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All Journal Health and Technology Journal (HTECHJ)
Erica Diana Putri
Midwife Professional Education, Poltekkes Kemenkes Malang, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Health and Technology Journal (HTECHJ)

 1 
Midwifery Care for Over 35 Years Multigravida Mothers with Premature Rupture of Membranes at the Age of a Term Pregnancy Erica Diana Putri; Finta isti kundarti; Ririn Indriani; Dwi Estuning Rahayu
Health and Technology Journal (HTechJ) Vol. 3 No. 3 (2025): June 2025
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i3.361

Abstract

Premature rupture of membranes (PROM) is a condition of rupture of the amniotic membrane after 37 weeks of gestation but before labor begins, which can increase the risk of intraamniotic infection, preterm labor, and operative measures such as cesarean section. This study aims to provide midwifery care for a case of PROM in a multigravida mother aged >35 years with a term pregnancy. This study used a case study design with an in-depth approach to the subject, Mrs. LN, age 40 years, G4P3003, gestational age 37 weeks, who came with complaints of discharge from the birth canal without adequate contractions. Data was collected through interviews, observation, physical examination, and documentation study. Examination using the Leopold palpation method, vaginal toucher, and examination with red litmus paper, which turns purple, indicating the presence of amniotic fluid. The diagnosis was the first stage of the labor latent phase with PROM. Obstetric interventions were carried out through observation, education, and referral to the hospital due to indications for postpartum MOW contraception. The study results showed that the mother and baby were born in good health, and the postpartum contraception plan could be implemented. This study emphasizes the importance of early detection of PROM and collaborative management in supporting maternal and infant safety.
Co-Authors Dwi Estuning Rahayu Finta isti kundarti Ririn Indriani