缩宫素引产时间对足月胎膜早破孕妇分娩及不良妊娠结局的影响  

The effect of oxytocin induction time on delivery and adverse pregnancy outcomes in pregnant women with premature rupture of membranes at term

作　　者：王科杰 Wang Kejie(Department of Obstetrics,Cixi Maternal and Child Health Hospital,Cixi 315300,China)

机构地区：[1]慈溪市妇幼保健院产科,浙江慈溪315300

出　　处：《实用妇科内分泌电子杂志》2023年第12期28-31,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨缩宫素引产时间对足月胎膜早破孕妇分娩及不良妊娠结局的影响。方法选取本院98例足月胎膜早破孕妇为研究对象,使用缩宫素进行引产,按引产时间分组,缩宫素引产时间<12h为研究组,缩宫素引产时间≥12h为对照组,比较两组的一般资料、分娩结局及不良妊娠结局。结果研究组平均年龄高于对照组,平均产次多于对照组,平均住院天数短于对照组(P<0.05);研究组的阴道助产率、产褥感染率、新生儿转科率均低于对照组(P<0.05);研究组不良妊娠结局发生率显著低于对照组(P<0.05)。结论足月胎膜早破孕妇的缩宫素引产时间≥12h时,分娩结局较差,不良妊娠结局发生率较高,针对此类情况需重新评估,选择安全性较高的分娩方式,保证母婴安全。Objective To explore the impact of oxytocin induction time on delivery and adverse pregnancy outcomes in pregnant women with premature rupture of membranes at term.Methods 98 pregnant women with premature rupture of membranes at term in our hospital were selected as the study subjects.They were induced labor using oxytocin and divided into groups according to the time of induction.The study group was induced labor with oxytocin for less than 12 hours,and the control group was induced labor with oxytocin for more than 12 hours.The general information,delivery outcomes,and poor pregnancy outcomes of the two groups were compared.Results The average age of the study group was higher than that of the control group,the average number of births was higher than that of the control group,and the average length of hospital stay was shorter than that of the control group(P<0.05);The vaginal delivery rate,puerperal infection rate,and neonatal transfer rate in the study group were lower than those in the control group(P<0.05);The incidence of adverse pregnancy outcomes in the study group was significantly lower than that in the control group(P<0.05).Conclusion When the induction time of oxytocin for full-term premature rupture of membranes in pregnant women is≥12 hours,the delivery outcome is poor and the incidence of adverse pregnancy outcomes is high.Therefore,it is necessary to re evaluate and choose a safer delivery method to ensure the safety of the mother and baby.

关 键 词：足月胎膜早破 缩宫素 引产时间 妊娠结局 分娩结局 

分 类 号：R714.433[医药卫生—妇产科学]