must be continuously strengthened to reduce the risk of complications in newborns.
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