Ohlsson A, Fohlin L
Acta Paediatr Scand Suppl. 1983;306:1-15.
Reproductive medical care in Ontario, Canada and in Sweden are compared. Accurate statistical information is more readily available for Sweden. The perinatal mortality is significantly higher in Ontario. The populations are comparable in size. Except for a higher percentage of first generation immigrants in Ontario, the composition of the childbearing population is very similar. The percentage of low birth weight infants is higher in Ontario. Swedish governmental authorities realized in the 1930's that social reforms and preventive antenatal care could reduce perinatal mortality and morbidity and regionalization of perinatal care started several decades ago. A difference in attitude towards pregnant women is reflected in the fact that in Sweden, the maternal benefit is paid under the Health and Social Insurance system, whereas in Ontario it is paid by the Department of Employment and Immigration. The highly specialized neonatal and perinatal units in Ontario have outstanding results, and could serve as models to improve the care of the very low birth-weight infants in Sweden, as could the transport system for high-risk mothers and infants in Ontario. If the advantages of each of the two systems for perinatal care in Ontario and Sweden were combined excellent perinatal statistics would be expected, including a decreased incidence of handicap.
对加拿大安大略省和瑞典的生殖医疗保健进行了比较。瑞典更容易获取准确的统计信息。安大略省的围产期死亡率显著更高。两国人口规模相当。除了安大略省第一代移民的比例较高外，育龄人口的构成非常相似。安大略省低体重婴儿的比例更高。瑞典政府当局在20世纪30年代就意识到社会改革和预防性产前护理可以降低围产期死亡率和发病率，围产期护理的区域化在几十年前就开始了。对孕妇态度的差异体现在以下事实上：在瑞典，产妇福利是在健康和社会保险制度下支付的，而在安大略省则由就业和移民部支付。安大略省高度专业化的新生儿和围产期单位取得了出色的成果，可以作为改善瑞典极低体重婴儿护理的典范，安大略省高危母婴的转运系统也可以。如果将安大略省和瑞典两种围产期护理系统的各自优势结合起来，预计会有出色的围产期统计数据，包括残疾发生率的降低。
