Fedrick J, Butler N R
Br Med J. 1978 Mar 25;1(6115):763-5. doi: 10.1136/bmj.1.6115.763.
Data from the "1958 Perinatal Mortality Survey" have been analysed to assess differences in stillbirth and neonatal death rates according to the arrangements made for delivery. Only women aged 20-34 delivering at term, with no pregnancy abnormalities, were selected from three groups of women (normotensive primiparae, hypertensive primiparae, and normotensive women of parity 1, 2, or 3). Despite the fact that within each group the women booked for NHS consultant units were heavily weighted with adverse factors, the death rate of their infants was no more than 70% of that found among the women booked for either domiciliary, general practitioner unit, or private consultant delivery. Care and delivery in a NHS consultant unit carries least risk of death for the infant.
对“1958年围产期死亡率调查”的数据进行了分析,以评估根据分娩安排在死产率和新生儿死亡率方面的差异。仅从三组女性(血压正常的初产妇、高血压初产妇以及产次为1、2或3的血压正常女性)中选取年龄在20至34岁、足月分娩且无妊娠异常的女性。尽管在每组中,预约到国民保健服务(NHS)顾问单位的女性存在大量不利因素,但她们婴儿的死亡率不超过预约在家中、全科医生单位或私人顾问接生的女性所产婴儿死亡率的70%。在国民保健服务顾问单位进行护理和分娩,对婴儿来说死亡风险最小。