Abstract
Objective To investigate the correlation between residual amniotic fluid index (AFI) of premature rupture of membrane (PPROM) and pregnancy outcome.Methods Totally 172 cases of singleton pregnancy women with PPROM in the Army General Hospital (hereinafter referred to briefly as our hospital) from January 2013 to March 2016 were categorized into three groups according to the residual AFI:group of low-,mid-,and high-AFI (n=20,24 and 128 respectively).Maternal and fetal outcomes were compared.Results (1) Gestational ages at delivery and fetal birth weight were significantly lower in low-AFI group[(32.56±3.18)w,(1956.2±703.0)g] than in mid-AFI [(34.15±2.35) w,(2341.7±585.7) g,P=0.007],and high-AFI group [(34.37±2.19) w,(3440.5±605.1) g,P=0.005].(2) The incidence of low birth weight infant,neonatal asphyxia,neonatal respiratory distress syndrome,Apgar scores lower than seven at 1 minute after birth,and postpartum endometritis in low-AFI group (80.0％,15.0％,10.0％,15.0％,10.0％) were significant higher than in mid-AFI(58.3％,0.0,0.0,0.0,0.0),and high-AFI group(50.0％,2.3％,0.8％,2.3％,0.8％).While the incidence of cesarean delivery (55.0％,50.0％,51.2％),the time membranes ruptured till delivery [(38.31± 39.83) h,(32.67±45.67) h,(38.56±49.52) h],fetal distress (15.0％,8.3％,7.8％),chorioamnionitis (5.0％,0.0,3.1％),and postpartum hemorrhage(10.0％,8.3％,5.5％) in low-,mid-,and high-AFI groups were similar(P ＞ 0.05).Compared to mid-AFI group,the incidence risk of low birth weight infant,neonatal asphyxia,Apgar scores lower than seven at 1 minute after birth and respiratory distress syndrome of newborn were higher in low-AFI group.Conclusion The residual AFI of PPROM is closely relates to the pregnancy outcome,so it should be a valuable monitoring index for PPROM just as important as infection and fetal health condition,so that pregnancy can be terminated in the best time.关键词
早产胎膜早破(PPROM)/残余羊水指数/妊娠结局/Apgar评分Key words
premature rupture of membrane/residual amniotic fluid index/pregnancy outcome/Apgar scores分类
医药卫生
