Cruikshank D P, Linyear A S
Obstet Gynecol. 1987 Jun;69(6):841-4.
Term fetal deaths occurring in Virginia in 1983 were reviewed to determine potential preventability. During this period, 52 (48%) of 108 such deaths were judged preventable. The leading cause of preventable antepartum death was maternal hypertension, followed by diabetes, inadequate fetal surveillance, and postterm pregnancy. The major cause of intrapartum fetal death was long delay between the onset of obvious fetal compromise and delivery. The incidence of preventable term stillbirth seemed inversely proportional to hospital size.
对1983年弗吉尼亚州发生的足月胎儿死亡病例进行了回顾,以确定其潜在的可预防性。在此期间,108例此类死亡病例中有52例(48%)被判定为可预防。可预防的产前死亡的主要原因是母亲高血压,其次是糖尿病、胎儿监测不足和过期妊娠。产时胎儿死亡的主要原因是明显的胎儿窘迫开始到分娩之间的长时间延误。可预防的足月死产发生率似乎与医院规模成反比。