Brown I M
S Afr Med J. 1975 Nov 12;49(48):2004-7.
Intensive care monitoring of the fetus during labour improves perinatal conditions in 'high-risk" Black women. If the available facilities and staff are to be used with maximal efficiency, a system of priorities is necessary. It would appear that patients with meconium staining of the liquor, with cephalopelvic disproportion, or with two or more indications for monitoring, should have priority for admission to our intensive care unit. Hypertension and antepartum haemorrhage are of less importance, but there are two other problems which need investigation. There is a group of patients in labour who arrive too late to be monitored. They have a considerable perinatal mortality and the reasons for their late arrival need to be ascertained. There is a second group of patients who begin labour before term and deliver babies with a high risk of perinatal death. These problems require further investigation.
分娩期间对胎儿进行重症监护可改善“高危”黑人女性的围产期状况。若要最大程度地高效利用现有设施和工作人员，就需要一套优先排序系统。似乎羊水胎粪污染、头盆不称或有两项或更多监测指征的患者，应优先入住我们的重症监护病房。高血压和产前出血的重要性相对较低，但还有另外两个问题需要调查。有一组分娩患者到达过晚而无法进行监测。他们有相当高的围产期死亡率，需要查明其迟到的原因。还有第二组患者在足月前开始分娩，所产婴儿有很高的围产期死亡风险。这些问题需要进一步调查。
