Schulz S, Schulz B
Zentralbl Gynakol. 1982;104(22):1393-404.
Active area-covering action to prevent possible complications by early selection of potentially endangered women from among the entire female population of the area concerned, which should, desirably, be under fullest possible medical observation, this has come to be a major characteristic of modern obstetric medicine in the "most developed countries". Appropriate methods have to be devised for high-continuity optimisation of all organisational facilities herefore required. In this paper, methodical approaches are submitted for discussion, as a result of a comprehensive long-term analysis of patients in a big hospital. "Criteria of optimum" are covered in this first communication. Regional weight class rates, weight-class-standardised mortality and early morbidity (5' Apgar score) are proposed as criteria of universal applicability.
通过从相关地区的全体女性人口中早期筛选出可能面临危险的妇女，采取积极的区域覆盖行动以预防可能出现的并发症，理想情况下，这些妇女应接受尽可能全面的医学观察，这已成为“最发达国家”现代产科学的一个主要特征。因此，必须设计适当的方法，以实现所有所需组织设施的高连续性优化。本文基于对一家大型医院患者的全面长期分析，提出了一些方法性的途径供讨论。本首次通讯涵盖了“最佳标准”。建议将区域体重分级率、体重分级标准化死亡率和早期发病率（5分钟阿氏评分）作为普遍适用的标准。
