저자들은 1982년 1월 1일부터 1983년 12월 31일까지 만 2년간 서울적십자 병원 산부인과에 분만을 위하여 입원한 741예중 조기파막으로 진단된 186예에 대하여 임상적으로 분석·관찰을 하고 다음과 같은 결론을 얻었다. 1. 조기파막의 빈도는 25.1%였다. 2. 조기파막 환자에 합병된 질환은 빈혈(11%), 임신 중독증(8.6%), 태아위치 이상(7.5%), 매독(2.7%) 및 전치태반(2.2%)의 순위였다. 3. 조기파막 환자의 태위 이상은 7.5%의 빈도를 보였다. 4. 제왕절개술의 빈도는 22.6%였고 그 적응증은 기왕제왕절제술(23.8%), 태위 이상(21.4%), 태아 절 박사(11.9%), elderly primlpara(11.9%), 유도분만 실패(9.4%)의 순위였다. 5. 잠재기간은 임신 38∼42주에서 더 짧고 38주미만과 42주 이상의 임신에서는 다소 더 길었다. 6. 모체 열성 이환율은 잠재기간이 24시간 이하에서는 16.3%, 24시간 이우는 50%였다. 7. 자궁경관 배양에서 분리된 세균은 staphlococcus aureus(24%), staphlococcus epidermidis(19%), streptococcus(17%), E. coli(8%)의 순위였다. 8. 총 주산기 사망율은 80(per 1000 birth)이었다.

Premature rupture of the fetal membranes(PROM) or Amniorrhexis is one of the most confusing and controversial dilemmsa in Obstetrics today despite recent technological advances and interest in the subject PROM is probably the single most common precipitating factor in premature delivery In addition maternal and fetal/neonatal infection fetal distress adverse influences on fetal development and increased cesarean section rates with concomitant increased morbidity are and increased cesarean section rates with conceomitant increased morbidity are significant complications of PROM We defined PROM as rupture of the fetal membranes at any time to the onset of labor The data reviewed here are based on the 186 cases of premature rupture of fetal membranes among 741 deliveries at the Department of Obstetrics Seoul Red Cross Hospital from January 1,1982 to December 31, 1983 The result obtained as follows: 1. The incidence of premature rupture of membranes was 25.1% or 186 cases of 741 deliveries 2. The common diseases in associated with PROM were anemia(11.85) fetal mal-presentation(7.5%) syphilis (2.7%) and placenta previa(2.2%) 3. Abnormal presentation of the fetus in PROM was 7.5% 4. The rate of Cesarean section was in PROM 22.6% and the common indications were previous C/S (23.85) abnormal fetal presentation(21.4%) fetal distress(11.9%) elderly primipara (11.9%) and failed induction(9.4%) 5. The duration of latent period was shorter in the 38-42 weeks` gestation and 42 weeks` gestation 6. The maternal febrile condition in relation to latent was 16.3% under 24 hours and 50.0% over 24hours 7. The bacteria isolated from cervical culture wer Staphyolcoccus aureus(24%) Staphylococcus epidermis (19%) Streptococcus (17%) and E coli(8%) 8. Total perinatal mortality was 80per 1000 birth