未足月胎膜早破产妇入院期待时间长短的相关因素及对妊娠结局的影响分析OA

Objective:To analyze the factors related to the expected time of admission in pregnant women with preterm prema-ture rupture of membranes and the influence on pregnancy outcome.Methods:Data of 100 cases were reviewed from January 2021 to January 2024.According to whether the expected admission time was more than 3 days,they were divided into two groups,namely<3 days(n=38)and 3 days(n=62).Comparing the general data,clinical characteristics and pregnancy out-come of the two groups,the factors affecting the length of hospital expectation and the influence on pregnancy outcome.Re-sults:<3d groups showed significant differences between gestational age,WBC at admission,CRP at admission,cervical length<20mm,80%of admission cervical regression,oligohydramnios and the proportion of positive vaginal secretion culture and≥3d groups(P<0.05);Gestational age,WBC at admission,CRP at admission,cervical length and oligohydramnios were independent risk factors for maternal expectancy(all P<0.05);The incidence of cesarean section and neonatal intensive care unit was significantly higher in<3d than in≥3d group(P<0.05),The incidence of clinical chorioamnionitis was signif-icantly lower in the<3d group than in the≥3d group(P<0.05).Conclusion:Gestational age,WBC at admission,CRP at admission,proportion of cervical length<20mm,80%of admission cervical regression,proportion of oligohydramnios and proportion of positive vaginal secretion culture were all risk factors affecting the expected time of admission in non-term fetal women.Extending the hospital waiting time for women with premature rupture of membranes at full term has a certain impact on their pregnancy outcomes,which can improve fetal outcomes but increase the risk of complications for pregnant women.