Eskes T K
Department of Obstetrics and Gynaecology, University Hospital Nijmegen, The Netherlands.
Int J Gynaecol Obstet. 1992 Jul;38(3):161-9. doi: 10.1016/0020-7292(82)90124-2.
The obstetrical organizational system in the Netherlands is based on the selection for risk factors. We conclude that: (i) The reporting of perinatal death is not complete. (ii) Perinatal mortality can be reduced. (iii) More iatrogenic interventions are present in low-risk deliveries in hospitals. (iv) Neurological behavior of low-risk babies born at home is equal to those born at the hospital, despite the worse maternal profile of the latter and the level of acidemia at birth in the first. Good data especially in referred cases are necessary before adopting a similar system.
荷兰的产科组织系统是基于风险因素的筛选。我们得出以下结论：（i）围产期死亡报告并不完整。（ii）围产期死亡率可以降低。（iii）医院中低风险分娩的医源性干预更多。（iv）在家中出生的低风险婴儿的神经行为与在医院出生的婴儿相同，尽管后者的母亲情况较差且前者出生时的酸血症水平较高。在采用类似系统之前，尤其是在转诊病例中，需要有良好的数据。
