摘要
目的探讨足月胎膜早破早期干预对妊娠结局的影响。方法选取2017年1月至2020年1月诸城市妇幼保健院收治的324例足月胎膜早破产妇,所有产妇均为初产妇、单胎、头位,无妊娠合并症。按照随机数字表法分为A、B组。A组189例,破膜后2~6 h引产,B组135例,破膜后6~12 h引产,比较两组阴道助产率、产后出血率、引产效果、剖宫产率以及新生儿结局等情况。结果A组剖宫产率高于B组,差异有统计学意义(P<0.05);两组阴道助产率比较,差异无统计学意义(P>0.05);A组产后出血率低于B组,差异有统计学意义(P<0.05);A组绒毛膜羊膜炎及产褥感染率明显低于B组,差异有统计学意义(P<0.05);A组新生儿胎儿窘迫及窒息率低于B组,差异有统计学意义(P<0.05)。结论足月胎膜早破2~6 h引产较破膜后6~12 h引产增加了剖宫产率,但有效预防了产后出血不良事件,新生儿并发症率低,早期干预母婴结局良好。
Objective To study the effect of early intervention on term premature rupture of membranes on pregnancy outcome.Methods A total of 324 full-term women with premature rupture of fetal membranes who were admitted to Zhucheng Maternal and Child Health Hospital from January 2017 to January 2020 were selected,all of them were primipara,singleton,head position,without pregnancy complications.Random number table method was divided into groups A and B.189 cases in group A,induced labor 2~6 h after rupture of membranes,135 cases in group B,induced labor 6~12 h after rupture of membranes.The vaginal assisted rate,postpartum hemorrhage rate,induced labor effect,cesarean section rate and neonatal outcome were compared between the two groups.Results The cesarean section rate in group A was higher than that in group B,and the difference was statistically significant(P<0.05);the difference in vaginal delivery rate was not statistically significant(P>0.05);the postpartum hemorrhage rate in group A was lower than that in group B,and the difference was significant Statistical significance(P<0.05);the rate of chorioamnionitis and puerperal infection in group A was significantly lower than that in group B,and the difference was statistically significant(P<0.05);the rate of neonatal fetal distress and asphyxia in group A was lower than that in group B,The difference was statistically significant(P<0.05).Conclusion Induction of labor at 2~6 hours after premature rupture of membranes increased the cesarean section rate compared with 6~12 hours after rupture of membranes,but effectively prevented the adverse events of postpartum hemorrhage,the neonatal complication rate was low,and the early intervention maternal and infant outcomes were good.
作者
王娟
郑素梅
李世丹
张燕
WANG Juan;ZHENG Sumei;LI Shidan;ZHANG Yan(Zhucheng Maternal and Child Health Hospital,Weifang,Shandong 262200,China)
出处
《大医生》
2020年第11期63-65,共3页
Doctor
关键词
胎膜早破
产后出血
引产
阴道助产
premature rupture of membranes
postpartum hemorrhage
labor induction
vaginal delivery
