Adams M M, Harlass F E, Sarno A P, Read J A, Rawlings J S
Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA.
Obstet Gynecol. 1994 Jul;84(1):35-9.
To describe the prevalence of, and indications for, antenatal hospitalization among women who delivered live and stillborn infants.
We reviewed the records of a cohort of 1825 black and white enlisted women who delivered from 1987-1990 at the four largest Army medical centers in the United States. Women with multiple gestations and those whose pregnancies ended before 20 weeks' gestation were excluded. Records of all women with preterm deliveries and a one-third sample of women with term deliveries were abstracted.
Overall, 26.8 +/- 1.6% (mean +/- standard error) of the women were hospitalized antenatally. Of the estimated 702 antenatal hospitalizations, 44.0 +/- 3.4% were related to preterm labor, 10.3 +/- 1.9% to preeclampsia, 5.5 +/- 1.5% to hyperemesis, and 4.7 +/- 1.5% to urinary tract or kidney infection. The prevalence of hospitalization was lowest before 20 weeks (5.0 +/- 0.8%) and highest at 33-36 weeks (12.2 +/- 1.2%). Small and probably clinically insignificant differences between black and white women were noted in the overall prevalence of antenatal hospitalization and in the indications for hospitalization.
As measured by hospitalization, severe antenatal morbidity is common in this population of healthy enlisted women.
描述活产和死产妇女产前住院的患病率及指征。
我们回顾了1987年至1990年在美国四大陆军医疗中心分娩的1825名黑人和白人应征妇女的记录。排除多胎妊娠妇女以及妊娠在20周前结束的妇女。提取了所有早产妇女的记录以及三分之一足月分娩妇女的记录。
总体而言，26.8±1.6%（均值±标准误）的妇女进行了产前住院。在估计的702例产前住院病例中，44.0±3.4%与早产有关，10.3±1.9%与先兆子痫有关，5.5±1.5%与妊娠剧吐有关，4.7±1.5%与泌尿系统或肾脏感染有关。住院患病率在20周前最低（5.0±0.8%），在33至36周时最高（12.2±1.2%）。在产前住院的总体患病率和住院指征方面，黑人和白人妇女之间存在微小且可能无临床意义的差异。
通过住院情况衡量，严重的产前发病率在这群健康的应征妇女中很常见。
