Konte J M, Creasy R K, Laros R K
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco.
Obstet Gynecol. 1988 May;71(5):727-30.
A demonstration project aimed at reducing the incidence of preterm birth in a rural population of Northern California was conducted using risk assessment, patient education, and education for providers as interventions. We compared 1914 preintervention deliveries with 7382 births during the intervention period. Although the percentage of preterm labor patients eligible for tocolysis was 34% greater during the intervention period than during the preintervention period, and the percentage of preterm labor patients who achieved term gestation was 53% greater in the intervention period, the overall rate of spontaneous preterm delivery in the population did not differ significantly in the two periods.
在北加利福尼亚农村人口中开展了一个示范项目，该项目以风险评估、患者教育以及对医疗服务提供者的教育作为干预措施，旨在降低早产发生率。我们将干预前的1914例分娩与干预期间的7382例分娩进行了比较。尽管在干预期间符合tocolysis条件的早产患者百分比比干预前高出34%，且干预期间达到足月妊娠的早产患者百分比高出53%，但该人群中自然早产的总体发生率在两个时期没有显著差异。
