RISK FACTORS OF PREMATURE LABOR IN BLAMBANGAN REGIONAL PUBLIC HOSPITAL (RSUD) OF BANYUWANGI

Abstract

Background and Purpose of the Study: Premature labor is a labor induced when the baby is in less than 37 weeks of pregnancy causing perinatal morbidity and mortality. The premature labor in Blambangan Regional Public Hospital (RSUD) of Banyuwangi Regency from 2013 to 2015 was reported to increase during the period. In 2013, the case was 12.5% of 1,314 deliveries. Then, in 2014, the case was reported reaching 14.9% from 948 labors. In the following year, 2015, the percentage of the case increased to 15,8% from the total 965 births. This study is aimed to determine the risk factors affecting premature labor. Research Method: This study used case control design. The cases were 47 women that had premature labor in 2016 recorded in the medical record register of Blambangan Regional Public Hospital (RSUD) of Banyuwangi Regency. The controls of this study were 104 women who delivered babies in 2016 recorded in the medical record register of Blambangan Regional Public Hospital of Banyuwangi. The data were collected from the secondary data in the form of maternity medical care record data extraction and were analyzed through bivariate and multivariate analysis. Research Result: Cases and controls have been comparable in terms of age and birth spacing. Mothers tend to give birth in town. Factors found to be significantly associated with the premature labor were placenta previa (AOR = 21.24; 95% CI: 4.25-106.1), premature history (AOR = 13.42; 95% CI: 3.54-50, 96), preeclampsia (AOR = 10.3, 95% CI: 3.30-31.01), KPD (AOR = 2.87, 95% CI: 1.09-7.56), and lower education by AOR 3.23 (95% CI: 1.18-8,79). Abortion history has not been shown to be associated with premature birth (AOR = 3.02; 95% CI: 0.66-13.65) Conclusion: Risk factors that play roles in premature labor are premature history, placenta previa, preeclampsia, and premature rupture of membranes can be detected early in pregnancy by health workers.