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[早产,特别涉及分娩管理]

[Premature births with special reference to delivery management].

作者信息

Winkler M

出版信息

Zentralbl Gynakol. 1978;100(8):516-20.

PMID:664976
Abstract

The 1055 premature births of the last 10 years in the Altdöbern women's hospital with a centre for premature births have been summarized and analysed in groups with regard to the distribution of birth-weight, the obstetric measures and the perinatal mortality. A change of the operative procedure at the premature birth together with a marked increase of the frequency of the operative deliveries from 28,7 p.c. (group I) to 55,1 p.c. (group III) has been compared to the uncleaned mortality of the premature children of 20,0. p.c. (group I) and 16,4 p.c. (group III). The importance of the large prophylactic measures and of the improved birth-supervision and maintenance of premature births are emphasized in connection with it. Inferences for a further reduction of the perinatal mortality are drawn.

摘要

对阿尔特多伯恩妇产医院(设有早产中心)过去10年里的1055例早产病例进行了汇总分析,按照出生体重分布、产科措施及围产期死亡率进行分组。早产时手术操作的变化,以及手术分娩频率从28.7%(第一组)显著增至55.1%(第三组),与早产婴儿未清理死亡率20.0%(第一组)和16.4%(第三组)进行了比较。同时强调了大规模预防措施以及改善早产监护和维持的重要性。并据此得出进一步降低围产期死亡率的推论。

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