Skibsted L, Svaerke M, Lange A P
Ugeskr Laeger. 1989 May 15;151(20):1224-7.
With the object of assessing the safety of deliveries in the Maternity Clinic in Glostrup Hospital, consecutive registration of all 196 deliveries which commenced in the clinic during a period of seven months was undertaken. On account of various complications, 36.2% of these were transferred to the Special Department during delivery. As a control material, 313 so-called "no risk" deliveries which occurred in the Maternity Department of the Special Department during the same period were employed. The corresponding number of "complicated" deliveries in this material was 45.7%. Interventions such as early rupture of the membranes and stimulation of contractions with intravenous oxytocin were employed significantly more frequently in the Special Department. Delivery with vacuum-extractor or caesarean section was employed in 12.3% of the deliveries which commenced in the Clinic as compared with 16.6% in the Special Department. This difference was not significant. No differences could be demonstrated in the conditions of the infants on delivery and in the neonatal period which could be attributed to the choice of place of delivery. It is concluded that, with the rules for referral, monitoring during delivery and transfer to the Special Department which hold for the Maternity Clinic, the safety for deliveries corresponds to that which the Maternity Unit of the Special Department can offer.
为评估格罗斯特鲁普医院妇产科分娩的安全性，对该科室七个月期间开始的所有196例分娩进行了连续登记。由于各种并发症，其中36.2%在分娩期间被转至特殊科室。作为对照材料，采用了同期在特殊科室产科发生的313例所谓“无风险”分娩。该材料中“复杂”分娩的相应比例为45.7%。特殊科室更频繁地采用了诸如胎膜早破和静脉滴注催产素刺激宫缩等干预措施。在该科室开始的分娩中，12.3%采用了真空吸引器助产或剖宫产，而在特殊科室这一比例为16.6%。这一差异不显著。在分娩时及新生儿期婴儿的状况方面，未发现可归因于分娩地点选择的差异。得出的结论是，根据适用于妇产科的转诊规则、分娩期间的监测以及转至特殊科室的规定，该科室的分娩安全性与特殊科室产科所能提供的安全性相当。
