早产合并胎膜早破60例分析

Clinical Analysis of 60 Cases with Premature Labor Complicated with Premature Rupture of Membranes

目的 探讨早产胎膜早破的原因 ,预防及临床处理。方法 回顾性分析 60例胎膜早破的因素 ,比较不同孕周及分娩方式的选择对围产儿结局的影响。结果 胎膜早破的主要诱因是引产或流产 ,胎位不正等造成宫颈功能或宫腔压力改变。 <34周 ,胎膜早破者预防性应用抗生素 ,必要时终止妊娠。结论 宫内窘迫是剖宫产主要指征。积极保胎治疗 ,预防性应用抗生素 ,选择合适分娩时机及分娩方式 ,能取得良好妊娠结局。

Objective To investigate the cause of premature labor and premature rupture of membranes (PROM) and the prevention and treatment. Methods The causes of premature rupture of membranes in 60 cases were analyzed retrospectively, the pregnant weeks and delivery mode were compared. Results The main cause of PROM was the changes of cervix function and pressure in uterine cavity. These changes were caused by induced labor, abortion and malposition of the fetus. Antibiotics should be used for pregnant women with less than 34 weeks of pregnant weeks preventively, if necessary, the pregnancy should be terminated. Conclusions Intrauterine fetal distress is main indication of uterine-incision delivery. Using antibiotics and choosing proper delivery time and delivery mode are help for mother and fitus.