Monga D, Achanna S
Department of Obstetrics and Gynaecology, General Hospital, Kelantan, Malaysia.
Singapore Med J. 1999 Feb;40(2):78-80.
The Obstetric Flying Squad (OFS) has been operating in Peninsular Malaysia for over three decades. In the light of current controversies regarding its role in modern day obstetric practice, its status in Malaysia over the last 12 years is reviewed.
Statistics from three Malaysian states (Kelantan, Trengganu and Malacca) were reviewed with regard to the numbers and places of delivery as well as OFS and ambulance call out rate (per 1000 deliveries). These statistics were obtained from the annual reports of the three state hospitals. Improvement in socioeconomic development was reviewed in order to study its impact on the requirement of OFS service.
The last decade has witnessed a marked decrease in home deliveries, a higher proportion of high risk pregnancies delivering under medical supervision and a dramatic increase in the availability of telecommunication, transport and rural medical facilities. The OFS callout rate has fallen significantly, though the principal indication for calls were due to post-partum haemorrhage and retained placenta. The average time taken to reach a patient is 47 minutes for an OFS call compared to 26 minutes for an ambulance call in Kelantan.
Given the disadvantages of longer response time and the requirement for a skilled specialist to man the service, the OFS service can be completely replaced by the ambulance service (with training of drivers in first aid) in the general Malaysian setting. However, there may still be a limited role for the OFS in the isolated rural communities where access by land transport is extremely difficult.
产科飞行小队（OFS）在马来西亚半岛已运作了三十多年。鉴于目前关于其在现代产科实践中作用的争议，对其在马来西亚过去12年的状况进行了回顾。
回顾了马来西亚三个州（吉兰丹州、登嘉楼州和马六甲州）关于分娩数量和地点以及产科飞行小队和救护车出诊率（每1000例分娩）的统计数据。这些统计数据来自这三家州立医院的年度报告。对社会经济发展的改善情况进行了回顾，以研究其对产科飞行小队服务需求的影响。
过去十年见证了家庭分娩显著减少，更高比例的高危妊娠在医疗监督下分娩，以及电信、交通和农村医疗设施的可用性大幅增加。产科飞行小队的出诊率显著下降，尽管出诊的主要原因是产后出血和胎盘滞留。在吉兰丹州，产科飞行小队接到呼叫后到达患者的平均时间为47分钟，而救护车接到呼叫后到达患者的平均时间为26分钟。
鉴于响应时间较长的缺点以及需要熟练的专科医生来提供服务，在马来西亚的一般情况下，产科飞行小队服务可以完全由救护车服务（对司机进行急救培训）取代。然而，在陆路交通极其困难的偏远农村社区，产科飞行小队可能仍有有限的作用。
