胎膜早破与难产的关系及处理

The relationship between premature rupture of membrane and dystocia and its treatment

目的了解胎膜早破难产发生率升高的原因。方法分析180例胎膜早破孕妇中发生难产的原因和类型,随机抽取同期无胎膜早破的健康孕妇180例做对照(对照组)。结果(早破组)180例胎膜早破孕妇发生难产68例,发生率为37.8%;对照组180例孕妇中难产37例,难产发生率为20.6%。结论应进一步重视胎膜早破,对胎膜早破孕妇加强临床观察,一旦有难产发生,应及时处理,以减少母儿并发症的发生。

Objective To investigate the relationship between premature rupture of membrane and increased dystocia, Methods Reason and type of dystocia were analyzed in 180 pregnant women with premature rupture of membrane, as compared with 180 healthy pregnant women without premature rupture of membrane. Results There were 68 dystocia （ incident rate, 37.8% ） in observation group, as compared with 37 dystocia （ incident rate, 20.6% ） in control group, Conclusion Much attention should be paid to premature rupture of membrane. Pregnant women with premature rupture of membrane need close observation and dystocia should be treated promptly when it appears.