早产产前胎膜破裂及羊膜穿刺术的作用

A. Kenyon, K. Abi-Nader, P. Pandya
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引用次数: 2

摘要

产前胎膜早破(PPROM)被定义为在妊娠<37周分娩前1小时以上发生胎膜破裂。大约3%的妊娠发生PPROM,导致三分之一的早产。一旦胎膜破裂,延长妊娠期对母亲的身体没有好处,但在妊娠早期,胎儿的发病率和死亡率每天都在改善:出生<25周的婴儿中有19%会发展为脑瘫(CP), 28%有严重的运动障碍。那些极度早产的婴儿(小于28周)每个活产要花费公共部门75835英镑(95% CI£27906-145508),更不用说家庭的情感成本了。因此,延长妊娠期是建议的目标:然而,我们如何以及为什么要推迟那些有风险的人的生育?
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PRE-TERM PRE-LABOUR RUPTURE OF MEMBRANES AND THE ROLE OF AMNIOCENTESIS
Pre-labour premature rupture of membranes (PPROM) is defined as rupture of membranes more than 1 hour prior to the onset of labour at <37 weeks gestation. PPROM occurs in approximately 3% of pregnancies and is responsible for a third of all preterm births. Once membranes are ruptured prolonging the pregnancy has no maternal physical advantage but fetal morbidity and mortality are improved daily at early gestations: 19% of those infants born <25 weeks develop cerebral palsy (CP) and 28% have severe motor disability. Those infants born extremely pre term (<28 weeks) cost the public sector £75835 (95% CI £27906–145508) per live birth not to mention the emotional cost to the family. To prolong gestation is therefore the suggested goal: however how and why might we delay birth in those at risk?
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