van Coeverden de Groot H A
S Afr Med J. 1979 Sep 29;56(14):558-62.
Major changes have occurred in the nature of the obstetric population under the care of the Department of Obstetrics and Gynaecology in Cape Town between 1974 and 1978. In the Coloured group, a settled population, these changes were: a decrease in the number of teenage deliveries, a shift from the very young to the older teenage patient, and a decrease in the number of elderly obstetric patients and of grand multiparas. Puerperal sterilization virtually doubled during this period. Similar trends in Black and White patients must be interpreted with caution since the former constitutes a shifting population and the latter are not representative of White obstetric practice in Cape Town. Family planning education and the greater acceptance of voluntary sterilization have contributed to the declining numbers of socially and obstetrically disadvantaged patients.
1974年至1978年间，开普敦妇产科所护理的产科人群的性质发生了重大变化。在有色人种群体中，这是一个稳定的人群，这些变化包括：青少年分娩数量减少，从非常年轻的青少年患者转向年龄较大的青少年患者，老年产科患者和多产孕妇数量减少。在此期间，产后绝育率几乎翻了一番。对于黑人和白人患者的类似趋势必须谨慎解读，因为前者是流动人群，而后者并不能代表开普敦白人的产科情况。计划生育教育以及对自愿绝育的更多接受导致了社会和产科弱势患者数量的下降。
