Abstract: Objective To explore the effect of evidence-based cluster nursing in premature rupture of membranes at term.. Methods 60 cases of full-term premature rupture of membranes were selected from October 2019 to October 2020, the patients were divided into control group and observation group by odd and even numbers arrangement method, there were 30 cases in each group. The control group was given routine nursing intervention and the observation group was given evidence-based nursing intervention. The postpartum hemorrhage, pregnancy outcome and neonatal outcome were observed and compared between the two groups. Results After the implementation of evidence-based cluster nursing intervention, the amount of postpartum hemorrhage in the observation group was less than that in the control group at 0.5 h, 2 h and 24 h (P<0.05) , and the natural delivery rate in the observation group was higher than that in the control group, the incidence of complications was lower in the observation group than in the control group (P<0.05) , the APGAR score was higher in the observation group than in the control group, and the neonatal outcome was better in the observation group than in the control group (P<0.05) . Conclusion Evidence-based cluster nursing care can significantly reduce postpartum hemorrhage, reduce the incidence of complications, to ensure the safety of mothers and infants, good clinical results, promote the use.

Key words: clustering care, premature rupture of membranes, postpartum bleeding, pregnancy outcome, neonatal outcome