Chandramohan D, Cutts F, Millard P
London School of Hygiene and Tropical Medicine, UK.
J Trop Med Hyg. 1995 Aug;98(4):261-7.
A hospital-based cohort study was carried out in a district hospital in Zimbabwe to evaluate the effect of a maternity waiting home on perinatal mortality. Information on antenatal risk factors, use of antenatal care, access to the hospital and stage of labour on arrival was collected for each woman delivering at the hospital during the period 1989-1991 (n = 6438). Women who stayed in the maternity waiting home had a lower risk of perinatal death compared to women who came directly from home to the hospital during labour. The crude relative risk of perinatal death for the women coming from home was 1.7 (95% confidence interval (CI) 1.1-2.6; P < 0.05). After adjusting for the effect of potential confounding variables, the relative risk decreased to 1.5 (95% CI 0.95-2.5, P = 0.07). However, when the analysis was restricted to women with antenatal risk factors there was a significant 50% reduction in the risk of perinatal death for the women who stayed at the maternity waiting home compared to women who came from home during labour (adjusted relative risk 1.9; 95% CI 1.1-3.4; P < 0.05). The use of maternity waiting homes has the potential to reduce perinatal mortality in rural areas with low geographic access to hospitals and merits further evaluation.
在津巴布韦的一家区级医院开展了一项基于医院的队列研究，以评估产妇候产之家对围产期死亡率的影响。收集了1989年至1991年期间在该医院分娩的每位女性的产前危险因素、产前护理使用情况、前往医院的便利性以及分娩时的产程阶段等信息（n = 6438）。与分娩时直接从家中前往医院的女性相比，住在产妇候产之家的女性围产期死亡风险更低。直接从家中前来的女性围产期死亡的粗相对风险为1.7（95%置信区间（CI）1.1 - 2.6；P < 0.05）。在对潜在混杂变量的影响进行调整后，相对风险降至1.5（95% CI 0.95 - 2.5，P = 0.07）。然而，当分析仅限于有产前危险因素的女性时，与分娩时从家中前来的女性相比，住在产妇候产之家的女性围产期死亡风险显著降低了50%（调整后的相对风险为1.9；95% CI 1.1 - 3.4；P < 0.05）。产妇候产之家的使用有可能降低地理位置偏远、就医不便地区的围产期死亡率，值得进一步评估。
