Premature rupture of membranes (PROM) is a frequent phenomenon that occurs in about 4% - 7%. However, the associated sequent problems are proportionally high. Almost two thirds of PROM are spontaneous, common risk fac...Premature rupture of membranes (PROM) is a frequent phenomenon that occurs in about 4% - 7%. However, the associated sequent problems are proportionally high. Almost two thirds of PROM are spontaneous, common risk factor young mother, multiple pregnancy, genital tract infection, previous preterm delivery. The complications range from induction of labour, caesarean section, fetal pulmonary morbidity and even mortality. Objectives of the Study: To identify and quantify the risk factors and complications of premature rupture of membrane in pregnant women in Benghazi, Libya, 2012. Material and Methods: 100 pregnant women diagnosed as PROM were examined for the physical signs. Detailed gynaecological and obstetric history was reported. Laboratory investigations included cervical swabs and posterior fornix swabs under aseptic conditions Drugs including types of antibiotics, Dexamethasone and tocolytics were also included. Results: The mean age of 100 patients was 28.9 years. Most of them, 66.1% of patients received antibiotis mostly Erythromycin. Dexamethasone was given for 32.1%. FTND accounted for 62% and PTND for 10% and Caesarean section was performed for 28%. The main indications for C/S were failed induction, in 50%, 11.8% were equally distributed between;macrosomia, previous scars, drained liquor, previous C/S, breech presentation. Only 1% of new born babies had complication. Conclusions and Recommendations: Further large studies should be done for more elaboration and analytical studies to quantify the strength of each risk factor. Strategy for management of PROM should be adopted for proper timing of induction, emergency caesarean intervention with ultimate goals of minimizing and or preventing maternal and fetal complications of disease.展开更多
目的探討澳門長期吸煙者尼古丁依賴水平及影響因素。方法對澳門不同職業的成年吸煙者進行臨床招募,採用尼古丁依賴標準評估量表(Fagerstrom Test for Nicotine Dependence,FTND)和問卷評估肺癌篩查活動中成年吸煙者尼古丁依賴水平,分析...目的探討澳門長期吸煙者尼古丁依賴水平及影響因素。方法對澳門不同職業的成年吸煙者進行臨床招募,採用尼古丁依賴標準評估量表(Fagerstrom Test for Nicotine Dependence,FTND)和問卷評估肺癌篩查活動中成年吸煙者尼古丁依賴水平,分析澳門成年吸煙者尼古丁依賴性的影響因素。結果調查對象共有257名成年吸煙者,煙齡均≥20年,開始吸煙的年齡為11歲~20歲的年齡階段人數最多佔(65.8%),尼古丁依賴評分均值為4.38(±2.162)分。結論該研究活動居民吸煙者中尼古丁中高度依賴為66.1%(其中中度依賴佔35.4%,高度依賴佔30.7%),吸煙量多少與吸煙者尼古丁依賴程度有關。青少年是控煙的重點關注人群,應根據不同年齡段吸煙者尼古丁依賴的特點制定相應政策和干預措施。展开更多
文摘Premature rupture of membranes (PROM) is a frequent phenomenon that occurs in about 4% - 7%. However, the associated sequent problems are proportionally high. Almost two thirds of PROM are spontaneous, common risk factor young mother, multiple pregnancy, genital tract infection, previous preterm delivery. The complications range from induction of labour, caesarean section, fetal pulmonary morbidity and even mortality. Objectives of the Study: To identify and quantify the risk factors and complications of premature rupture of membrane in pregnant women in Benghazi, Libya, 2012. Material and Methods: 100 pregnant women diagnosed as PROM were examined for the physical signs. Detailed gynaecological and obstetric history was reported. Laboratory investigations included cervical swabs and posterior fornix swabs under aseptic conditions Drugs including types of antibiotics, Dexamethasone and tocolytics were also included. Results: The mean age of 100 patients was 28.9 years. Most of them, 66.1% of patients received antibiotis mostly Erythromycin. Dexamethasone was given for 32.1%. FTND accounted for 62% and PTND for 10% and Caesarean section was performed for 28%. The main indications for C/S were failed induction, in 50%, 11.8% were equally distributed between;macrosomia, previous scars, drained liquor, previous C/S, breech presentation. Only 1% of new born babies had complication. Conclusions and Recommendations: Further large studies should be done for more elaboration and analytical studies to quantify the strength of each risk factor. Strategy for management of PROM should be adopted for proper timing of induction, emergency caesarean intervention with ultimate goals of minimizing and or preventing maternal and fetal complications of disease.
文摘目的探討澳門長期吸煙者尼古丁依賴水平及影響因素。方法對澳門不同職業的成年吸煙者進行臨床招募,採用尼古丁依賴標準評估量表(Fagerstrom Test for Nicotine Dependence,FTND)和問卷評估肺癌篩查活動中成年吸煙者尼古丁依賴水平,分析澳門成年吸煙者尼古丁依賴性的影響因素。結果調查對象共有257名成年吸煙者,煙齡均≥20年,開始吸煙的年齡為11歲~20歲的年齡階段人數最多佔(65.8%),尼古丁依賴評分均值為4.38(±2.162)分。結論該研究活動居民吸煙者中尼古丁中高度依賴為66.1%(其中中度依賴佔35.4%,高度依賴佔30.7%),吸煙量多少與吸煙者尼古丁依賴程度有關。青少年是控煙的重點關注人群,應根據不同年齡段吸煙者尼古丁依賴的特點制定相應政策和干預措施。
