Schweppe K W, Eisenberg W, Tenhaeff D
Z Geburtshilfe Perinatol. 1978 Feb;182(1):86-92.
Perinatal mortality is a qualitative parameter for the obstetric and neonatologic efficiency of an obstetric center. The present study conducted at the Herford clinical center, based on 3,700 case histories from 1972 to 1976, revealed a drop of the uncorrected perinatal mortality from 35.08% to 14.23%, and a drop of the corrected perinatal mortality from 21.35% to 5.02%. Two groups with an observation period of 2.5 years each, were compared with each other to demonstrate the efficiency of modern perinatologic care and control methods. The methods of intensive care and control of high-risk pregnancy and high-risk parturition (ultrasound, cardiotocography, fetal blood analysis; tocolysis, laboratory diagnostics of placental insufficiency), practised since 1974, and the close cooperation with a newborn intensive-care ward of the infant hospital of the Herford center have brought about a definite improvement in perinatologic efficiency.
围产期死亡率是衡量产科中心产科和新生儿科医疗效率的一个质量参数。本研究在赫福德临床中心开展，基于该中心1972年至1976年期间的3700份病例记录，结果显示未经校正的围产期死亡率从35.08%降至14.23%，校正后的围产期死亡率从21.35%降至5.02%。将两组各有2.5年观察期的病例进行相互比较，以证明现代围产期护理和控制方法的有效性。自1974年起实施的高危妊娠和高危分娩的重症监护及控制方法（超声检查、胎心监护、胎儿血液分析；宫缩抑制、胎盘功能不全的实验室诊断），以及与赫福德中心婴儿医院新生儿重症监护病房的密切合作，已使围产期医疗效率有了显著提高。
