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出生地与围产期死亡率。

Place of birth and perinatal mortality.

作者信息

Tew M

出版信息

J R Coll Gen Pract. 1985 Aug;35(277):390-4.

PMID:4020758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1960231/
Abstract

Analyses of the published results of national surveys and specific studies, as well as of the official stillbirth statistics, consistently point to the conclusion that perinatal mortality is significantly higher in consultant obstetric hospitals than in general practitioner maternity units or at home, even after allowance has been made for the greater proportion of births in hospital at high pre-delivery risk. Unpubliched results of the British births 1970 survey, which have now become available, make possible a direct and authoritative analysis of data on the safest place of birth. Not only does this make the earlier conclusion more certain, but it confounds the doctrine that obstetric intranatal care is particularly beneficial for high pre-delivery risk births. There is no evidence from recent years that the findings of 1970 are not equally valid in the 1980s.

摘要

对全国性调查和特定研究的已发表结果,以及官方死产统计数据的分析一致表明,即使在考虑到高危分娩在医院出生的比例较高之后,产科顾问医院的围产期死亡率仍显著高于全科医生产科病房或家中。现已获得的1970年英国出生情况调查的未发表结果,使得对最安全分娩地点的数据进行直接且权威的分析成为可能。这不仅使早期结论更加确定,而且还推翻了产科产时护理对高危分娩特别有益的学说。近年来没有证据表明1970年的研究结果在20世纪80年代不具有同等效力。

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Place of birth and perinatal mortality.出生地与围产期死亡率。
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引用本文的文献

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Analysis of 275 planned and 10 unplanned home births.对275例计划内家庭分娩和10例计划外家庭分娩的分析。
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2
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[Not Available].[无可用内容]
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Comparison of outcome of low-risk labour in an isolated general practice maternity unit and a specialist maternity hospital.独立全科医疗妇产科病房与专科妇产医院低风险分娩结局的比较。
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10
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本文引用的文献

1
Prolonged pregnancy: is induction of labour indicated? A prospective study.过期妊娠:引产是否必要?一项前瞻性研究。
Br J Obstet Gynaecol. 1982 Apr;89(4):292-5. doi: 10.1111/j.1471-0528.1982.tb04698.x.
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A comparison of low-risk pregnant women booked for delivery in two systems of care: shared-care (consultant) and integrated general practice unit. II. Labour and delivery management and neonatal outcome.在两种护理体系(共享护理(顾问医生模式)和综合全科医疗单元)中登记分娩的低风险孕妇的比较。II. 分娩管理与新生儿结局
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Home confinement: the positive results in Holland.居家隔离:荷兰的积极成果。
J R Coll Gen Pract. 1984 Aug;34(265):425-30.
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Planned and unplanned deliveries at home.家中的计划内和计划外分娩。
Br Med J (Clin Res Ed). 1984 Jun 2;288(6431):1691-2. doi: 10.1136/bmj.288.6431.1691-c.
5
Planned and unplanned deliveries at home: implications of a changing ratio.在家进行的计划内和计划外分娩:比例变化的影响
Br Med J (Clin Res Ed). 1984 May 12;288(6428):1429-32. doi: 10.1136/bmj.288.6428.1429.
6
Obstetric hospitals and general-practitioner maternity units--the statistical record.产科医院及全科医生产科病房——统计记录
J R Coll Gen Pract. 1977 Nov;27(184):689-94.
7
A retrospective study of induction of labour.引产的回顾性研究。
Br J Obstet Gynaecol. 1979 Apr;86(4):257-65. doi: 10.1111/j.1471-0528.1979.tb11252.x.