Mphahlele M
S Afr Med J. 1977 Nov 19;52(22):891-2.
An analysis of a prospective study of 82 patients with 'bad obstetric history' is presented. Sixty-four babies were born alive, 11 did not survive, and 7 mothers were lost to the study. The patients had had a total of 402 pregnancies (including the pregnancy under study). The study revealed the difficulty of pin-pointing the causes of or factors involved in the previous fetal loss. Organic and socio-economic factors combine to cause abortion, premature labour or stillbirth. It is pointed out that enough emphasis has been placed on bad obstetric history as an important cause of fetal wastage. Even in simple maternity wings lacking modern sophisticated equipment for monitoring patients during the antenatal period or in labour commendable results can be obtained, at the cost of a long stay in hospital to improve the general state of health.
本文对82例有“不良孕产史”的患者进行了前瞻性研究分析。64例婴儿存活，11例未存活，7例母亲失访。这些患者共有402次妊娠（包括本次研究中的妊娠）。该研究揭示了确定既往胎儿丢失原因或相关因素的困难。器质性和社会经济因素共同导致流产、早产或死产。文中指出，人们已充分强调不良孕产史是胎儿丢失的重要原因。即使在缺乏现代先进设备来在孕期或分娩时监测患者的简易产科病房，以长时间住院改善总体健康状况为代价，也能取得值得称赞的结果。
