van Roosmalen J
Department of Obstetrics and Gynaecology, Leiden University Hospital, The Netherlands.
Br J Obstet Gynaecol. 1989 Jul;96(7):827-34. doi: 10.1111/j.1471-0528.1989.tb03323.x.
Prolonged labour was the most frequent cause of perinatal death in a rural hospital in the south western highlands of Tanzania. After the introduction of an obstetric policy aiming to prevent prolonged labour by making use of the guidelines of the partogram, perinatal mortality was reduced from 71 to 39 per 1000 births. Baird's clinico-pathological classification is still considered a useful instrument for the discovery of avoidable factors in perinatal deaths. The concept of the partogram should be an integral part of the training of medical auxiliaries in the field of maternal and child health (MCH).
在坦桑尼亚西南部高地的一家乡村医院，产程延长是围产期死亡最常见的原因。在引入一项产科政策，旨在通过使用产程图指南来预防产程延长后，围产期死亡率从每1000例出生71例降至39例。贝尔德的临床病理分类法仍被认为是发现围产期死亡中可避免因素的有用工具。产程图的概念应成为妇幼保健（MCH）领域医学辅助人员培训的一个组成部分。
