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目的探讨足月妊娠胎膜早破对妊娠结局的影响。方法比较足月妊娠胎膜早破初产妇200例(观察组)与足月妊娠无胎膜早破初产妇200例(对照组)第1～3产程时间、总产程时间,催产素催产率、徒手胎头旋转率、阴道助产率、自然分娩率、剖宫产率、新生儿窒息及产后出血发生率。结果观察组第1、2产程时间及总产程时间较对照组长(P<0.05),催产素催产率、徒手胎头旋转率及阴道助产率较对照组高(P<0.05),2组剖宫产率、产后出血量、出生1min Apgar评分4～7分及出生1min评分<4分发生率比较差异无统计学意义(P>0.05)。结论足月妊娠胎膜早破可使产程延长,充分实施干预手段、提高阴道助产水平,可降低剖宫产率。
Objective To investigate the effect of full-term pregnancy premature rupture of membranes on pregnancy outcome. Methods 200 cases of premature rupture of membranes in full-term pregnancy (observation group) and full-term pregnancy without premature rupture of primiparas in 200 cases (control group) 1 to 3 of labor duration, duration of labor, oxytocin oxytocin rate, Free hand fetal head rotation rate, vaginal delivery rate, spontaneous delivery rate, cesarean section rate, neonatal asphyxia and postpartum hemorrhage incidence. Results The duration of labor and the length of labor in the observation group were higher than those in the control group (P <0.05). Oxytocin oxytocin, unprotected fetal head rotation rate and vaginal delivery rate were higher in the observation group than in the control group (P <0.05) There was no significant difference in incidence of cesarean section, postpartum hemorrhage, Apgar score of 4 to 7 points at 1 minute of birth and score of 1 minute at 1 minute of birth (P> 0.05). Conclusion Full-term pregnancy premature rupture of membranes can prolong the labor process, the full implementation of interventions to increase the level of vaginal delivery, can reduce the rate of cesarean section.