Harms E, Klöck F K
Z Geburtshilfe Perinatol. 1983 Nov-Dec;187(6):284-8.
This study summarizes the experiences with ambulant delivery in the St. Elisabeth Hospital in Cologne between 1979 and October 1982. The ambulant deliveries during this period were compared with a control group of normal vaginal births in the hospital. There were 211 women in each group. Questionnaires were sent to those women who had ambulant births, and the answers formed an important part of this study. Of all the intended ambulant births, 18.5% had to be refused because of possible complications. The results of the study show that the risks during birth for mother and child in both groups, were identical, and any complications arising were wide and various. In our opinion the main risk is the "Icterus neonatorum". The number of peridural anaesthesia was significantly lower in the ambulant delivery group. From the questionnaires we had a clearly positive reaction to ambulant delivery. For the newborn infant there is a decisive risk, so that ambulant delivery should only be used as an alternative in order to avoid home delivery.
本研究总结了1979年至1982年10月期间科隆圣伊丽莎白医院的门诊分娩经验。将这一时期的门诊分娩与医院正常阴道分娩的对照组进行了比较。每组有211名女性。向那些有门诊分娩经历的女性发放了问卷，这些答案构成了本研究的重要部分。在所有计划的门诊分娩中，18.5%因可能出现的并发症而不得不被拒绝。研究结果表明，两组中母婴在分娩期间的风险是相同的，并且出现的任何并发症种类繁多。我们认为主要风险是“新生儿黄疸”。门诊分娩组硬膜外麻醉的次数明显较少。从问卷中我们得到了对门诊分娩明显积极的反应。对于新生儿来说存在决定性风险，因此门诊分娩仅应用作替代方式以避免在家分娩。
