van Lonkhuijzen Luc, Stegeman Margreet, Nyirongo Rebecca, van Roosmalen Jos
Department of Obstetrics, Leiden University Medical Centre, The Netherlands.
Afr J Reprod Health. 2003 Apr;7(1):32-6.
This study was conducted to assess the results from the use of a maternity waiting home, a health facility to which women with high risk pregnancies are referred during the last weeks of pregnancy in rural Zambia. It compared the risk status and pregnancy outcome in women staying as waiters with those women who give birth in hospital after direct admission (non-waiters). Forty seven per-cent of the non-waiters (n = 292) had no maternal risk factors and 85% had no antenatal risk factors as compared to 17% and 78% among the waiters (n = 218). Eighty six per cent of waiters had spontaneous vaginal vertex delivery as compared to 95% of non-waiters. Although the differences in risk status were statistically significant, no differences were found in birth weight and maternal and perinatal mortality. The similar obstetric outcome among waiters with more high risk pregnancies and non-waiters could be interpreted as a possible outcome of the maternity waiting home. When dependent on a proper functioning referral system, such waiting homes can reduce perinatal mortality.
本研究旨在评估在赞比亚农村地区使用产妇候家（maternity waiting home）的效果。产妇候家是一家医疗机构，高危妊娠妇女在怀孕最后几周会被转诊至此。该研究比较了作为候产者入住的妇女与直接入院后在医院分娩的妇女（非候产者）的风险状况和妊娠结局。非候产者（n = 292）中47%没有孕产妇风险因素，85%没有产前风险因素，相比之下，候产者（n = 218）中这两个比例分别为17%和78%。86%的候产者经阴道自然分娩头位胎儿，相比之下，非候产者的这一比例为95%。尽管风险状况的差异具有统计学意义，但在出生体重、孕产妇和围产儿死亡率方面未发现差异。高危妊娠候产者与非候产者相似的产科结局可被视为产妇候家可能产生的结果。当依赖于正常运转的转诊系统时，此类候家可降低围产儿死亡率。
