Monrozies M, Monrozies X, Iborra M, Grivel A, Mercey M
J Gynecol Obstet Biol Reprod (Paris). 1982;11(8):991-7.
The authors analyse the results of 4 years home supervision of high-risk pregnancies by hospital midwives. The inquiry concerns 813 women out of a total of 12,643 deliveries in the same period of time (1978-1981). This supervision deals with the people who were selected by patient consultation or after hospitalisation. It is particularly concerned with patients with threatened premature labour. The role of the midwife is at once medical in that she undertakes a constant review of the state of the pregnancy, and social and psychological. Domiciliary visiting can often take the place of admission to hospital. Even though has not been a great decrease in the number of premature labours it does seen certain that patients who have been followed in this way have had pregnancies that have lasted longer. Over the 4 years when the experience has been gained the number of deliveries occurring before the 34th week has dropped from 2.8 to 1%. Finally, it is an extremely efficient way of lowering hospital expenses.
作者分析了医院助产士对高危妊娠进行4年家庭监护的结果。此次调查涉及同一时期（1978 - 1981年）12643例分娩中的813名妇女。这种监护针对的是通过患者咨询或住院后挑选出的人群。特别关注有早产先兆的患者。助产士的作用兼具医疗性质，因为她要持续评估妊娠状况，同时也涉及社会和心理方面。上门家访常常可以替代住院。尽管早产的数量并没有大幅减少，但可以肯定的是，以这种方式接受监护的患者妊娠持续时间更长。在积累了4年经验的过程中，34周前分娩的数量从2.8%降至1%。最后，这是降低医院费用的一种极其有效的方式。
