Low J A, Boston R W, Cervenko F W
Can Med Assoc J. 1970 Feb 28;102(4):365-8.
A clinical classification of perinatal morbidity and mortality should be based upon the pathophysiological mechanisms which affect the fetus and newborn infant, resulting in this morbidity and mortality. Each mechanism is a distinctive disturbance which may be regarded as the common pathway for expression of insults to the fetus and newborn infant arising from a wide variety of obstetric abnormalities and specific disease entities. The following classification of mechanisms incorporating the whole spectrum of perinatal problems is proposed: (1) developmental abnormality; (2) immaturity and prematurity; (3) chronic fetal insufficiency; (4) acute fetal insufficiency; (5) newborn respiratory failure; (6) blood group incompatibility; (7) infection, and (8) trauma.
围产期发病率和死亡率的临床分类应基于影响胎儿和新生儿并导致这种发病率和死亡率的病理生理机制。每种机制都是一种独特的紊乱，可被视为由各种产科异常和特定疾病实体引起的对胎儿和新生儿的损伤表现的共同途径。现提出以下涵盖围产期所有问题的机制分类：(1)发育异常；(2)不成熟和早产；(3)慢性胎儿功能不全；(4)急性胎儿功能不全；(5)新生儿呼吸衰竭；(6)血型不相容；(7)感染，以及(8)创伤。
