Gunn T R, Hayden J E
N Z Med J. 1981 Oct 28;94(694):294-7.
From 1967-1978, there were 26,688 births at St Helens Hospital, Auckland. A comparison was made between the Pacific Island stillbirths, and 65 matched European stillbirths. The stillbirth rate for the European group was only 6.6 per 1000 births, despite the increased prevalence of the following adverse factors: preterm 42 percent, toxaemia 38 percent, and lethal congenital abnormalities 20 percent. There was a significantly increased incidence of neural tube defects in the European group. In contrast the Pacific Island stillbirth rate was 11.1 per 1000 births, and the important factors were: unknown gestation 17 percent, post-term delivery 17 percent, no antenatal care 8 percent, or born before arrival in 3 percent. Intrauterine anoxia was the major cause of stillbirths, especially in the Pacific Island group where 68 percent of the infants were 37 weeks gestation or more. Community education stressing the importance of good antenatal care beginning in early pregnancy is needed for the Pacific Island mothers, with the avoidance of postmaturity and intrauterine anoxia by appropriate obstetric treatment.
1967年至1978年期间，奥克兰圣海伦斯医院共有26,688例分娩。对太平洋岛民死产情况与65例匹配的欧洲死产情况进行了比较。欧洲组的死产率仅为每1000例分娩6.6例，尽管存在以下不利因素的患病率增加：早产42%、子痫前期38%、致命先天性异常20%。欧洲组神经管缺陷的发病率显著增加。相比之下，太平洋岛民的死产率为每1000例分娩11.1例，重要因素包括：妊娠情况不明17%、过期产17%、未接受产前护理8%、或在到达前出生3%。宫内缺氧是死产的主要原因，尤其是在太平洋岛民组，其中68%的婴儿孕周为37周或以上。对于太平洋岛民母亲，需要开展社区教育，强调从妊娠早期开始进行良好产前护理的重要性，并通过适当的产科治疗避免过期产和宫内缺氧。
