England J I
Keewatin Regional Health Board, Charlottetown, Prince Edward Island, Canada.
Int J Circumpolar Health. 1998;57 Suppl 1:113-5.
Within the Rankin Inlet Birthing Project, primipara (first baby) prenatals were not offered midwifery-assisted, elective delivery because of the unknown outcome of an untried pelvis. No data of primipara outcomes of Canadian northern populations have been published to allow comparisons. Over 36% of the Rankin Inlet Birthing Project prenatal population were primipara. A review of primipara outcomes from November 1993 to December 1995 indicated that 19 (38.7%) of 49 primipara deliveries were complicated. However, 13 (68.4%) of the 19 were anticipated to be complicated and would have been referred to hospital for delivery. A complication was defined as anything which could not have been managed by midwives in an isolated community health center, e.g., pregnancy-induced hypertension, labor induction by artificial means, fourth degree tears, anything other than a spontaneous vaginal delivery, or any newborn requiring more than a minimum of resuscitative measures.
在兰金因莱特分娩项目中，由于未经尝试的骨盆情况结果未知，初产妇（头胎产妇）产前未提供助产士辅助的择期分娩。尚未发表加拿大北部人群初产妇结局的数据以供比较。兰金因莱特分娩项目产前人群中超过36%是初产妇。对1993年11月至1995年12月初产妇结局的回顾表明，49例初产妇分娩中有19例（38.7%）出现并发症。然而，这19例中有13例（68.4%）预计会出现并发症，本应转诊至医院分娩。并发症定义为在孤立的社区卫生中心助产士无法处理的任何情况，例如妊娠高血压、人工引产、四度撕裂、非自然阴道分娩的任何情况，或任何需要不止最低限度复苏措施的新生儿情况。
