入选分娩单元分娩的患者出现的意外问题。

Unexpected problems in patients selected for birthing unit delivery.

作者信息

Permezel J M, Pepperell R J, Kloss M

出版信息

Aust N Z J Obstet Gynaecol. 1987 Feb;27(1):21-3. doi: 10.1111/j.1479-828x.1987.tb00925.x.

DOI:10.1111/j.1479-828x.1987.tb00925.x

Abstract

Although delivery in the Family Birthing Unit of our hospital has been associated with good perinatal results, unexpected serious complications were observed necessitating the availability of immediate resuscitation facilities for both mother and baby. Of the 1,794 patients initially selected for confinement in the Family Birthing Unit, 326 were transferred out because of antenatal complications, 241 were transferred out because of intrapartum complications, and the incidence of postpartum haemorrhage and/or neonatal asphyxia in the remaining lowest risk patients were 3.7% and 1.3% respectively. Ten of these lowest risk patients required blood transfusions and 4 babies required admission to the Special Care Baby Unit because of neonatal asphyxia.

摘要

尽管在我们医院的家庭分娩单元分娩与良好的围产期结局相关，但仍观察到一些意外的严重并发症，这就需要为母婴提供即时复苏设施。在最初选择在家庭分娩单元分娩的1794名患者中，326名因产前并发症被转出，241名因产时并发症被转出，其余风险最低的患者中产后出血和/或新生儿窒息的发生率分别为3.7%和1.3%。这些风险最低的患者中有10名需要输血，4名婴儿因新生儿窒息需要入住新生儿重症监护病房。