Dissertation > Excellent graduate degree dissertation topics show

Clinical Analysis in Preterm Premature Rupture of Membranes in134Patients

Author: WangYiQing
Tutor: LiuJian
School: Chongqing Medical University
Course: Obstetrics and Gynaecology
Keywords: pregnancy preterm premature rupture of membranes riskfactors clinical methods pregnancy outcome way of childbirth
CLC: R714.433
Type: Master's thesis
Year: 2013
Downloads: 39
Quote: 0
Read: Download Dissertation

Abstract


Objective To investigate the risk factors of pregnancy pretermpremature rupture of membranes(PPROM)， the clinical methods， thepregnancy outcome and the suitable time and way of childbirth.Methods One：We collect134patients of PPROM from Jan．2009to Feb．2013．to analysis the proportion of every possible risk factor. Two：we separate the134patients and their150babies in terms of gestational ageto three groups for comparing the suitable clinical methods，the pregnancyoutcome and the suitable time and way of childbirth:Group A with gestationless than31weeks greater than6day，group B from32weeks to34weeksgreater than6day and group C from35weeks to36weeks greater than6days．Results (1)The risk factors of PPROM are as： conditions ofinfection,intrauterine operation history,the high pressure ofintrauterine,abnormal fetal position,complication of pregnancy,injuries orsexual contact before rupture of membranes，laxation of ceryical internalopening and so on.(2)The proportion of group A and B of using tocolyticsand fetal lung maturation agent more than group C and the difference had statistical significance(P<0．05). The average tocolysis time of groupA andgroup B is longer than group C,while the proportion of childbirth within24hours is less than, and the difference had statistical significance(P<0．05).(3) The proportion of cesarean for fetal distress.of group A ishigher than group B and C,while for social factor is less than. In addition,The proportion of cesarean for cephalopelvic disproportion of group A and Bis less than group C.All of the differences have statistical significance(P<0．05).(4) The proportion of group A of chorioamnionitis,incisionalwound, neonate asphyxia, RDS，pneumonia of newborn and neonatal deathis more than group Band C and the difference had statistical significance(P<0．05).Conclusion (1) It is important to take actions to reducing theproportion of PPROM after knowing the risk factors.(2) It is better to useantibiotic of all PPROM,besides,tocolytics and fetal lung maturation agentshould be used before the gestation of34weeks.(3)The shorter gestationalweek,the proportion of fetal distress is more,while the longer gestationalweek,the proportion of cephalopelvic disproportion is more. So we shouldchoose the suitable way of childbirth.(4) The shorter gestational week,theproportion of chorioamnionitis,incisional wound, neonate asphyxia, RDS，pneumonia of newborn and neonatal death is more,so we should improvethe treatment level in perinatal period and take steps to care for prematureinfants.

Related Dissertations

  1. Influence of Residual Amniotic Fluid Index after Premature Rupture of Membrance on Pregnant Outcome,R714.433
  2. Pregnancy and childbirth and incontinence related factors,R694.5
  3. Pathogenesis of hypertensive disorders in pregnancy and clinical observation and research outcomes,R714.2
  4. Pregnancy Outcome of Polycystic Ovary Syndrome Patients after IVF-ET,R711.75
  5. Analysis of the Effects of Clinical Factors of Multifetal Pregnancy Reduction (MFPR) on Pregnancy Outcome in 123 Cases,R714.2
  6. Obstetrics Factor to Stress Urinary Incontinence and Trough Bottom Organization’s Influence,R694.54
  7. The Effect of Prenatal Comprehensive Intervention on Childbirth Self-efficacy and Birth Outcomes in Primipara,R473.71
  8. Primary Research of the Impact of Different Delivery Mode on the Morphous of Levator Hiatus and the Function of Levator Ani Muscle,R711.7
  9. Influence of Changes of Serum Estrogen and Progesterone Concentrations on Pregnancy Outcome of IVF-ET in the Luteal Phase,R714.8
  10. Demographic and Psychosocial Factors of Painless Delivery in Ruian Puerpera,R714.3
  11. Prediction of Ovarian Reserve by Three-dimensional Ultrasonography and Power Doppler Angiography in Controlled Ovarian Hyperstimulation,R714.8
  12. A Comparative Study of Pregnancy Outcomes between Initial Twins and Reduced Twin Pregnancies in the Second Trimeser,R714.23
  13. A Study on the Timing of Second-Trimester Multifetal Pregnancy Reduction,R714.23
  14. Yoga for normal childbirth maternal body shape Rats,R173
  15. Varying Degrees of Oligohydramnios on the Impact of Late Pregnancy Outcome,R714.25
  16. Human chorionic gonadotropin and pregnancy -associated protein and threatened abortion outcomes research,R714.21
  17. The Relationship between the Genetic Polymorphism of Mthfr and Adverse Pregnancy Oucomes,R714.2
  18. Effects of Epidural Sufentanil and Ropivacaine Analgesia on the Nulliparas and Neonates during Labor,R714.3
  19. Effect of Vaginal Delivery on Pelvic Floor Muscles Function and Clinical Application Study of Postpartum Rehabilitation,R49
  20. Based on the Literature of Modern Chinese Acupuncture for Disease Research,R246
  21. The Study on Touch and Enhance Self-efficacy Nursing on Effects Parturition of Primiparas,R473.71

CLC: > Medicine, health > Obstetrics and Gynaecology > Obstetrics > Pathological delivery (abnormal delivery) > Fetus and appendages disorders > Premature rupture of membranes
© 2012 www.DissertationTopic.Net  Mobile