晚期胎膜早破与难产的相关性研究

目的：探讨晚期胎膜早破对孕妇难产的影响。方法：选取我院从2010年5月至2013年5月所接收的108例晚期胎膜早破孕妇作为观察组,再抽取同期于我院生产的足月待产108例健康孕妇作为对照组。对两组患者的难产率、产前胎位以及母儿并发症发生率进行比较。结果：观察组患者难产率显著高于对照组（P＜0.05）;产前胎位研究表示观察组头盆不称以及胎位异常率均高于对照组（P＜0.05）;母儿并发症发生率观察组也显著高于对照组（P＜0.05）。结论：头盆不称以及胎位异常是造成胎膜破裂的主要因素,胎膜早破显著增高患者的难产率,并且母儿并发症发生率也显著增高。对孕妇进行适当的护理以及做好生产时的准备,能降低难产率及并发症发生率,充分保证孕妇和婴儿的安全。

Correlative Study of premature rupture of fetal membranes and dystocia

Objectives：To investigate the effect of premature rupture of membranes on dystocia.Methods：108 pregnant women with premature rupture of fetal membranes in our hospital from May 2010 to May 2013 were re-garded as observation group,while 108 full-term healthy pregnant women in our hospital over the same period were selected as control group.Incidence rate of Dystocia and complications for both mother and infant as well as prenatal fetal position of the two groups were compared.Results：The incidence rate of dystopia,cephalopelvic disproportion and abnormal fetal position,as well as complications for both mother and infant of the observation group was signifi-cantly higher than the control group （P〈0.05）.Conclusion：Cephalopelvic disproportion and abnormal fetal posi-tion are main causes for premature rupture of membranes,which in turn significantly increases the incidence rate of dystocia and complications.Appropriate care for pregnant women and good delivery preparation can reduce the inci-dence rates of dystocia and complication,providing adequate assurance for the safety of pregnant women and infants.