足月胎膜早破残余羊水量对妊娠结局的影响

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Abstract Objective To analyze and discuss the impacts of the outcome of pregnancy according to the residual amount of amniotic fluid after full-term premature rupture of fetalmembranes. Methods 143 puerperas were divided into three groups according to their prenatal B ultrasound detection of residual amniotic fluid index(AFI) results, including Group A (8 cm≤AFI<25 cm) 75 cases,Group B(5 cm≤AFI<8 cm) 38 cases and Group C(AFI＜5 cm) 30 cases. Thedifferenceswere comparedbetween the three groups of pregnant women in mode of delivery, intrauterine infection, fetal distress, neonatal morbidity and meconium stained amniotic fluid rate. Results The cesarean section rate in Group C was significantly higher than in Group A (70.00% vs 37.30%,P＜0.05). The spontaneous vaginal delivery rates in Group C and Group B were lower than in Group A, with a significant difference(P＜0.05). The intrauterine infection rate, the incidence of neonatal disease, the meconium stained amniotic fluid rate and the incidence of fetal distress in Group C were higher than in Group A, with statistically significant difference(P＜0.05). The othercomparisonsbetween groups showed no significant difference. From the Logistic regression analysis results of the risk factors on maternal intrauterine infection rate and neonatal morbidity, it was known that the residual amount of amniotic fluid, the time of membranes ruptured till delivery and the meconium stained amniotic fluid were the main factors influencing the maternal intrauterine infection rate and neonatal morbidity. Conclusions The residual amount of amniotic fluid after full-term premature rupture of fetal membranes closely relates to the pregnancy outcome. The less the residual amount of amniotic fluid, the more seriousthe threat of maternal and infant health.

Key words： full-term premature rupture of fetal membranes residual amount of amniotic fluid outcome of pregnancy

Received: 10 December 2014

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R714.433

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	SHI Haixia
	HANG Mulan

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SHI Haixia,HANG Mulan. Correlation analysis of outcome of pregnancy according to the residual amount of amniotic fluid after full-term premature rupture of fetal membranes[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(5): 437-439.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2015/V26/I5/437

[1]	谢幸,苟文丽.妇产科学[M].8版.北京:人民卫生出版社,2013:1.
[2]	Amstrong W J, Post M D, Donnelly M, et al. Patterns of placental pathology in preterm prematurerupture of membranes [J]. J Dev Orig Health dis, 2013,4(3):249-255.
[3]	Fukushima K, Inoue H Mereer,Brian M,et al.Perinatal management of preterm premature ruptured membranes affects neonatal prognosis Preterm Premature Rupture of the membrcones[J].J Perinat Med,2014,6:11-17.
[4]	Aguin E 1, Vande V C, Cordoba M, et al. Cerclage retention versus removal following preterm premature rupture of membranes and association with amniotic fluid markers [J]. Int J Gynaecol Obstet, 2014,2(13):7286-7292.
[5]	Blanchon L 1, Accoceberry M, Belville C,et al.Rupture of membranes: pathophysiology, diagnosis, consequences and management[J]. J Gynecol Obstet Biol Reprod (Paris), 2013,42(2):105-106.
[6]	Chmaj W K, Pieta B, Buks J, et al. Determinants of favourable neonatal outcome after premature rupture of membranes before 24 weeks of pregnancy-review of the literature and a case report[J]. Ann Agric Environ Med, 2012, 19(3):577-580.
[7]	Dlaskin M, Yinon Y, Whittle W L. Preterm premature rupture of membranes in the presence of cerelage:is the risk for intrauterine infection and adverse neonatal outcome increased [J].J Matem Fetal Neonatal Med, 2012,25(4):424-428.
[8]	陶冬梅.未足月胎膜早破残余羊水量与妊娠结局的相关性研究[J].中外医学研究, 2013,11(16):5-7.
[9]	Romero R, Friel L A, Velez D R, et al. A genetic association study of maternal and fetal candidate genes that predispose to preterm prelabor rupture of membranes (PROM) [J].Am J Obstet Gynecol,2010,5(26):203-207.
[10]	荣贵川.未足月胎膜早破剩余羊水量对分娩方式及新生儿预后的影响研究[J].河北医药,2012,34(22):3432-3433.
[11]	楼旭阳,陈素华,倪伟平.未足月胎膜早破剩余羊水量对新生儿预后的指示作用研究[J].中国妇幼保健,2012,27(18):2777-2778.
[12]	余蓓蓓,肖冰,王慧,等. 胎膜早破后羊水残余量与宫内感染和新生儿发病率的相关性分析[J]. 现代生物医学进展,2013,13(34):6729-6733.