Webster M A, Linder-Pelz S, Martins J, Greenwell J
Royal Hospital for Women, Paddington, Sydney.
Aust N Z J Obstet Gynaecol. 1988 Feb;28(1):6-11. doi: 10.1111/j.1479-828x.1988.tb01602.x.
A retrospective study using an obstetric risk score protocol was applied to a stratified sequential sample of 843 singleton livebirths, occurring in the Royal Hospital for Women, Sydney, over a 12-month period (March, 1985-February, 1986). Data collection included 53 prenatal factors, 41 intrapartum factors and 37 neonatal factors. The study was comprised of 346 women admitted to the hospital birth centre and 497 women admitted to labour ward. In labour ward admitted women there was a significant association between high prenatal scores, high intrapartum scores and high neonatal morbidity scores. Women admitted to the birth centre were subjected to a screening procedure which resulted in low prenatal and relatively low intrapartum risk scores. However, neonatal morbidity scores were similar for both groups. The risk scoring protocol used in this study requires further revision to allow the adequate selection of low risk women delivering infants with a low risk of neonatal morbidity in a low risk obstetric setting.
一项采用产科风险评分方案的回顾性研究应用于悉尼皇家妇女医院在12个月期间（1985年3月至1986年2月）出生的843例单胎活产的分层序贯样本。数据收集包括53个产前因素、41个产时因素和37个新生儿因素。该研究包括346名入住医院分娩中心的妇女和497名入住产房的妇女。在入住产房的妇女中，高产前评分、高产时评分和高新生儿发病率评分之间存在显著关联。入住分娩中心的妇女接受了筛查程序，这导致产前风险评分较低且产时风险评分相对较低。然而，两组的新生儿发病率评分相似。本研究中使用的风险评分方案需要进一步修订，以便在低风险产科环境中充分筛选出分娩新生儿发病率低风险的低风险妇女。
