孕34～37周合并胎膜早破的处理

目的 :比较孕 34～ 37wk合并胎膜早破引产与观察2种方法何者为合理 .方法 :对孕 34～ 36 + 6wk合并胎膜早破产妇 4 6例 ,随机分成 2组 :催产素引产组 (2 5例 )及观察组(2 1例 ) .结果 :两组胎膜早破时孕周及新生儿体质量无显著差异 ,母亲住院时间观察组明显延长 (P <0 .0 1) ,新生儿发病率无显著差异 (P >0 .0 5 ) .结论 :孕 34wk以上合并胎膜早破积极引产处理是安全的 ,可以降低母亲及新生儿发病率

Management of premature rupture of membranes at 34 to 37 weeks gestation

AIM: To compare induction of labour with expectant management in women with preterm rupture of membranes between 34 and 37 wk gestation. METHODS: Forty six puerperants with preterm rupture of membranes between 34 and 36 +6 wk gestation were randomized into 2 groups: Oxytocin induction ( n =25) and observation ( n =21) groups. RESULTS: Gestational age at rupture of membranes (35.1 wk vs 34.9 wk), fetal weight (2341 g vs 2417 g ) and neonatal morbidity (2 vs 1, P > 0.05) were not significantly different between 2 groups. Maternal hospitalization time was significantly longer in observation group (4.3 d vs 8.2 d, P <0.01). CONCLUSION: Aggresssive management of preterm premature rupture of membranes at 34 to 37 wk gestation by induction of labor is safe for the infant in our population and decreases maternal neonatal morbidity.