Campos Sibylle Emilie Vogt, Lana Francisco Carlos Félix
Hospital Sofia Feldman, Rua Antônio Bandeira 1060, Belo Horizonte, MG 31840-130, Brazil.
Cad Saude Publica. 2007 Jun;23(6):1349-59. doi: 10.1590/s0102-311x2007000600010.
This was a descriptive and retrospective study of 2,117 deliveries from January 2002 to July 2003 at the Dr. David Capistrano da Costa Filho Birthing Center in Belo Horizonte, Minas Gerais, Brazil. Widespread questions have been raised concerning the quality of services provided at birthing centers by obstetric nurses. The results of the current study were: 11.4% maternal transfer rate; 2.2% cesarean sections; 1.2% neonatal ICU admissions; and 1% 5-minute Apgar scores below 7. Delivery dystocia and the request for epidural anesthesia were the main reasons for maternal transfer, and respiratory distress was the main cause of neonatal ICU admission. Corrected neonatal mortality was 2 per 1,000 live births. The results at this birthing center did not differ significantly from those in a review of the international literature. The most striking finding was the low cesarean rate. Comparative studies and more comprehensive national data on low-risk gestations are needed.
这是一项对2002年1月至2003年7月在巴西米纳斯吉拉斯州贝洛奥里藏特市大卫·卡皮斯特拉诺·达·科斯塔·菲略博士分娩中心的2117例分娩进行的描述性回顾性研究。产科护士在分娩中心提供的服务质量引发了广泛质疑。本研究结果如下：产妇转诊率为11.4%；剖宫产率为2.2%；新生儿重症监护病房（NICU）收治率为1.2%；5分钟阿氏评分低于7分的比例为1%。分娩难产和硬膜外麻醉需求是产妇转诊的主要原因，呼吸窘迫是新生儿入住NICU的主要原因。校正后的新生儿死亡率为每1000例活产2例。该分娩中心的结果与国际文献综述中的结果无显著差异。最显著的发现是剖宫产率较低。需要进行比较研究以及获取关于低风险妊娠更全面的国家数据。
