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目的探讨临产前、后破膜对分娩和母儿的影响。方法回顾性分析2004年12月在我院住院分娩中胎膜早破118例作为早破组,随机选择同期临产后破膜的120例作为对照组。对两组胎头浮动,胎方位、产程、分娩方式及对母儿的影响进行分析。结果早破组产程明显缩短;而手术产,产褥感染,早产及围产儿死亡均明显升高。结论加强围产监护、管理、综合分析治疗胎膜早破,适时终止妊娠,是降低对母儿影响的关键。
Objective To investigate the effects of rupture of membranes before delivery and after delivery on childbirth and maternity. Methods Retrospective analysis of 118 cases of premature rupture of membranes in our hospital in December 2004 as a group of premature rupture of membranes, 120 cases of rupture of membranes were randomly selected as the control group. The two groups of fetal head floating, fetal position, labor process, mode of delivery and the impact on the mother and child were analyzed. Results Early rupture of labor was significantly shorter birth; surgery, puerperal infection, premature birth and perinatal mortality were significantly increased. Conclusion Strengthening perinatal care, management, comprehensive analysis of the treatment of premature rupture of membranes, termination of pregnancy timely, is the key to reducing the impact on the mother and child.