| Influences of Premature Rupture of Membranes on the Newborn Infant. |
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Kyoung Sim Kim, Young Ok Park, In Sung Lee, Ki Bok Kim |
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Department of Pediatrics, Kwangju Christian Hospital, Kwangju, Korea |
| 조기양막파수가 신생아에 미치는 영향 |
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김경심, 박영옥, 이인성, 김기복 |
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광주기독병원 소아과 |
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Received: 22 June 1988 • Accepted: 22 September 1988 |
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| Abstract |
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A comparative study on the frequencies of premature birth, neonatal sepsis, asphyxia, perinatal
death and respiratory distress syndrome was carried out between 1309 newborns with premature
rupture of membranes (PROM) and the normal group of 4636 newborns without PROM among all 5945
babies delivered at Kwangju Christian Hospital for the 2-year period starting from March 1985.
The results are sumrnarized as follows:
1) The overall incidence of PROM was 22.0% with no yearly variations.
2) Ten % of all babies with PROM were born prematurely, significantly higher than the incidence
of PROM in all newborn cases with 5.6%.
3) The incidence of neonatal sepsis in the PROM group (1.4%) was five times higher than in the
normal group (0.3%) (p<0.005). The incidence was not related to the gestational age at birth, but
increased with increasing time interval after PROM.
4) The incidence of neonatal asphyxia in PROM group (4.4%) was twice the normal group (1.9%),
and the premature babies had greater incidence in both groups. AIso, a positive correlation was found
with increasing time interval after PROM.
5) Perinatal death was higher in PROM group (4.7%) than in the normal group (3.5%), and it also
increased with time interval after PROM.
6) Neonatal respiratory distress syndrome (RDS) was found in 0.7% of babies with PROM, whereas
l.4% of babies in the normal group had the syndrome, indicating significantly lower incidence in the
PROM group. Premature babies had higher incidence of RDS in both normal and PROM groups, but
the latter had an incidence amounting to only 1/ 4 of the former. And it tended to diminish with
increasing time interval after PROM. |
| Key Words:
Premature rupture of membranes, Prematurity, Sepsis, Neonatal asphyxia, Perinatal death,
RDS |
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