Kouam K, Miller E C
Zentralbl Gynakol. 1981;103(8):438-46.
A detailed analysis was made of 139 deliveries, which had been systematically supervised, following amnioscopy and pelvimetry, in comparison to 104 deliveries, following spontaneous onset of labour and timely rupture of the amnion. Both variants were compared for the relative risk of infection to the mothers involved. --While infection morbidity was, surprisingly, unaffected by the interval between rupture and parturition, it was found to depend strongly on the duration of labour with the amniotic sac intact. --Morbidity, also, went up clearly along with the number of previous amnioscopies and of surgical deliveries, in particular caesarean section. --Discoloration of amniotic fluid, obviously, did not stimulate germ growth nor was any detrimental effect recordable from vaginal examination. --Early artificial rupture is considered good prophylaxies not only against infection but also against asphyxia.
对139例在羊膜镜检查和骨盆测量后进行系统监测的分娩病例进行了详细分析，并与104例自然发动分娩和胎膜及时破裂的病例进行了比较。对这两种情况的产妇感染相对风险进行了比较。——令人惊讶的是，感染发病率不受破膜与分娩间隔时间的影响，但发现它在很大程度上取决于胎膜完整时的产程持续时间。——发病率也随着既往羊膜镜检查和手术分娩（尤其是剖宫产）次数的增加而明显上升。——羊水变色显然不会刺激细菌生长，阴道检查也未记录到任何有害影响。——早期人工破膜不仅被认为是预防感染的良好措施，也是预防窒息的良好措施。
