155例足月顺产胎膜早破与产后病率分析

Study of 155 Cases of Normal Full term Labor with Premature Rupture of Membranes and Postpartum Morbility

随机选择１５５ 例单胎头位足月顺产的胎膜早破产妇，发现胎膜早破组产妇产后病率为１３－５５ ％ ，新生儿病理性黄疸为１３－５５ ％ ，新生儿脓疱疮为５－８１％ ，新生儿肺炎为６－４５ ％ ，均高于对照组（ Ｐ分别为＜ ０－０１，＜ ０－０５ ，＜ ０－０２５ ，＜ ０－０５） 。进一步分析，破膜距胎儿娩出时间越长，产后病率越高，提示：对于足月胎膜早破者，如无禁忌，入院后即应着手引产，尽可能在破膜２４ ｈ 内结束分娩。

Chose 155 cases of normal labor parturients with premature rupture of membranes who had the full term monofetation of cephalic presentation in random.We found the postpartum morbility of parturients group with premature rupture of membranes was 13.55%,and the morbility of neonatal jaundice was 13.55%,impetigo was 5.81%,neonatal pneumonitis was 6.45%.Both were higher than that in the control group(with P < 0.01 , P <0.05, P <0.025, P <0.05 respectly) with further analysis,we also found that the longer the time between rupture of membrane and fetal delivery was,the higher postpartum morbility was.It was revealed that to the full term parturients with premature rupture of membranes,if there're no contraindications,we should give them induced labor,and help them finish delivery within 24 hours after the rupture of membrane as possible.