Powers W F, Hegwood P D, Kim Y S
Department of Pediatrics, University of Illinois College of Medicine, Peoria.
Obstet Gynecol. 1988 Mar;71(3 Pt 1):375-9.
To assess the degree of perinatal regionalization, maternal and infant records were reviewed for all very low birth weight (501-1500 g) infants born in calendar years 1985-1986 to residents of the primarily rural North Central Perinatal Region of Illinois. Seventy-one percent of mothers who were expected to deliver in non-center hospitals could have realistically been referred to perinatal centers for delivery. Ninety-four percent of realistic antenatal referrals actually occurred. In Peoria, 79% of mothers expected to deliver very low birth weight infants at non-center hospitals could realistically have been referred to the center for delivery, and all such referrals actually occurred. Because a goal of regionalization is to deliver certain high-risk women in centers, the fact that 94% of rural and 100% of urban realistic antenatal referrals actually occurred suggests that the North Central Perinatal Region is well regionalized. Other centers should study the site of delivery of this or other well-defined regional cohorts of high-risk pregnancies to quantitate how well perinatal care is regionalized in their respective areas.
为评估围产期区域化程度，我们查阅了1985 - 1986历年伊利诺伊州中北部主要为农村地区围产期的居民所生的所有极低出生体重（501 - 1500克）婴儿的母婴记录。预计在非中心医院分娩的母亲中，71%本可实际转至围产期中心分娩。实际发生的现实可行的产前转诊占94%。在皮奥里亚，预计在非中心医院分娩极低出生体重婴儿的母亲中，79%本可实际转至该中心分娩，且所有此类转诊均实际发生。由于区域化的一个目标是在中心为某些高危妇女接生，94%的农村地区及100%的城市地区现实可行的产前转诊实际发生这一事实表明，中北部围产期区域的区域化情况良好。其他中心应研究这一或其他明确界定的高危妊娠区域队列的分娩地点，以量化各自地区围产期护理的区域化程度。
