Lucas C A, O'Shea R M, Zielezny M A, Freudenheim J L, Wild J F
Department of Family Medicine, State University of New York, Buffalo 14208.
N Y State J Med. 1991 Feb;91(2):49-52.
A rural family practitioner may be responsible for the general medical and obstetric needs of a closed population such as the Old Order Amish. Until recently, the Amish in southern New York State have preferred to receive obstetric care in the home from traditional Amish midwives. Acceptance of prenatal care and hospital deliveries by rural physicians appears to be increasingly frequent among Amish primiparas in southern New York State, while non-Amish in the area have been seeking these services for decades regardless of parity. This retrospective chart review examines first pregnancy outcomes of Amish (N = 39) and non-Amish (N = 145) women who delivered their babies at a rural hospital in southern New York State during a four-year period. Little difference was found between the two groups of women regarding the overall good health of their first babies. In the Amish population there was less variability in maternal age, season in which the birth occurred, labor duration, and birth weight of babies. The Amish had their first child an average of one year later than the non-Amish. While research on a larger sample will be necessary to fully explore Amish vs non-Amish variances, this study demonstrates the effect that traditions and customs of a closed society such as the Amish may have on obstetric practice.
一位乡村家庭医生可能要负责满足特定封闭人群（如旧秩序阿米什人）的一般医疗和产科需求。直到最近，纽约州南部的阿米什人更倾向于由传统的阿米什助产士在家庭中提供产科护理。在纽约州南部的阿米什初产妇中，农村医生对产前护理和医院分娩的接受度似乎越来越高，而该地区的非阿米什人无论胎次如何，几十年来一直在寻求这些服务。这项回顾性图表审查研究了在四年期间于纽约州南部一家乡村医院分娩的阿米什妇女（N = 39）和非阿米什妇女（N = 145）的首次妊娠结局。两组妇女在其头胎婴儿的总体健康状况方面几乎没有差异。在阿米什人群中，产妇年龄、分娩季节、产程时长和婴儿出生体重的变异性较小。阿米什人生育头胎的时间平均比非阿米什人晚一年。虽然需要对更大样本进行研究才能全面探究阿米什人与非阿米什人的差异，但这项研究表明了像阿米什这样的封闭社会的传统习俗可能对产科实践产生的影响。
