Clinical Analysis of Premature Rupture of Fetal Membranes
WU Qian-teng
Abstract
WU Qian-teng
Abstract
Objective: To investigate the clinical treatment and Impact of preterm premature rupture of fetal membranes(PPROM) on newborns.Methods: 205 newborns of PPROM at 28~36+6 weeks of pregnancy between March 2009 to January 2012 in our hospital were included and treated in different methods according to their gestational age.Then the outcome of pregnancy and situation of preterm infants were observed and analyzed.Results: The rate of complications and mortality of the preterm infants was respectively 52.2% and 10% in 28~34 weeks of pregnancy group,40.3% and 4.8% respectively in 34~35+6 weeks of pregnancy group,they were all significantly higher than those of preterm infants 36 weeks(1.6% and 0,respectively)(P0.05);However,no significant difference of the rate of complications and mortality of preterm infants was observed between 36 weeks and full-term infants(P0.05).Conclusions:PPROM is the main reason of morbidity and mortality of newborns.While the smaller of the gestational age,the higher of morbidity and mortality.PPROM should be treated in different methods according to their weeks of pregnancy to extend the gestational age and reduce the morbidity and mortality of preterm infants.
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Objective: To investigate the clinical treatment and Impact of preterm premature rupture of fetal membranes(PPROM) on newborns.Methods: 205 newborns of PPROM at 28~36+6 weeks of pregnancy between March 2009 to January 2012 in our hospital were included and treated in different methods according to their gestational age.Then the outcome of pregnancy and situation of preterm infants were observed and analyzed.Results: The rate of complications and mortality of the preterm infants was respectively 52.2% and 10% in 28~34 weeks of pregnancy group,40.3% and 4.8% respectively in 34~35+6 weeks of pregnancy group,they were all significantly higher than those of preterm infants 36 weeks(1.6% and 0,respectively)(P0.05);However,no significant difference of the rate of complications and mortality of preterm infants was observed between 36 weeks and full-term infants(P0.05).Conclusions:PPROM is the main reason of morbidity and mortality of newborns.While the smaller of the gestational age,the higher of morbidity and mortality.PPROM should be treated in different methods according to their weeks of pregnancy to extend the gestational age and reduce the morbidity and mortality of preterm infants.
Key concepts: Medicine, Gestational age, Obstetrics, Pregnancy, Premature rupture of membranes, Fetus, Perinatal mortality, Gestation