胎膜早破与难产270例临床分析

Clinical Analysis of 270 Cases of Premature Rupture of Fetal Membranes and Difficult Labor

目的探讨胎膜早破与难产的关系。方法对1 675例无妊娠合并症及并发症的产妇资料进行回顾性分析。其中胎膜早破组270例,胎膜未破病例1 405例,从中随机抽取270例作为对照组。结果胎膜早破组270例发生难产102例,难产发生率为37.8%;对照组270例中发生难产54例,发生率为20%。结论胎膜早破是难产的警戒信号,对胎膜早破的孕妇加强临床观察,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 explore the relationship between premature rupture of fetal membranes and difficult labor. Methods The parturient data of 1675 cases of complication of pregacy and non-complication were retrospectively analyzed. Among the 1675 cases,270 cases were in premature rupture of fetal membranes group. 1405 cases were in dismature rupture of fetal membrane group,1405 cases were in dismature rupture of fetal membrane group and 270 cases served as the Control group. Results Among the 270 cases of premature rupure of fetal menbranes, 102 cases were difficult labor（37.8% ）, 54 cases in control group（270 cases）were difficult labor（20% ）. Conclusion Premature rupture of fetal membranes is the sign of difficult labor. It is very important to observe th pregnant women. Once difficult labor happens, emergency measures should be taken to reduce implication.