Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2008, Vol. 04 ›› Issue (03): 224 -227. doi: 10.3877/cma.j.issn.1673-5250.2008.03.114

Original Article

The Clinical Management of Preterm Premature Rupture of Membrane: To Delivery or Not

Lu-bin LIU, Ju-lian LIU, Hua ZHANG, Li-juan FENG, Xue-yan WANG, Hong-bo QI   

  1. The Health Center of Children and Women of Chongqing, Chongqing 400013, China
  • Published:2008-06-01
Objective

To discuss the treatment and outcomes of mother and neonate of pregnant patients with preterm premature rupture of membranes(PPROM) at the different gestational weeks.

Methods

The data of 620 preterm premature rupture of membranes with preterm birth from January 1995 to October 2005 were analyzed retrospectively, and were analyzed by χ2 method.

Results

For the preterm premature rupture of membranes with 28~31+ 6 gestational weeks, the expectant management could increase the intrauterine infection risks(P<0.05), but could decrease the death rate of the neonate(P<0.05). For the preterm premature rupture of membranes with 32~33+ 6 gestational weeks, intrauterine infection risks and the caesarean rate increased also by the expectant management(P<0.05), but the neonatal respiratory distress syndrome (NRDS) rate decreased(P<0.05). For the preterm premature rupture of membranes with 34~36+ 6 gestational weeks, there were no obvious differences between the expectant group and the contrast group, except increased intrauterine infection risks and the caesarean rate(P<0.05).

Conclusion

There were different clinical management for different gestational weeks with preterm premature rupture of membranes, and there were differences also of clinical opinions from overseas for different medical conditions and techniques.

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