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The role of crisis management in preventing postpartum infections and enhancing recovery quality in pregnant women with premature rupture of membranes

Danhong Wu(1), Hongwei Lv(2),


(1) Department of Pediatric, Heilongjiang Provincial Hospital, Harbin, Heilongjiang, 150000, China
(2) Department of Infect Monitoring, Heilongjiang Provincial Hospital, Harbin, Heilongjiang, 150000, China
Corresponding Author

Abstract


This study analyzed the impact of crisis management on premature rupture of membranes (PROM). Between March 2023 and April 2025, 146 pregnant women diagnosed with PROM were recruited from Heilongjiang Provincial Hospital. The cohort was randomized using computer-generated random numbers with concealed allocation envelopes into an intervention group (n=73) employing crisis management strategies and a control group (n=73) following routine protocols. The specific contents of crisis management include: Dynamic risk assessment, Multidisciplinary collaborative response, patient-engaged management and Rehabilitation support. A notable reduction in postpartum infection rates was observed in the intervention group versus controls, along with shorter antibiotic treatment duration, enhanced perineal wound healing, increased pelvic floor muscle strength scores, and elevated neonatal Apgar scores. No statistical inter-group difference was found in neonatal infection rates; however, the concurrent improvements in maternal-infant outcomes and medical service efficiency confirmed the validity of crisis management used in the intervention group.

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