Potter P C, Pelteret R, Reynolds L, Motala A, Kibel M A
S Afr Med J. 1984 Sep 8;66(10):377-80.
A 3-month prospective study was undertaken to determine the factors which contribute to a baby being born before arrival (BBA) of the mother at hospital. The majority of the mothers of such babies were Black and lived in peri-urban areas of Cape Town. They were of higher parity, had experienced fewer complications during pregnancy, had shorter labours and had previously had more home deliveries than a comparative group of mothers. One-third of the babies were delivered in transit to hospital, and these babies had more major complications and a higher perinatal mortality rate than those born in hospital. The BBA rate of an area serves as an index of the accessibility of perinatal care. This index should be taken into account when reviewing and planning regional perinatal services. We believe that a BBA rate higher than 1,5% is unacceptable and merits investigation.
开展了一项为期3个月的前瞻性研究，以确定导致婴儿在母亲到达医院之前出生（BBA）的因素。这类婴儿的母亲大多是黑人，居住在开普敦的城郊地区。与对照组母亲相比，她们的胎次更高，孕期并发症较少，分娩时间较短，且以前在家分娩的次数更多。三分之一的婴儿是在送往医院的途中分娩的，这些婴儿比在医院出生的婴儿有更多的严重并发症和更高的围产期死亡率。一个地区的BBA率可作为围产期护理可及性的指标。在审查和规划区域围产期服务时应考虑到这一指标。我们认为，高于1.5%的BBA率是不可接受的，值得调查。
