胎膜早破潜伏期对足月产妇分娩结局及围生儿结局的影响分析

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Abstract ObjectiveTo investigate the effect of latent period of premature rupture of membranes on delivery outcome and perinatal outcome of full-term pregnant women.MethodsAltogether 336 cases of patients with premature rupture of membranes who treated in our hospital from January 2014 to December 2016 were selected as subjects and were divided into three groups according to the length of incubation period:the incubation period＜12 h group,12-24 h group and＞24 h group respectively,with 112 cases in each group.The delivery outcome indexes were observed and recorded,including cesarean section rate,vaginal delivery rate,postpartum hemorrhage rate.The perinatal outcome indicators included neonatal asphyxia,neonatal respiratory distress,neonatal pneumonia and incidence of perinatal infant death were compared.The effect of different incubation period of premature rupture of membranes on delivery outcome and perinatal outcome of pregnant women was analyzed.ResultsThe vaginal delivery rate of the incubation period＜12 h group was higher than that of 12-24 h group and ＞24 h group,while the cesarean section rate of the incubation period ＞24 h group was higher than that of＜12 h group and 12-24 h group,and the differences were statistically significant(P＜0.05).The incidence rate of postpartum hemorrhage of the incubation period ＞24 h group was higher than that of＜12 h group and 12-24 h group,and the difference was statistically significant(P＜0.05).The incidence of perinatal asphyxia,respiratory distress and pneumonia in the incubation period ＞24 h group was higher than those of＜12 h group and 12-24 h group,and the differences were statistically significant(P＜0.05).Perinatal mortality rates of three groups were compared,and the differences were not statistically significant(P＞0.05).ConclusionThe length of the incubation period of premature rupture has a certain effect on the full-term delivery outcome and perinatal outcomes.Shortening the incubation period of premature rupture of membranes can effectively reduce the cesarean section rate and the incidence of postpartum hemorrhage,but also can effectively reduce perinatal complications and improve the quality of maternal and perinatal life.

Key words： Premature rupture of membranes Incubation period Term Delivery outcome Perinatal outcome

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HUANG Xiao-xia. Effect of latent period of premature rupture of membranes on delivery outcome and perinatal outcome of full-term pregnant women[J]. 中国当代医药, 2017, 24(34): 129-131.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I34/129

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