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胎膜早破是产科常见的并发症，易发生早产、脐带脱垂、宫腔感染，是围产儿死亡的主要原因之一。本文对我院1993年1月-1994年12月80例胎膜早破患者进行分析，并与同期未发生胎膜早破足月产孕妇80例进行对比，头盆不称，胎位不正，宫颈松弛是导致股膜早破的主要原因。胎膜早破可使羊膜炎的发病率明显增高但与母体、新生儿感染无关，作者认为在临产前不做任何阴道检查，发生感染的危险性极少。而影响感染率因素有：（1）孕龄越小感染率越高，早产组与足月组相比，前者感染率明显上升（P＜0．01）（2）胎膜早破后行阴道检查至分娩的时间小于24小时与大于24小时相比，后者的感染率明显升高（P＜0．01），因此认为对胎膜早破患者若在24小时内估计不能分娩者一律不要作阴道检查。妊娠小于26孕周比组新生儿难以存活，不考虑围产儿生存率，应立即终止妊娠，小于34孕周的胎膜早破患者若无羊膜炎存在，至少等候72小时再做处理。
Premature rupture of membranes is a common complication of obstetrics, premature birth prone, umbilical cord prolapse, uterine infection, is one of the major causes of perinatal death. In this paper, our hospital from January 1993 to December 1994 80 cases of premature rupture of membranes in patients with premature rupture of membranes without premature rupture of 80 pregnant women were compared, cephalopelvic disproportion, fetal position is not correct, the cervix Relaxation is the leading cause of premature rupture of membranes. Premature rupture of membranes can make the incidence of amniotic inflammation was significantly increased, but not with the mother, newborn infection has nothing to do, the author believes that without any vaginal examination before labor, the risk of infection is minimal. The infection rate factors are: (1) the smaller the gestational age, the higher the infection rate, the preterm birth compared with full-term group, the former significantly increased the infection rate (P <0.01) (2) The infection rate of the latter was significantly higher than that of the latter (P <0.01) when the time from examination to delivery was less than 24 hours, and the rate of infection was significantly higher in patients with premature rupture of membranes than 24 hours For vaginal examination. Pregnancy less than 26 gestational weeks than the group of newborns is difficult to survive, regardless of perinatal survival rate, should immediately terminate the pregnancy, less than 34 gestational age patients with premature rupture of membranes without amniotic inflammation, wait at least 72 hours to do the treatment.