Black N
Br Med J (Clin Res Ed). 1982 Feb 13;284(6314):488-90. doi: 10.1136/bmj.284.6314.488.
In recent years local perinatal mortality experience has been on the agenda of most health district management teams. Nationally available data have been criticised for failing to take into account determinants beyond the influence of existing health services such as lethal congenital malformations. In response to local concern about perinatal mortality rate in Oxfordshire AHA(T) the crude data were refined by using simple epidemiological techniques. This failed to show that a high proportion of general practitioner deliveries constituted a major perinatal risk.
近年来，当地围产期死亡率情况一直是大多数卫生区管理团队的议事日程。全国范围内可获取的数据因未考虑现有卫生服务影响之外的决定因素（如致命先天性畸形）而受到批评。针对牛津郡地区卫生局（AHA(T)）对围产期死亡率的当地关注，通过使用简单的流行病学技术对粗略数据进行了细化。这并未表明高比例的全科医生接生构成主要的围产期风险。
