首页|孕足月胎膜早破孕妇残余羊水量、分娩方式及临产时机对母婴的影响

孕足月胎膜早破孕妇残余羊水量、分娩方式及临产时机对母婴的影响

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目的 探讨足月妊娠胎膜早破残余羊水量、分娩方式及临产时机对母婴的影响.方法 选择深圳市福田区妇幼保健院600例孕龄≥37周的胎膜早破的孕妇,B超测残余羊水量,将羊水指数在5 cm以上者分为两组:Ⅰ期待组:破膜后6、12、18及24 h内自然临产者,分别为A1、B1、C1、D1组;Ⅱ缩宫素组:破膜后6、12、18及24 h内未临产予缩宫素引产者分别为A2、B2、C2和D2组,观察分娩方式,临产时间、胎儿窘迫、产褥感染及产后出血的发生率.结果 缩宫素引产组可使母婴并发症风险下降,且与干预时间早晚呈正相关,与期待各组比较,差异有统计学意义(P≤0.05).结论 对于单胎、足月、胎膜早破者,如果无妊娠并发症及头盆不称,积极引产,可以减少母婴并发症的风险,改善围产结局.
Effect of residual amount of amniotic fluid, delivering mode and in labor time after premature rupture of membranes for mother and infant
Objective To investigate the effect of residual amount of amniotic fluid, delivering mode and in labor time after premature rupture of membranes for mother and infant. Methods 600 inpatients with premature of membranes after pregnancy 37 weeks were selected. Residual amount of amniotic fluid indexed by B ultrasound. It was divided into two groups if the residual amount of amniotic fluid index ≥5 cm. I -expecting group including Al,Bl,Cland Dl.they were 6 hours,12 hours, 18 hours and 24 hours after membrane rupturing then spontaneous in labor respectively. II -oxytocin group including A2,B2,C2and D2,they were 6 hours,12 hours,18 hours and 24 hours after membrane rupturing then no in labor and using oxytocin respectively. The morbidity was observed such as delivery way,time in labor,fetal distress,puerperal infection,postpartum hemorrhage. Results The risk of mother and infant was lower in II -oxytocin group than I -expecting group(P<0. 05), moreover it was related to time by using oxytocin. Conclusion For pregnant women with nuliparous and cephalic presentation in term and premature of membranes, we can induce labor,if they have no gestational complication and cephalopelvic disproportion so that it can reduce risk of mother and infant then improve the perinatal outcome.

Term BirthFetal Membranes, Premature RuptureAmniotic Fluid

王云霞、刘萍、贾晓婕、彭检妹、彭翩翩

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广东省深圳市福田区妇幼保健院妇产科 518045

足月分娩 胎膜早破 羊水

深圳市福田区公益基金资助项目

FTWS201051

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(2)
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