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瑞典全科医疗中的产前护理。II. 地区医生与产科医生之间工作分配的研究。

Antenatal care in general practice in Sweden. II. A study of work allocation between district physician and obstetrician.

作者信息

Håkansson A

机构信息

Teleborg Health Centre, Växjö, Sweden.

出版信息

Scand J Prim Health Care. 1988 Sep;6(3):143-8. doi: 10.3109/02813438809009307.

DOI:10.3109/02813438809009307
PMID:3222584
Abstract

In this study, 143 women were carefully observed throughout their pregnancy. The population was an all-inclusive material from a well-defined geographical area. Altogether 688 visits to the physician and 1504 visits to the midwife were registered. At the district antenatal clinic about 80% of the mothers could be helped by the district midwife and the district physician. About 10% required some specialist attention, while the remaining 10% required attention at the hospital antenatal clinic. The district physician dealt with 62% of the obstetric problems and 75% of the non-obstetric problems. The cases referred to the hospital antenatal clinic (20%) had a high proportion of complications, e.g. 54% of the caesarean sections and 43% of the babies sent to the neonatal clinic.

摘要

在本研究中,对143名女性整个孕期进行了仔细观察。研究对象是来自一个明确地理区域的所有相关人群。总共记录了688次就诊医生和1504次就诊助产士的情况。在地区产前诊所,约80%的母亲可得到地区助产士和地区医生的帮助。约10%的母亲需要一些专科护理,其余10%的母亲需要在医院产前诊所接受护理。地区医生处理了62%的产科问题和75%的非产科问题。转诊至医院产前诊所的病例(20%)并发症比例较高,例如,54%的剖腹产手术以及43%的婴儿被送往新生儿诊所。

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