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1984年以色列全国围产期普查:评估以色列产科服务的设计、组织与用途

The 1984 national perinatal census: design, organization and uses for assessing obstetric services in Israel.

作者信息

Samueloff A, Mor-Yosef S, Seidman D S, Navot D, Ohel G, Simon A, Rabinowitz R, Schenker J G

机构信息

Department of Obstetrics and Gynecology, Hadassah University Hospital, Jerusalem, Israel.

出版信息

Isr J Med Sci. 1989 Nov;25(11):629-34.

PMID:2592178
Abstract

A nationwide perinatal census was conducted in Israel, in which medical, social, ethnic and demographic information on all births that took place in Israel within a predefined 3-month period was collected. The present study is the first to include 22,814 births that took place in all the obstetric units in Israel. The perinatal mortality rate decreased from 23.7 in 1964-68 to 13 in 1983-84. The frequency of cesarean section deliveries almost doubled over the last decade, while the use of forceps decreased significantly and the use of vacuum extraction did not change. The rate of low birthweight, however, remained constant over the last two decades. The level of hospital care has been shown to be significantly associated with perinatal mortality. The Israeli Perinatal Census may be used to provide information needed for promoting priority objectives for pregnancy and infant health, such as improving health status, identifying risk factors, increasing public and professional awareness, and improvement in services by protecting mother and fetus.

摘要

以色列开展了一项全国围产期普查,收集了在预定义的3个月期间内以色列境内所有分娩的医学、社会、种族和人口统计信息。本研究首次纳入了以色列所有产科单位发生的22,814例分娩。围产期死亡率从1964 - 1968年的23.7降至1983 - 1984年的13。在过去十年中,剖宫产分娩的频率几乎翻了一番,而产钳的使用显著减少,真空吸引的使用没有变化。然而,低出生体重率在过去二十年中保持不变。已表明医院护理水平与围产期死亡率显著相关。以色列围产期普查可用于提供促进妊娠和婴儿健康优先目标所需的信息,如改善健康状况、识别风险因素、提高公众和专业人员的认识以及通过保护母亲和胎儿改善服务。

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