Boehm F H, Haire M F
Am J Obstet Gynecol. 1979 Jun 15;134(4):484-92. doi: 10.1016/s0002-9378(16)33092-7.
Transporting the high-risk pregnant woman to a tertiary center prior to labor or delivery, in an attempt to offer more intensive care to the patient and her infant, has gained increasing support from medical communities over the past few years. Because of this concept, tertiary centers need to be actively involved in the organization of these transport systems and to be certain that all members of the perinatal team at the referring as well as the receiving center are kept informed of events. This paper describes how Vanderbilt University Hospital initiated an acitive one-way maternal transport system and how that system is maintained and reviews the first 176 patients treated under that system. Establishing direct lines of communication between the practicing physician and the tertiary center and emphasizing continuing education at all levels seem to be important aspects in the development and maintenance of such a referral system.
在过去几年里，在分娩前将高危孕妇转运至三级医疗中心，试图为患者及其婴儿提供更强化的护理，这一做法越来越得到医学界的支持。基于这一理念，三级医疗中心需要积极参与这些转运系统的组织工作，并确保转诊中心和接收中心围产期团队的所有成员都能随时了解情况。本文描述了范德比尔特大学医院如何启动一个活跃的单向孕产妇转运系统以及该系统是如何维持的，并回顾了在该系统下接受治疗的首批176例患者。在执业医师与三级医疗中心之间建立直接沟通渠道，并强调各级的继续教育，似乎是这种转诊系统发展和维持的重要方面。
