分娩期间温水盆浴。一项针对1385例孕34周后胎膜早破孕妇的研究。
Warm tub bath during labor. A study of 1385 women with prelabor rupture of the membranes after 34 weeks of gestation.
作者信息
Eriksson M, Ladfors L, Mattsson L A, Fall O
机构信息
Department of Obstetrics and Gynecology, East Hospital, University of Göteborg, Sweden.
出版信息
Acta Obstet Gynecol Scand. 1996 Aug;75(7):642-4. doi: 10.3109/00016349609054689.
BACKGROUND
To evaluate the influence of a bath on infectious morbidity in mothers and neonates in women with prelabor rupture of the membranes after 34 weeks of gestation.
METHODS
A nonrandomized study of 1385 healthy women. During the first stage of labor 538 women wanted a bath while 847 did not. The women awaited spontaneous contractions up to 24 or 72 hours after the membranes had ruptured before labor was induced with oxytocin. Digital examinations of the cervix were avoided until onset of active labor or until the time induction was planned. For statistical analysis Fisher's exact test was used.
RESULTS
Chorioamnionitis during labor occurred in 1.1% of the women in the bath group and in 0.2% in the reference group (p = 0.06). Postpartum endometritis was found in three cases both in the bath group (0.6%) and in the reference group (0.4%) (p = 0.68). The frequency of neonates receiving antibiotics was 3.7% and 4.8% respectively (p = 0.43).
CONCLUSION
A tub bath did not increase the risk of maternal or neonatal infection after premature rupture of the membranes and prolonged latency.
背景
评估妊娠34周后胎膜早破的产妇进行盆浴对其自身及新生儿感染性发病率的影响。
方法
对1385名健康女性进行非随机研究。在第一产程中，538名女性希望盆浴，847名女性不希望盆浴。这些女性在胎膜破裂后等待自然宫缩长达24或72小时，之后使用缩宫素引产。在活跃产程开始前或计划引产时间之前避免进行宫颈指检。采用Fisher精确检验进行统计分析。
结果
盆浴组产妇产时绒毛膜羊膜炎发生率为1.1%，对照组为0.2%（p = 0.06）。盆浴组和对照组产后子宫内膜炎均有3例（发生率分别为0.6%和0.4%）（p = 0.68）。新生儿接受抗生素治疗的频率分别为3.7%和4.8%（p = 0.43）。
结论
胎膜早破且潜伏期延长后进行盆浴不会增加产妇或新生儿感染的风险。
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