Johnson N, Ansell D
Department of Obstetrics and Gynaecology, Middlemore Hospital, Otahuhu, Auckland, New Zealand.
Aust N Z J Obstet Gynaecol. 1995 Feb;35(1):6-11. doi: 10.1111/j.1479-828x.1995.tb01821.x.
A study of Caesarean section and instrumental delivery rates in the maternity hospitals in New Zealand delivering over 1,000 women per year was undertaken. The results at Middlemore Hospital were compared with those seen elsewhere. The Caesarean section rate at Middlemore Hospital in 1993 was significantly lower than the other large maternity hospitals in New Zealand. The Caesarean section rate at Middlemore from 1988 to 1993 has shown a significant downward trend which is different from the trends at other hospitals. The spontaneous vaginal delivery rates at Middlemore Hospital were higher than at other New Zealand hospitals between 1988 and 1993. We conclude that Middlemore Hospital has been successful in maintaining low interventional delivery rates by New Zealand and international standards--the Caesarean section rate remains below 10% and the spontaneous vaginal delivery rate approaches 85%. This is likely to be a consequence of a number of factors operating together but there is evidence to suggest that obstetric management policies at Middlemore do play a role in this.
对新西兰每年接生超过1000名产妇的妇产医院的剖宫产率和器械助产率进行了一项研究。将米德尔莫尔医院的结果与其他地方的结果进行了比较。1993年米德尔莫尔医院的剖宫产率显著低于新西兰其他大型妇产医院。1988年至1993年米德尔莫尔医院的剖宫产率呈现出显著的下降趋势，这与其他医院的趋势不同。1988年至1993年期间，米德尔莫尔医院的自然阴道分娩率高于新西兰其他医院。我们得出结论，按照新西兰和国际标准，米德尔莫尔医院成功地维持了较低的干预性分娩率——剖宫产率仍低于10%，自然阴道分娩率接近85%。这可能是多种因素共同作用的结果，但有证据表明米德尔莫尔医院的产科管理政策在其中确实发挥了作用。
