Clyman R I, Green C, Mikkelsen C, Rowe J, Ataide L
Pediatrics. 1979 Nov;64(5):665-7.
Numerous authors have advocated appropriate physician-patient counseling following a perinatal death. We examined, in a prospective manner, how many families utilized physician follow-up when such follow-up was offered. Seventy-six percent of the 108 families who experienced a neonatal death chose to have physician follow-up in the weeks after the death. A family's utilization of subsequent physician contact was not related to the distance they lived from the medical center, the duration of survival of the infant, or the racial background of the mother. Parents utilized follow-up visits whether or not an autopsy was performed or an interpreter was needed. Certain features distinguished the parents who did not utilize the physician follow-up service: parents were less likely to utilize the service if they were not married, the mother was a teenager, the head of the household was unemployed, or there was no phone at home.
许多作者都主张在围产期死亡后进行适当的医患咨询。我们以一种前瞻性的方式研究了，当提供医生随访服务时，有多少家庭会利用这一服务。在108例经历新生儿死亡的家庭中，76%的家庭选择在孩子死亡后的几周内接受医生随访。一个家庭对后续医生联系的利用情况，与他们居住的地方离医疗中心的距离、婴儿的存活时长或母亲的种族背景无关。无论是否进行尸检或是否需要翻译，父母都会利用随访就诊。有一些特征可以区分那些没有利用医生随访服务的父母：如果父母未婚、母亲是青少年、户主失业或家里没有电话，他们利用该服务的可能性就较小。
