Broekhuizen F F, Boyles M E, Utrie J
UW Medical School, Milwaukee.
Wis Med J. 1993 May;92(5):243-7.
Perinatal statistics in an urban environment are analyzed over a 9-year period. Perinatal outcome parameters in 27,986 deliveries are analyzed. The number of prenatal visits, low birth weight, illicit drug use, perinatal mortality, race, and age are studied. Perinatal outcome worsened after 1986 for patients with less than five prenatal visits, but not for patients with adequate prenatal care. Adequacy of prenatal care, preventable perinatal mortality, and low birth weight rates worsened for all patients, but disproportionately for black patients. Pregnancies of women of aged 18 to 35 had the highest risk for adverse outcomes. These deteriorating perinatal statistics represent a serious social and public health challenge.
对城市环境中的围产期统计数据进行了为期9年的分析。分析了27986例分娩的围产期结局参数。研究了产前检查次数、低出生体重、非法药物使用、围产期死亡率、种族和年龄。1986年后，产前检查次数少于5次的患者围产期结局恶化，但接受充分产前护理的患者未出现这种情况。所有患者的产前护理充分性、可预防的围产期死亡率和低出生体重率均有所恶化，但黑人患者的情况更为严重。年龄在18至35岁的女性怀孕出现不良结局的风险最高。这些不断恶化的围产期统计数据代表了一项严峻的社会和公共卫生挑战。
