Ruckhäberle K E, Viehweg B, Reichel S, Schinagl A
Frauenklinik, Universität Leipzig.
Zentralbl Gynakol. 1992;114(5):231-7.
A retrospective analysis was done in 341 singleton premature deliveries to assess the practised activities in antenatal care for the prevention of premature delivery. This analysis, expressed in terms of adequacy revealed that 56% were adequate whereas 23% were conditionally adequate and 21% were inadequate. Clinically these activities were reflected in suppression of uterine contractions (80%/57%/40%-effective tocolysis), achieved prolongation of pregnancy (25d/8d/2d) and a lowered rate of premature delivery before the 32nd week of gestation (17%/31%/33%), respectively. A prospective study depending on these results (n = 450) done in 4 centers for antenatal care (under constant supervision to keep the respective recommended activities) showed a significant reduction in the rate of premature delivery compared to a similar control group (n = 458) in the year 1988. Simultaneously, we could demonstrate the influence of patient explanation and the growing patient satisfaction which resulted in reduction of premature delivery.
对341例单胎早产病例进行了回顾性分析，以评估产前护理中为预防早产所采取的措施。以充分性来衡量，该分析显示56%的措施充分，23%有条件充分，21%不充分。在临床上，这些措施分别表现为抑制子宫收缩（有效抑制宫缩的比例为80%/57%/40%）、延长孕周（延长25天/8天/2天）以及降低孕32周前的早产率（早产率分别为17%/31%/33%）。基于这些结果（n = 450）在4个产前护理中心进行了一项前瞻性研究（在持续监督下以确保各项推荐措施得以落实），结果显示与1988年的类似对照组（n = 458）相比，早产率显著降低。同时，我们能够证明患者教育以及患者满意度的提高对降低早产率的影响。
