2012•Journal of Medical ForumRequires access

Term premature rupture of membranes to delivery time on pregnancy outcome

YU Ting-wei

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Abstract

Objective To observe the pregnancy term premature rupture of membranes time to delivery time interval on pregnancy outcome.Methods Statistics Shenzhen City People's Hospital from October 2010 to October 2011 deliveries admitted patients with term premature rupture of membranes 638 cases.By premature rupture of membranes time to delivery time interval grouping.The statistics of each group of maternal rate of cesarean section,postpartum hemorrhage,chorioamnionitis,the incidence of fetal distress rate to close after birth Apgar scores and neonatal hospitalization rates.Results Among the groups postpartum bleeding,fetal distress and neonatal Apgar score differences not statistically significant(χ2=8.71,P=0.084).Rupture of membranes to delivery time ≥ 48h group cesarean section rate was 46.8%,significantly higher than the rupture of membranes to delivery time 24h group,the difference was statistically significant(χ2=4.66,P=0.047).Rupture of membranes,chorioamnionitis to delivery time ≥ 48 h group,the incidence of cesarean section rate and neonatal received hospitalization were significantly higher than the water break time 24 h group(χ2=3.94,P=0.011).Conclusions The incidence of pregnancy term premature rupture of membranes to delivery time increased more than 48h chorioamnionitis,cesarean section rate and neonatal complications.Term premature rupture of membranes in patients admitted to hospital should be actively induced labor.Shorten the fetal membranes rupture to the time of completion of delivery outcome is essential to improve the pregnancy.

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Objective To observe the pregnancy term premature rupture of membranes time to delivery time interval on pregnancy outcome.Methods Statistics Shenzhen City People's Hospital from October 2010 to October 2011 deliveries admitted patients with term premature rupture of membranes 638 cases.By premature rupture of membranes time to delivery time interval grouping.The statistics of each group of maternal rate of cesarean section,postpartum hemorrhage,chorioamnionitis,the incidence of fetal distress rate to close after birth Apgar scores and neonatal hospitalization rates.Results Among the groups postpartum bleeding,fetal distress and neonatal Apgar score differences not statistically significant(χ2=8.71,P=0.084).Rupture of membranes to delivery time ≥ 48h group cesarean section rate was 46.8%,significantly higher than the rupture of membranes to delivery time 24h group,the difference was statistically significant(χ2=4.66,P=0.047).Rupture of membranes,chorioamnionitis to delivery time ≥ 48 h group,the incidence of cesarean section rate and neonatal received hospitalization were significantly higher than the water break time 24 h group(χ2=3.94,P=0.011).Conclusions The incidence of pregnancy term premature rupture of membranes to delivery time increased more than 48h chorioamnionitis,cesarean section rate and neonatal complications.Term premature rupture of membranes in patients admitted to hospital should be actively induced labor.Shorten the fetal membranes rupture to the time of completion of delivery outcome is essential to improve the pregnancy.

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Available abstract

Objective To observe the pregnancy term premature rupture of membranes time to delivery time interval on pregnancy outcome.Methods Statistics Shenzhen City People's Hospital from October 2010 to October 2011 deliveries admitted patients with term premature rupture of membranes 638 cases.By premature rupture of membranes time to delivery time interval grouping.The statistics of each group of maternal rate of cesarean section,postpartum hemorrhage,chorioamnionitis,the incidence of fetal distress rate to close after birth Apgar scores and neonatal hospitalization rates.Results Among the groups postpartum bleeding,fetal distress and neonatal Apgar score differences not statistically significant(χ2=8.71,P=0.084).Rupture of membranes to delivery time ≥ 48h group cesarean section rate was 46.8%,significantly higher than the rupture of membranes to delivery time 24h group,the difference was statistically significant(χ2=4.66,P=0.047).Rupture of membranes,chorioamnionitis to delivery time ≥ 48 h group,the incidence of cesarean section rate and neonatal received hospitalization were significantly higher than the water break time 24 h group(χ2=3.94,P=0.011).Conclusions The incidence of pregnancy term premature rupture of membranes to delivery time increased more than 48h chorioamnionitis,cesarean section rate and neonatal complications.Term premature rupture of membranes in patients admitted to hospital should be actively induced labor.Shorten the fetal membranes rupture to the time of completion of delivery outcome is essential to improve the pregnancy.

Key concepts: Chorioamnionitis, Medicine, Premature rupture of membranes, Fetal distress, Pregnancy, Apgar score, Incidence (geometry), Obstetrics

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