摘要
本文分析了胎膜早破(PROM)的剖宫产指征及剖宫产时对PROM母婴预后近、远期影响。结果PROM组剖宫产率(39.04％)明显增高,其指征以胎儿窘迫(36.2％)、头盆不称(25.8％)和胎位异常(14.1％)最常见。而对照组前三位剖宫产指征依次为头盆不称、胎儿窘迫和其他,剖宫产对PROM母婴预后无特殊益处,相反却明显增加其新生儿及母体感染性疾病发生率。故选择分娩途径时,不宜以PROM作为唯一剖宫产指征。
The indications for cesarean section and its short-term and long -term effects on both mothers and babies were studied in PROM patients. It was found that the rate of cesarean section in PROM patients increased significantly. The commonest indications were fetal distress (36.2%), which was more frequently seen than that in non-PROM group, cephalopevic disproportion (25.8%) and fetal position abnormality (14.1%). However, cesarean section is of no particular benefit to babies and mothers in PROM group. Conversely, it can increase the morbidity of infective diseases in both mothers and babies. The above findings suggest that the babies of PROM patients should be mornitored closely for signs of fetal distress and that PROM may not be the only indication for cesarean section.
出处
《同济医科大学学报》
CAS
CSCD
北大核心
1992年第2期109-111,共3页
Acta Universitatis Medicinae Tongji
关键词
剖宫产
胎膜早破
premature rupture of membranes (PROM)
cesarean section
