Elliott C E
Aust Fam Physician. 1992 May;21(5):613-9.
This paper presents the case for continuing to practise safe obstetrics in a small suburban hospital. Boothville Maternity Hospital, Brisbane, is a Salvation Army hospital of 20 beds. Seven thousand births during the years 1975 to 1989 are reported. Perinatal mortality rate was 4.9/1000 total births, forceps rate 7.1%, caesarean rate 9.3% and transfer rate to larger centres 1.6% for babies and 1.2% for mothers. Personalised family-centred care in congenial surroundings serves to maximise the factors that favour uncomplicated delivery. Large centralised and small peripheral hospitals should be seen not as competitive but as complementary. Boothville provides mutually satisfying co-operation for care-givers and care-receivers.
本文阐述了在一家小型郊区医院继续开展安全产科服务的情况。布里斯班的布斯维尔妇产医院是救世军开办的一家拥有20张床位的医院。据报告，1975年至1989年期间共有7000例分娩。围产儿死亡率为每1000例总出生数4.9例，产钳助产率为7.1%，剖宫产率为9.3%，转至大型中心的比率，婴儿为1.6%，产妇为1.2%。在宜人的环境中提供个性化的以家庭为中心的护理，有助于最大限度地发挥有利于顺产的因素。大型中心医院和小型周边医院不应被视为相互竞争，而应视为互补。布斯维尔为护理人员和接受护理者提供了相互满意的合作。
