77例未足月妊娠胎膜早破孕妇护理体会

The nursing experience of 77 gravida with premature rupture of fetal membranes in pre-term period

目的：探讨综合护理措施对未足月妊娠胎膜早破孕妇预后的影响，以提高产科护士对这类孕妇的监测和护理水平。方法：对77例孕29-36周胎膜早破的孕妇在做好基础护理的同时加强心理护理，回顾性调查分析其母儿预后。结果：其中剖宫产25例，阴道产52例，脐带脱垂1例，胎儿死亡1例，胎儿存活率98．7％。新生儿预后好者（Apgar评分〉7分）达94．8％。所有孕妇无一例发生宫内或产后感染。结论：未足月妊娠的孕妇思想压力大、住院时间长，良好的生理及心理护理可改善其预后，只要护理措施得当，预后均较好。

Objective：To evaluate the effect of combined nursing on pregnant women with premature rupture of membrane in pre-term period,so as to improve the level of nurses＇ detection and nursing on such women in delivery room. Methods ：Eighty-six pregnant women with premature rupture of membrane in pre-term period and premature delivery in our department were given combined nursing including basic and psychological caring and their prognosis was retro-inspected. Results ：Twenty-five cases were uterine-incision delivery, 52 cases were vaginal delivery, 1 cases was omphaloproptosis, 1 case was foetal death ,the livability of fetus was 98.7 M. The well prognsis and good-score in- fant （Apgar〉7） rate was 94.8 %. Conclusion ：The pregnant women with premature rupture of membrane in pre-term period would be in hospital longer and had much more stress than normal ,the combined nursing with both biological and psychological part could apparently improve the prognosis of mother and infant.