Tsenov D, Krŭsteva K
Akush Ginekol (Sofiia). 1995;34(3):24-6.
The object investigation is determination premature rupture velamentorum ovi relation with uterus involution in early puerperium (1st-5th day). The object of study are 86 young mothers 17-34 years old after normal delivery divided into four groups 1st group (control)-56 young mothers with rupture velamentorum ovi up to 6 hours before delivery; 2nd-15 young mothers with rupture velamentorum ovi from 6 to 12 hours before delivery 3rd-12 young mothers with premature rupture velamentorum ovi 12-24 hours before delivery and 4th group-3 young mothers with premature rupture velamentorum ovi over 72 hours before delivery.
It was found significance steady uterus involution in 4th group (p < 0.001) and in the 1st day in the 3rd group (p < 0.005) Tere is large deviations on individual value in all group. Authors discuss probable mechanism on uterus involution Conclusion: The premature rupture velamentorum ovi over 24 hours before delivery provoke steady uterus involution in early puerperium, but without pathological deviation most probably as a result young mothers exchange mechanisms.
目的是研究胎膜早破与产褥早期（第1 - 5天）子宫复旧的关系。研究对象为86名17 - 34岁经阴道正常分娩的年轻母亲，分为四组：第1组（对照组）56名在分娩前6小时内发生胎膜破裂的年轻母亲；第2组15名在分娩前6至12小时发生胎膜破裂的年轻母亲；第3组12名在分娩前12至24小时发生胎膜早破的年轻母亲；第4组3名在分娩前72小时以上发生胎膜早破的年轻母亲。
发现第4组（p < 0.001）和第3组第1天（p < 0.005）子宫复旧有显著稳定性。所有组的个体值存在较大偏差。作者讨论了子宫复旧的可能机制。结论：分娩前24小时以上的胎膜早破会促使产褥早期子宫稳定复旧，但很可能由于年轻母亲的交换机制而无病理偏差。
