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目的:探讨胎膜早破与分娩方式及围产儿不良结局的关系,为临床围产期保健和并发症防治提供参考。方法:对2005年1月至2008年12月在我院住院分娩的454例足月妊娠无骨盆异常胎膜早破的病例进行回顾性分析。结果:胎膜早破占同期分娩总数的11.76%,无骨盆异常,其难产率为46.47%,剖宫产率为33.7%,新生儿窒息率10.79%,新生儿肺炎发生率1.54%,明显高于对照组。结论:胎膜早破与难产互为因果关系,及时终止妊娠,以改善新生儿预后,减少母婴并发症。
Objective: To explore the relationship between premature rupture of membranes and mode of delivery and adverse outcomes of perinatal children, and provide reference for the prevention and treatment of perinatal health care and complications. Methods: A retrospective analysis of 454 cases of full-term pregnancy without pelvic premature rupture of membranes in our hospital from January 2005 to December 2008 was performed. Results: Premature rupture of membranes accounted for 11.76% of the total number of deliveries during the same period. No pelvic abnormalities were found. The rate of refractory birth was 46.47%, cesarean section rate was 33.7%, neonatal asphyxia rate was 10.79% and neonatal pneumonia rate was 1.54%. In the control group. Conclusion: Premature rupture of membranes and dystocia each cause and effect, termination of pregnancy in time to improve the prognosis of newborns, reduce maternal and child complications.