Papiernik E
Service de gynécologie-obstétrique I, Matemité Port-Royal Baudelocque, hôpital Cochin, Paris.
Rev Prat. 1995 Sep 15;45(14):1782-3.
Regionalisation of perinatal health care has not been organised in France. This concept has proposed to reduce mortality and morbidity of newborns of less than 33 weeks or less than 1,500 g at birth by a transfer of the mother before birth to a perinatal center with a neonatal intensive care unit. The available information in France shows that only 14% of those infants will be born in a level 3 centres. In Seine-Saint-Denis district available information shows that the adds ratio for per partum and neonatal death for newborns of 28-36 gestation duration is of 5.27 when a level 1 maternity is compared to a level 3.
法国尚未对围产期医疗保健进行区域化组织安排。这一概念提议,通过在产前将母亲转至设有新生儿重症监护病房的围产期中心,来降低出生时孕周不足33周或体重不足1500克的新生儿的死亡率和发病率。法国的现有信息表明,这些婴儿中只有14%会在三级中心出生。在塞纳-圣但尼省,现有信息显示,当将一级产科与三级产科相比较时,孕周为28 - 36周的新生儿的产后及新生儿死亡附加比率为5.27。