足月胎膜早破孕妇不同时机引产对分娩方式及母婴结局的影响

Effect of induced labor at different timing for full-term pregnant women with premature rupture of membranes on delivery methods and maternal and infant outcomes

目的 探讨足月胎膜早破孕妇不同时机引产对分娩方式及母婴结局的影响.方法 选取2017年12月至2019年12月我院收治的110例足月妊娠胎膜早破孕妇作为研究对象,根据不同引产时机将孕妇分为A组(55例,破膜后2~12 h引产)和B组(55例,破膜后>12 h引产).比较两组孕妇的分娩方式及母婴结局.结果 A组的自然分娩率明显高于B组,A组的剖宫产率明显低于B组(P<0.05).A组孕妇不良结局总发生率明显低于B组(P<0.05).A组新生儿不良结局总发生率明显低于B组(P<0.05).结论 足月胎膜早破孕妇在破膜后2~12 h引产能够有效降低剖宫产率,提高自然分娩率,还可显著改善母婴结局.

Objective To explore the effect of induced labor at different timing for full-term pregnant women with premature rupture of membranes on delivery methods and maternal and infant outcomes.Methods A total of 110 full-term pregnant women with premature rupture of membranes in our hospital from December 2017 to December 2019 were selected as the research objects.According to the different timing of induced labor,the pregnant women were divided into group A(55 cases,induced labor 2-12 h after membrane rupture)and group B(55 cases,induced labor>12 h after membrane rupture).The delivery methods and maternal and infant outcomes of the two groups were compared.Results The natural delivery rate of the group A was significantly higher than that of the group B,and the cesarean section rate of the group A was significantly lower than that of the group B(P<0.05).The total incidence of adverse outcomes in pregnant women of the group A was significantly lower than that of the group B(P<0.05).The total incidence of adverse neonatal outcomes of the group A was significantly lower than that of the group B(P<0.05).Conclusion Induced labor 2-12 h after membrane rupture of membranes can effectively reduce the rate of cesarean section,improve the natural delivery rate,and significantly improve the maternal and infant outcomes.