[1]周丽佳*,陆月梅.足月胎膜早破孕妇破膜后不同时机引产对母婴结局的影响[J].中国计划生育和妇产科,2018,(10):39-42.
　ZHOU Li-jia*,LU Yue-mei.Effects of mechanical induction after rupture of membranes on maternal and fetal outcomes in puerpera with premature rupture of membranes[J].Chinese Journal of Family Planning & Gynecotokology,2018,(10):39-42.
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足月胎膜早破孕妇破膜后不同时机引产对母婴结局的影响
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年10期
页码:
39-42
栏目:
论著与临床
出版日期:
2018-10-25

文章信息/Info

Title:
Effects of mechanical induction after rupture of membranes on maternal and fetal outcomes in puerpera with premature rupture of membranes
作者:
周丽佳*; 陆月梅
南通大学附属海安医院妇产科
Author(s):
ZHOU Li-jia*;  LU Yue-mei
Department of Gynecology and Obstetrics,the Affiliated Haian Hospital of Nantong University,Nantong Jiangsu 226600,P.R.China
关键词:
产妇; 新生儿; 胎膜早破; 母婴结局
Keywords:
puerpera;  neonate;  premature rupture of membrane;  maternal and child outcome
分类号:
R 714.43+3
摘要:
目的分析胎膜早破产妇破膜后不同时机引产对母婴结局的影响。方法回顾性分析2016年6月至2017年6月南通大学附属海安医院105例足月胎膜早破产妇的临床资料，根据引产时间的不同，破膜后2～12 h引产分娩的产妇为A组，破膜后＞12～24 h引产分娩的产妇为B组，超过24 h引产者为C组，每组各35例。比较3组宫颈Bishop评分、阴道分娩率及母婴并发症发生率等情况。结果3组引产后宫颈Bishop评分差异有统计学意义（P<005）。A组阴道分娩率较C组高（P<005）；而A组与B组、B组与C组阴道分娩率比较，差异无统计学意义（P>005）。3组产妇宫内感染、产后出血、产褥病及绒毛膜羊膜炎总发生率比较，差异有统计学意义（P<005）。3组新生儿肺炎、新生儿窒息、高胆红素血症及胎儿窘迫总发生率比较，差异有统计学意义（P<005）。结论足月胎膜早破产妇破膜后2～12 h分娩较＞12～24 h、超过24 h分娩更能提高阴道分娩率，改善妊娠结局，且能明显降低母婴并发症发生率，有利于改善母婴结局，因此临床中如无明确剖宫产指征，宜在破膜后2~12 h内积极引产。
Abstract:
ObjectiveTo analyze the effects of mechanical induction after rupture of membranes on maternal and fetal outcomes in puerpera with premature rupture of membranes(PRM). MethodsRetrospectively analyzed the dinical data of 105 puerpera with PRM admitted to the Affiliated Haian Hospital of Nantong University from June 2016 to June 2017. According to the different induction time, the rupture of membranes at 2～12 h after delivery were regarded as the group A, 12～24 hours after the rupture of membrane delivery were regarded as the group B, over 24 h after the rupture of membrane delivery were regarded as the group C,with 35 cases in each group. The cervical Bishop scores, vaginal delivery rate and the incidence rate of maternal and neonatal complications were compared between the three groups. ResultsThe abortion cervical Bishop score among the three groups showed significant differences(P<005); the vaginal delivery rate of group A was significantly higher than that of group C (P<005), and the vaginal delivery rate of showed no significant difference between the group A and group B, between group B and group C(P>005); the incidence rate of maternal intrauterine infection,postpartum hemorrhage,puerperal disease and chorioamnionitis showed significant differences among three groups (P<005); the incidence rate of neonatal pneumonia,neonatal asphyxia, hyperbilirubinemia and fetal distress showed significant differences among three groups (P<005). ConclusionCompared with 12～24 h, over 24 h delivery, preterm PRM of maternal choice after rupture of membranes delivery 2～12 h can improve the rate of vaginal delivery, which can improve the pregnancy outcomes, decrease the maternal complication rate and will be conducive to improve outcomes.So if there is no definite indication of cesarean section, it is better to induce labor within 2~12 h after rupture of membrane.

参考文献/References:

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备注/Memo

备注/Memo:
南通市医学科技计划项目（项目编号：WQZ2015016）
更新日期/Last Update: 2018-10-25