<![CDATA[Background: Premature rupture of membranes (PROM) is a significant obstetric complication associated with maternal and neonatal morbidity. AMC Hospital, Metro City, Lampung Province, recorded persistently high PROM rates of 40.83% (2014) and 41.14% (2015); however, risk factors and associated complications remain inadequately analyzed at the facility level. Objective: To analyze associations between demographic and obstetric risk factors with (1) PROM occurrence and (2) maternal and neonatal complications among PROM cases at AMC Hospital. Methods: A retrospective cross-sectional study analyzed medical records of 309 mothers from 1,351 deliveries at AMC Hospital in 2016, selected via systematic random sampling. Of these, 83 (26.9%) were diagnosed with PROM. Bivariate analysis used chi-square test (95% CI, p<0.05). Results: Among 83 PROM cases, the predominant delivery mode was cesarean section (90.4%), classified as an obstetric intervention. Clinical maternal complications included infection (21.7%) and labor arrest (14.5%). Neonatal complications included asphyxia (66.3%) and low birth weight (15.7%). Significant associations with maternal complications were found for parity (p=0.002; OR=2.607), preeclampsia (p=0.037; OR=7.959), maternal age (p=0.003; OR=2.268), and education level (p=0.028; OR=4.064). Employed occupational status was significantly associated with PROM occurrence (p<0.001; OR=6.351). Conclusion: Among PROM cases, maternal and neonatal morbidity was high, including cesarean delivery (90.4%), infection (21.7%), neonatal asphyxia (66.3%), and low birth weight (15.7%). Key associated factors included adverse parity, preeclampsia/eclampsia, high-risk maternal age, low educational level, and employed occupational status. Given the retrospective cross-sectional design, these findings represent associations rather than causal relationships.]]>
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