Smit H, Voorhoeve H W
Aitape Health Centre, West Sepik Province, Papua New Guinea.
P N G Med J. 1992 Jun;35(2):106-12.
Routinely collected obstetric data at the Aitape Health Centre, Papua New Guinea over the years 1986, 1988 and 1989 were analyzed and compared with figures from western New Guinea of about thirty years ago and with those of rural African hospitals. Data from 924 deliveries were analyzed. 30% were born before arrival (BBA). The number of abnormal deliveries was high. This was in part due to the high frequency of twin births (4.5%). Among the BBAs puerperal sepsis and stillbirth were significantly higher than among those who delivered in the health centre. The stillbirth frequency was 3.4%. The sex ratio male:female at birth was 120.9. The large number of retained placentae with manual removal (5.2%) was related to high parity; 33.5% of the women delivering at the health centre were para-4 or more. 20% of male and 24% of female newborns had low birthweight (less than 2500g).
对1986年、1988年和1989年在巴布亚新几内亚艾塔佩健康中心定期收集的产科数据进行了分析,并与约30年前新几内亚西部的数据以及非洲农村医院的数据进行了比较。对924例分娩数据进行了分析。30%的婴儿在到达前出生(BBA)。异常分娩的数量很高。部分原因是双胞胎出生率较高(4.5%)。在BBA中,产褥期败血症和死产率明显高于在健康中心分娩的产妇。死产率为3.4%。出生时男女比例为120.9。大量胎盘滞留需人工剥离(5.2%)与高胎次有关;在健康中心分娩的妇女中,33.5%为4胎及以上。20%的男婴和24%的女婴出生体重低(低于2500克)。