Latar Belakang: Tingginya angka kematian ibu diakibatkan terjadi karena adanya komplikasi selama proses persalinan seperti ketubah pecah dini (KPD). Dampak yang di timbulkan KPD terhadap janin meliputi prematuritas, infeksi, mal presentasi, prolaps tali pusat dan mortalitas perinatal. Tujuan: dari penelitian ini adalah untuk mengetahui gambaran faktor risiko yang mempengaruhi kejadian KPD di Ruang Bersalin RSU Negara tahun 2024. Metode: Jenis penelitian kuantitatif dengan metode deskriptif. Populasi dalam penelitian ini adalah seluruh kunjungan ibu bersalin dengan KPD kurun waktu Januari sampai Desember di RSU Negara tahun 2024 sejumlah 405 orang. Teknik sampling menggunakan total sampling. Data menggunakan data sekunder. Analisis data dengan uji analisis statistika deskriptif menggunakan distribusi frekuensi. Hasil: Sebagian besar karakteristik ibu bersalin yang mengalami KPD di RSU Negara dalam usia yang beresiko tinggi yaitu sebanyak 217 orang (53,6%), primipara sejumlah 178 orang (44%), dalam status gizi normal yaitu sebanyak 250 orang (61,7%) dan posisi janin pada ibu bersalin dalam posisi letak kepala yaitu 340 orang (84%). Kesimpulan: Rumah sakit diharapkan meningkatkan program edukasi kesehatan tentang kebidanan dan tanda bahaya kehamilan untuk perawatan khusus antenatal dan intranatal bagi kehamilan resiko tinggi agar dapat mengurangi risiko kejadian KPD. Kata kunci: Bersalin, Faktor Risiko, Ketuban Pecah Dini

Background: The extreme maternal mortality rate is due to complications during labour, including premature rupture of the membranes (PROM). The impact of PROM on the fetus includes prematurity, infection, malpresentation, umbilical cord prolapses, and perinatal mortality. Purpose: To determine the risk factors that influence the incidence of PROM in the delivery room of RSU Negara in 2024. Method: This study employed a quantitative research design with a descriptive method. The population in this study was 405 maternity patients who visited with PROM from January to December in 2024 at RSU Negara totalling. A total sampling technique was used in this study. The data used was secondary. The data were analysed through an overview of statistical analysis tests using frequency distributions. Result: The findings showed that there were 217 respondents (53.6%) of the characteristics of labouring women who experienced PROM, there were 178 respondents (44%) who were primiparous, there were 250 respondents (61.7%) in normal nutritional status, and there were 340 respondents (84%) whose position of the fetus in labouring women was in the head position. Conclusion: Hospitals are expected to increase health education programmes on obstetrics and pregnancy risk signs for special antenatal and intranatal care for high-risk pregnancies to reduce the risk of PROM. Keywords: Maternity, Risk Factors, Premature Rupture of Membranes