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足月时剥除胎膜。该操作安全且有效吗?

Stripping the fetal membranes at term. Is the procedure safe and efficacious?

作者信息

McColgin S W, Patrissi G A, Morrison J C

机构信息

Department of Obstetrics and Gynecology, United States Air Force Hospital, Tyndall Air Force Base, Florida.

出版信息

J Reprod Med. 1990 Aug;35(8):811-4.

PMID:2213744
Abstract

A prospective, randomized investigation was undertaken in a low-risk group of pregnant women at term (38-42 weeks' gestation) to determine if stripping the fetal membranes would safely result in earlier delivery. Ninety-nine patients entered the study; 51 underwent stripping of the membranes, and 48 controls did not. Fifty-nine percent of the patients in the stripped group delivered within one week as compared to 21% in the nonstripped group (P less than .0003). Two pregnancies in the stripped group advanced beyond 42 weeks' gestation as compared to six pregnancies in the control group (P = .12). A single gravida in the control group developed chorioamnionitis during labor. There were no other infections or other complications. Stripping the membranes was associated with earlier delivery and was not associated with any complications.

摘要

对一组足月(妊娠38 - 42周)的低风险孕妇进行了一项前瞻性随机调查,以确定胎膜剥脱术是否能安全地促使更早分娩。99名患者进入研究;51名接受了胎膜剥脱术,48名作为对照组未接受。胎膜剥脱组59%的患者在一周内分娩,而未剥脱组为21%(P < 0.0003)。胎膜剥脱组有2例妊娠超过42周,而对照组有6例(P = 0.12)。对照组有1名孕妇在分娩期间发生绒毛膜羊膜炎。没有其他感染或其他并发症。胎膜剥脱术与更早分娩相关,且与任何并发症均无关联。

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Stripping the fetal membranes at term. Is the procedure safe and efficacious?足月时剥除胎膜。该操作安全且有效吗?
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