胎膜早破分娩与母亲和新生儿结局

The Infection Status of Mother and Infant Related with the Intervales between Delivery and Premature Rupture of Membrane

目的 :评估胎膜早破与分娩间隔时间相关的新生儿和母亲的结局。方法 :对 36 2例 32周胎膜早破按临产的时间分为 4组 :12h、12～ 2 4h、2 5～ 4 8h、超过 4 8h ,观察 4组母婴感染情况 ,胎儿宫内窘迫、新生儿窒息及手术分娩情况。并对 92例取胎盘胎膜送病理检查 ,采用 χ2 检验进行统计学处理。结果 :胎膜早破到分娩的时间愈长 ,母婴感染率愈高 ,胎儿宫内窘迫及手术产率亦增加 ,胎膜发生重度绒毛膜羊膜炎愈多。结论 :胎膜早破后 2 4h内分娩 。

Objective:To appraise the infection status of mother and infant related with the length of intervales between premature rupture of membrane (PROM) and delivery. Methods:362 cases of delivery with PROM in 32 weeks of pregnance were divided into 4 groups according to the length of the intervales between the mambrane rupture and delivery, and the intrauterine asphyxia, the newborn infant asphyxia, and application rate of delivery operation among them were investigated. Pathological examination was conducted on 90 cases of them. Statistical analysis of the data was performed with χ2 test. Results:The longer the intervales were, the higher the infection rates were. The incidence of intrauterine asphyxia, the newborn infant asphyxia, and delivery operation rate increased and more cases of severe chorioamnionitis occurred along with the increase of the intervale length. Conclusion:The intervale length within 24 hours is the best to mother and infants.