Bergsjø Per, Mlay Joseph, Lie Rolv T, Lie-Nielsen E, Shao John F
Norwegian Institute of Public Health, Division of Epidemiology, P.O. Box 4404 Nydalen, NO-0403 Oslo, Norway.
East Afr J Public Health. 2007 Apr;4(1):1-4.
To establish a medical birth registry intended to serve clinical, administrative and research purposes.
Starting in July 2000, every birth at Kilimanjaro Christian Medical Centre (KCMC) in Moshi, Tanzania has been recorded in a separate database. The information is obtained through personal interviews with each mother, conducted by specially trained midwives, and supplied with data from the medical records. A secretary enters the data into the electronic file. Data are collected about the mother and father: education, occupation and living conditions, mother's health before and during present pregnancy, expected date of delivery, smoking and drinking (alcohol) habits, use of drugs, plus HIV and syphilis status (if known). This is followed by particulars on the delivery: spontaneous or induced, and complications; the child or children: weight, height and Apgar score, malformations and other diagnoses. Mode of birth: spontaneous or operative intervention. If perinatal death: when? Transfer to intensive neonatal unit? The mother's reproductive history (births, miscarriages, ectopic pregnancies) is also recorded, with outcomes.
We describe the process based on more than six years' experience, including obstacles and how they were overcome. The registry serves as a monitoring tool, with a set of key activities and events being issued monthly, indicating changes and trends in, e.g., bleeding complications, caesarean section rates and perinatal mortality, as early warning signs. Monthly reports on key issues are presented. Confidentiality and data protection are key issues. Day-to-day recording of births is vulnerable to personnel shortage, whether from disease or holidays.
Validation and quality checks leave the overall impression that the database is largely accurate and credible. There are plenty of opportunities for research. Clinicians and epidemiologists will profit from using the database to test hypotheses and clarify problem issues, to the ultimate benefit of labouring women and their children.
建立一个用于临床、管理和研究目的的医学出生登记处。
从2000年7月开始，坦桑尼亚莫希的乞力马扎罗基督教医疗中心（KCMC）的每一例出生情况都被记录在一个单独的数据库中。信息通过经过专门培训的助产士对每位母亲进行的个人访谈获取，并补充病历中的数据。一名秘书将数据录入电子文件。收集有关父母的信息：教育程度、职业和生活条件、母亲本次怀孕前及孕期的健康状况、预产期、吸烟和饮酒习惯、药物使用情况，以及艾滋病毒和梅毒感染状况（如果已知）。随后是分娩的详细情况：自然分娩或引产以及并发症；婴儿：体重、身高和阿普加评分、畸形和其他诊断。分娩方式：自然分娩或手术干预。如果是围产期死亡：何时发生？是否转入新生儿重症监护病房？还记录了母亲的生育史（生育、流产、宫外孕）及结果。
我们根据六年多的经验描述了这一过程，包括遇到的障碍以及如何克服这些障碍。该登记处作为一个监测工具，每月发布一系列关键活动和事件，作为早期预警信号，显示例如出血并发症、剖腹产率和围产期死亡率等方面的变化和趋势。呈现了关于关键问题的月度报告。保密和数据保护是关键问题。日常出生记录容易受到人员短缺的影响，无论是因病还是因节假日。
验证和质量检查总体上给人的印象是该数据库基本准确且可信。有很多研究机会。临床医生和流行病学家将受益于使用该数据库来检验假设和阐明问题，最终造福于分娩的妇女及其子女。
