Hamilton R A, Perlmann T, de Souza J J
S Afr Med J. 1987 Jan 10;71(1):31-4.
The fetal outcome was compared in 200 unbooked pregnancies and in 310 pregnancies in which the mothers had booked before 22 weeks' gestation. Of the babies born to the unbooked mothers 36% weighed less than 2,500 g compared with only 12.5% in the booked group. Among the unbooked patients the neonatal mortality rate was three times higher than among booked cases. Maternal intrinsic factors, including parity and socio-economic status, made a major contribution to the incidence of low-birth-weight babies. The need for improved attendance at clinics and for education about antenatal care in the coloured population under review is well documented. The introduction of peripheral clinics and free antenatal care could play a major role in improving fetal outcome.
对200例未登记妊娠和310例母亲在妊娠22周前已登记的妊娠的胎儿结局进行了比较。未登记母亲所生婴儿中，36%体重低于2500克，而登记组仅为12.5%。在未登记患者中，新生儿死亡率比登记病例高两倍。包括产次和社会经济地位在内的母亲内在因素对低体重儿的发生率起了主要作用。有充分证据表明，在所研究的有色人种人群中，需要提高门诊就诊率并开展产前护理教育。开设周边诊所和提供免费产前护理在改善胎儿结局方面可发挥重要作用。
