Aladdin Berit Haglund, Jacobsson Bo, Sandberg Kenneth, Lilja Håkan
Kvinnokliniken, Sahlgrenska Universitetssjukhuset/Ostra, Göteborg.
Lakartidningen. 2004 Oct 7;101(41):3148-50.
One hundred and sixty-seven women gave birth before arrival at the hospital during a six-year period in the Göteborg area. Most of these women had given birth before. The actual delivery most often started at term during the night, proceeded normally but rapidly and the neonatal outcome was good. Sixty-two per cent of the women delivered at home. Complicated lacerations or major hemorrhages were uncommon. The distance to the delivery ward was one of the risk factors for prehospital delivery. This is important to take into consideration in the ongoing process of centralizing the delivery clinics. Basic knowledge in obstetrics is mandatory for the ambulance personnel, as well as regular observation visits to the delivery ward and practice in birth simulators.
在哥德堡地区的六年时间里，有167名女性在抵达医院之前就分娩了。这些女性大多曾有过分娩经历。实际分娩大多在足月时于夜间开始，进展正常但迅速，新生儿结局良好。62%的女性在家中分娩。复杂裂伤或大出血并不常见。与产房的距离是院前分娩的风险因素之一。在当前产房集中化的过程中，这一点很重要，需要加以考虑。救护人员必须具备基本的产科知识，同时要定期到产房观摩并进行分娩模拟器练习。
