The Hospital Corporation of America, Nashville, TN, USA.
Am J Obstet Gynecol. 2012 May;206(5):387-9. doi: 10.1016/j.ajog.2011.08.017. Epub 2011 Aug 22.
The national movement to eliminate elective delivery at <39 weeks' gestation has engendered much enthusiasm and is a major step forward in the evolution of perinatal patient safety. Our experience with >1 million births in the past 5 years suggests the existence of a number of potential pitfalls that should be considered in policy development, enforcement, and compliance monitoring. Attention to these details will ensure continued patient benefit from these policies without endangering those fetuses in whom early term delivery is warranted medically.
全国范围内消除 <39 孕周选择性剖宫产的运动引起了广泛关注，是围产患者安全发展史上的重要一步。过去 5 年我们 100 多万分娩的经验表明，在政策制定、执行和遵守监测中应考虑一些潜在的陷阱。关注这些细节将确保这些政策继续使患者受益，而不会危及那些医学上需要早期分娩的胎儿。
