Richardson B D, Bac M
S Afr Med J. 1987 Jun 6;71(11):709-11.
Because the infant mortality rate in Gelukspan, Bophuthatswana, is relatively low, a study was conducted among 1,151 children born at home or in hospitals or clinics, to learn whether place of birth made a significant difference to any component of the infant or childhood mortality rate during neonatal (less than 1 month), infant (1-11 months) or preschool (12-59 months) periods. The rate for home births was significantly higher (P less than 0.01) when compared with that for clinic but not hospital births. The rate for neonates was significantly higher (P less than 0.05) but not for infants. This may well reflect lack of early contact with medical and paramedical staff in women delivering at home rather than at a clinic. This was not applicable to home versus hospital deliveries, but as difficult births are referred to hospital from the local clinics this may partly explain the lack of a significant difference between home and hospital deliveries. Cause of death may well be a further reason to encourage mothers to choose institutional rather than home deliveries.
由于博普塔茨瓦纳的格卢克斯潘地区婴儿死亡率相对较低，因此对1151名在家中、医院或诊所出生的儿童进行了一项研究，以了解出生地是否会对新生儿期（小于1个月）、婴儿期（1 - 11个月）或学龄前（12 - 59个月）的婴儿或儿童死亡率的任何组成部分产生显著影响。与诊所出生的婴儿相比，在家出生的婴儿死亡率显著更高（P小于0.01），但与医院出生的婴儿相比则不然。新生儿的死亡率显著更高（P小于0.05），但婴儿的死亡率并非如此。这很可能反映出在家分娩的妇女与医护人员缺乏早期接触，而不是在诊所分娩的妇女。这不适用于在家分娩与在医院分娩的比较，但由于难产会从当地诊所转诊到医院，这可能部分解释了在家分娩和在医院分娩之间缺乏显著差异的原因。死亡原因很可能是鼓励母亲选择在医疗机构而非在家中分娩的另一个原因。
