Woods J O
Br Med J. 1971 Dec 25;4(5790):803-5. doi: 10.1136/bmj.4.5790.803.
A survey of perinatal mortality in Northern Ireland has shown that despite a progressive fall in the proportion of deliveries at home the perinatal mortality rate in domiciliary practice has risen in recent years. Overall, however, the perinatal mortality rate for all deliveries compares well with English figures. It seems that as the proportion of deliveries in hospital and general-practitioner obstetric unit rises a hard core of high risk patients is left who insist on delivery at home. Three prerequisites for good general-practice obstetrics are careful selection of cases, intelligent antenatal care, and close co-operation between the general practitioner and the consultant.
北爱尔兰围产期死亡率调查显示，尽管在家分娩的比例逐渐下降，但近年来家庭医疗中的围产期死亡率却有所上升。不过总体而言，所有分娩的围产期死亡率与英格兰的数据相比情况良好。似乎随着医院和全科医生产科单位分娩比例的上升，留下了一群坚持在家分娩的高风险核心患者。良好的全科医疗产科有三个先决条件，即仔细挑选病例、明智的产前护理以及全科医生与顾问之间的密切合作。
