van Coeverden de Groot H A
S Afr Med J. 1979 Dec 15;56(25):1087-92.
Perinatal deaths and perinatal mortality rates in Cape Town for the period 1967--1977 have been analysed, and large differences were found between the various ethnic groups. In non-Whites stillbirths accounted for more than two-thirds of perinatal deaths in 1977, and in at least 75% of these fetal death preceded labour. Perinatal mortality rates must be considered together with the number of perinatal deaths if the true magnitude of the problem with regard to the various obstetric complications and procedures is to be appreciated. The main perinatal problems as they affect the infant were (i) during pregnancy--antepartum haemorrhage (especially abruptio placentae), intra-uterine growth retardaton, multiple pregnancy, proteinuric hypertension and unbooked status; (ii) during labour and delivery--preterm labour, stillbirths (especially before labour) and vaginal breech delivery; (iii) in the early neonatnal period--immaturity and respiratory distress and neonatal infection.
对1967年至1977年期间开普敦的围产期死亡情况及围产死亡率进行了分析，结果发现不同种族群体之间存在很大差异。在非白人中，1977年死产占围产期死亡的三分之二以上，其中至少75%的胎儿死亡发生在分娩前。如果要了解各种产科并发症和手术问题的真实严重程度，围产死亡率必须与围产期死亡人数一并考虑。影响婴儿的主要围产期问题包括：（i）孕期——产前出血（尤其是胎盘早剥）、子宫内生长迟缓、多胎妊娠、蛋白尿性高血压和未登记情况；（ii）分娩时——早产、死产（尤其是分娩前）和阴道臀位分娩；（iii）新生儿早期——不成熟、呼吸窘迫和新生儿感染。
