Menown I B, Archbold J A, Wills C
Health and Health Care Research Unit, Queen's University, Belfast.
Ulster Med J. 1993 Apr;62(1):37-43.
The relationship between perinatal outcome and antenatal care was investigated at King Edward VIII Hospital, Durban, by a case control retrospective study of pregnancy records in 165 perinatal deaths and 156 infants surviving the perinatal period. 82% of the mothers of live infants had booked for antenatal care compared with only 60% of those who experienced a perinatal death. Hospital booking was associated with a higher infant birthweight. For those who booked earlier there was no reduction in total perinatal mortality or the stillbirth:neonatal death ratio, and many of the mothers of highest risk failed to book. This suggests that the better perinatal outcome in booked mothers may have been secondary to the type of mother who chose to book, rather than the actual antenatal care. To help reduce perinatal mortality, methods must be employed which reach those mothers who are most likely to fail to book.
德班爱德华八世医院通过对165例围产期死亡病例和156例围产期存活婴儿的妊娠记录进行病例对照回顾性研究，调查了围产期结局与产前护理之间的关系。存活婴儿的母亲中有82%进行了产前护理预约，而围产期死亡婴儿的母亲中只有60%进行了预约。在医院进行预约与婴儿出生体重较高有关。对于那些较早预约的人来说，围产期总死亡率或死产与新生儿死亡率之比并没有降低，而且许多高危母亲未能进行预约。这表明，预约母亲围产期结局较好可能是因为选择预约的母亲类型，而非实际的产前护理。为了帮助降低围产期死亡率，必须采用能够覆盖那些最有可能不进行预约的母亲的方法。
