论文部分内容阅读
目的:探讨足月胎膜早破的处理与预防。方法:回顾分析我院曾收治的足月胎膜早破108例孕妇的临床资料,嘱患者卧床休息,抬高臀部,观察产妇体征、心率、白细胞计数、羊水性状、胎动、胎心及有无宫缩,检查有无明显头盆不称,B超检查残余羊水量,以决定分娩方式,破膜超过12小时常规给予抗生素,超过12小时仍为临产者给予缩宫素引产。具有剖宫产指征尽早剖宫产终止妊娠。结果:108例中有61例行剖宫产,其中头盆不称16例,胎儿窘迫8例,臀位5例,瘢痕子宫20例,巨大而9例,双胎3例。有47例经阴道自然分娩。本组全部新生儿均成活。结论:对足月胎膜早破的孕妇采取积极有效的应对措施,选择正确的分娩方式,可避免发生新生儿呼吸窘迫综合征,避免感染造成对母儿的伤害,提高存活率。
Objective: To investigate the treatment and prevention of full-term premature rupture of membranes. Methods: The clinical data of 108 pregnant women with full-term premature rupture of membranes in our hospital were retrospectively analyzed. The patients were instructed to rest in bed and elevate the buttocks. Maternal signs, heart rate, white blood cell count, amniotic fluid trait, fetal movement, Contractions, check whether there is no obvious head basin, B-ultrasound to check the residual amniotic fluid, in order to determine the mode of delivery, rupture of membranes more than 12 hours routinely given antibiotics, more than 12 hours still for labor to give oxytocin abortion. Cesarean indications with cesarean termination of pregnancy as soon as possible. Results: Among the 108 cases, 61 cases underwent cesarean section, including 16 cases of cephalopelvic disproportion, 8 cases of fetal distress, 5 cases of breech, 20 cases of scar uterus, 9 cases of huge and 3 cases of twin. There are 47 cases of natural vaginal delivery. All newborns in this group are alive. CONCLUSION: Positive and effective coping strategies should be taken for pregnant women with full-term premature rupture of membranes to choose the correct mode of delivery to avoid neonatal respiratory distress syndrome and to prevent the infection from causing harm to maternal and child and to improve the survival rate.