胎膜早破妊娠结局分析

目的：探讨胎膜早破分娩方式及母婴并发症。方法回顾性分析414例35～42周的胎膜早破病例，并随机选择同期分娩的414例作为对照组进行比较。结果研究组剖宫产（181例，43.71%）、阴道助产（19例，4.59%）、胎儿窘迫（33例，7.97%）、新生儿窒息（12例，2.90%）、新生儿感染（31例，7.48%）、产后出血（18例，4.35%），明显高于对照组剖宫产（139例，33.57%）、阴道助产（7例，1.69%）、胎儿窘迫（10例，2.42%）、新生儿窒息（4例，0.97%）、新生儿感染（10例，2.42%）、产后出血（8例，1.93%），2组比较P〈0.05；产褥感染研究组（17例，4.10%），对照组（12例，2.33%），2组差异无统计学意义。结论胎膜早破的妊娠结局可导致难产及母婴并发症增加，应加强孕期保健，减少胎膜早破的发生，加强产程监护，改善新生儿预后及减少母婴并发症。

Objective The research investigates the mode of delivery and complications of premature rupture of membranes. Methods We carry out a retrospective analysis of 414 cases of premature rupture of membranes in which the women were pregnant for at least 35 weeks to less than 42 weeks.We randomly selected 414 cases over the same period of childbirth as a control group for comparison. Results The research shows that the cesarean section,vaginal midwifery, fetal distress,neonatal asphyxia ,postpartum hemorrhage,neonatal infection of the study group was significant （P〈0.05）;There was no significant difference between these two groups in puerperal infection. Conclusion The outcome of pregnancy can lead to premature rupture of membranes dystocia and maternal complications, prenatal care should be strengthened to reduce the incidence of premature rupture of membranes, enhance the production process monitoring, to improve neonatal outcomes and reduce infant and maternal complications.