REPORT INTRODUCTION AND NURSING WITH MATERNITY PREMATURE RUPTURE OF MEMBRANES (PROM)

I. BASIC CONCEPTS OF DISEASE

A. Definition Premature Rupture of membranes (PROM) is rupture of / rupture of the amniotic membranes prior to the commencement of true labor or rupture of the amniotic membranes before the pregnancy reaches 37 weeks with or without contractions (Hamilton, G. M. 2009). Premature rupture of membranes or preterm rupture of membranes (PROM) is rupture of membranes before inpartu ie when the opening of the primiparous less than 3 cm and in multiparas less than 5 cm (Mitayani, 2012). Premature rupture of membranes characterized by being water discharge water from the vagina after 22 weeks gestation. Rupture of amniotic membranes can occur in preterm pregnancies atauptun term pregnancies Nugroho, T. 2011. The time between, the rupture with his starts the delivery process as latency period. Also called premature rupture when a latency period of more than 1 hour.

B. EtiologyThe exact cause of the PROM is not yet clear. However, there are several factors associated with the occurrence of this KPD, which are as follows.1. Trauma: amniocentesis, pelvic examination, and sexual intercourse.2. Increased intrauterine pressure, twin pregnancy, or polihidroamnion.3. Infections of the vagina, cervix or karioamnionitis streptococci, as well as vaginal bacteria.4. 4. The amniotic membrane has a weak structure / membrane is too thin.5. The abnormal state of the fetus as malpresentation.6. Abnormalities in the cervix or genital apparatus such as the size of a short cervix (