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在两种护理体系(共享护理(顾问医生模式)和综合全科医疗单元)中登记分娩的低风险孕妇的比较。I. 产科手术及新生儿结局。

A comparison of low-risk pregnant women booked for delivery in two systems of care: shared-care (consultant) and integrated general practice unit. I. Obstetrical procedures and neonatal outcome.

作者信息

Klein M, Lloyd I, Redman C, Bull M, Turnbull A C

出版信息

Br J Obstet Gynaecol. 1983 Feb;90(2):118-22. doi: 10.1111/j.1471-0528.1983.tb08894.x.

DOI:10.1111/j.1471-0528.1983.tb08894.x
PMID:6824611
Abstract

Samples of records of comparable low-risk pregnant women booked for delivery in an integrated general practice unit (GPU) and a consultant (or shared-care) system were derived from a computer tape of all 5005 births which occurred at the John Radcliffe Hospital in 1978. Induction of labour, epidural analgesia and forceps delivery were all less frequently carried out in women booked for delivery in the GPU. Infants of multiparous women were more often intubated in the shared-care system (3%) than in the GPU (0%); rates in infants of nulliparous women were similar (approx. 7%) in the two systems. These data suggest that short-term outcomes are as good for GPU-booked low-risk women and their infants as for comparable women booked in consultant or shared-care.

摘要

1978年在约翰·拉德克利夫医院出生的5005例分娩记录的计算机磁带中,选取了在综合全科医疗单位(GPU)和顾问(或共享护理)系统中登记分娩的低风险孕妇的可比记录样本。在GPU登记分娩的妇女中,引产、硬膜外镇痛和产钳分娩的实施频率都较低。经产妇的婴儿在共享护理系统中的插管率(3%)高于GPU(0%);初产妇的婴儿在两个系统中的插管率相似(约7%)。这些数据表明,对于在GPU登记的低风险妇女及其婴儿,短期结局与在顾问或共享护理系统中登记的可比妇女一样好。

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引用本文的文献

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Front Med (Lausanne). 2016 Jun 27;3:26. doi: 10.3389/fmed.2016.00026. eCollection 2016.
2
Family physicians' attitudes towards obstetrics in alberta.艾伯塔省家庭医生对产科的态度。
Can Fam Physician. 1985 Oct;31:1869-77.
3
Referral pattern and rate of intervention in a small rural obstetrical practice.在一个小型农村产科实践中转诊模式和干预率。
Can Fam Physician. 1986 Oct;32:2141-6.
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The case for small rural hospital obstetrics.支持小型农村医院妇产科。
Can Fam Physician. 1986 Oct;32:2135-9.
5
The home birth controversy.家庭分娩争议
Can Fam Physician. 1987 May;33:1097-9.
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[Not Available].[无可用内容]
Can Fam Physician. 1987 Jun;33:1355-7.
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Who Should be Doing Obstetrics in the 1990s?20世纪90年代谁该从事产科工作?
Can Fam Physician. 1988 Sep;34:1937-40.
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Midwifery in a family practice.家庭医疗中的助产服务。
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