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足月胎膜早破的管理——自身经验

[Management in premature rupture of the membranes (PROM) at term--own experiences].

作者信息

Semczuk-Sikora A, Sawulicka-Oleszczuk H, Semczuk M

机构信息

Klinika Połoznictwa i Patologii Ciazy, I Katedra Połoznictwa i Choroób Kobiecych AM w Lublinie.

出版信息

Ginekol Pol. 2001 Oct;72(10):759-64.

PMID:11848010
Abstract

UNLABELLED

In our study the management and outcomes in 211 women with premature rupture of the membranes at term was analyzed. According to the time elapsed since PROM to delivery the study group was divided into four groups: within 6 h, within 6-12 h, within 12-24 h and over 24 h after PROM. The analysis was focused on the maternal age, obstetric history, induction of labor, mode of delivery, duration of interval between PROM and active labor, use of maternal antibiotics, newborns evaluation in Apgar score and the neonatal infections.

CONCLUSIONS

  1. In our study PROM at term occurred more frequently in primigravidae than in multigravidae. 2. The relationship between duration of time from the membranes rupture to delivery and frequency of labor induction, use of maternal antibiotics and neonatal infections was observed. 3. The higher percentage of cesarean sections in patients with interval from PROM to delivery less than 6 and over 24 hours was found.
摘要

未标注

在我们的研究中，分析了211例足月胎膜早破女性的管理情况及结局。根据胎膜早破至分娩的时间，研究组被分为四组：胎膜早破后6小时内、6 - 12小时内、12 - 24小时内以及超过24小时。分析重点在于产妇年龄、产科病史、引产情况、分娩方式、胎膜早破至活跃期的间隔时间、产妇抗生素的使用、新生儿阿氏评分评估以及新生儿感染情况。

结论

  1. 在我们的研究中，足月胎膜早破在初产妇中比经产妇更频繁发生。2. 观察到从胎膜破裂到分娩的时间与引产频率、产妇抗生素的使用及新生儿感染之间的关系。3. 发现胎膜早破至分娩间隔时间小于6小时及超过24小时的患者剖宫产比例更高。

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