Rip M R, Hunter J M
Department of Geography, Michigan State University, East Lansing 48824.
Soc Sci Med. 1990;30(1):119-30. doi: 10.1016/0277-9536(90)90335-p.
Greater Cape Town has developed a geographical network of perinatal health care services for low-income mothers using community-based clinics with hospital referrals. This study analyzes 25,409 births recorded in 162 different urban residential areas during 1987. The data apply to two populations--black and mixed. Information on the mother, such as height, weight, education, parity, and prenatal visits is indicated by suburb, as well as birth outcomes such as gestational age, birthweight, and method of obstetrical delivery. Comparisons are drawn between black and mixed populations and among suburbs. High utilization rates and successful maternity and infant outcomes suggest that the outreach clinics of Cape Town could provide a model for urban agglomerations in other African countries.
大开普敦地区利用社区诊所并辅以医院转诊，为低收入母亲建立了一个围产期医疗服务地理网络。本研究分析了1987年在162个不同城市居民区记录的25409例分娩情况。数据适用于两个群体——黑人和混血人种。母亲的信息，如身高、体重、教育程度、产次和产前检查情况，按郊区划分列出，同时还包括出生结果，如孕周、出生体重和产科分娩方式。对黑人和混血人群以及各郊区之间进行了比较。高利用率以及成功的孕产妇和婴儿结局表明，开普敦的外展诊所可以为其他非洲国家的城市群提供一个模式。
