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目的:通过观察初产妇足月胎膜早破后分娩时机的差异,探求母儿结局的影响,进而为初产妇提供相应的治疗方案。方法:本次调研中选择了522名足月胎膜早破初产妇,根据其破膜至分娩的具体时间进行分组,分组情况为:小于24小时的206例规定为A组,24~48小时的170例规定为B组,大于48小时的146例规定为C组。并对初产妇和胎儿分别作跟踪,统计的项目包括初产妇的产后出血量、绒毛膜的羊膜炎发生率以及剖宫产率;胎儿宫内窘迫发生率以及新生儿Apgar评分等。结果:观察的初产妇及胎儿指标在破膜48h后有明显升高的趋势(P<0.05)。结论:足月初产妇如若胎膜早破,应该对此进行积极治疗,尽可能缩短破膜到分娩之间的时间间隔,即在48h内分娩,进而有效改善母儿的预后。
Objective: To observe the effect of maternal and child outcomes by observing the differences of timing of premature rupture of membranes between preterm and postpartum premature rupture of membranes, and then to provide the corresponding treatment plan for primipara. Methods: In this study, 522 full-term premature rupture of membranes were selected according to the specific time from rupture of membranes to childbirth. The grouping conditions were as follows: 206 cases less than 24 hours were defined as group A, 24-48 hours Of the 170 cases prescribed for the B group, more than 48 hours of 146 cases for the C group. The items of primiparous and fetus were tracked separately. The items of statistics included the incidence of postpartum hemorrhage, the incidence of chorioamnionitis, the rate of cesarean section, the incidence of fetal distress and the Apgar score of neonates. Results: The observed indexes of primipara and fetus were obviously increased after 48h rupture (P <0.05). Conclusion: If full-term premature rupture of membranes of premature rupture of the child, should be actively treated to minimize the time between rupture of membranes and delivery, that is, within 48h of childbirth, and thus effectively improve the prognosis of maternal and child.