Fitzpatrick J M
Tropical Health Program, University of Queensland, Brisbane.
Aust J Public Health. 1995 Dec;19(6):580-8. doi: 10.1111/j.1753-6405.1995.tb00462.x.
In remote Far North Queensland, evacuation for mandatory hospital births saves lives. However, morbidity and mortality for mothers and infants remain high. Results from a retrospective study of deliveries over a one-year period showed significant differences in obstetric risk and outcomes among rural and urban Aboriginal, Torres Strait Islander and Caucasian women. Choices of birth place for remote residents were severely limited but those women with education and knowledge about how the system worked utilised options alternative to the regional public hospital. The findings from both the retrospective hospital sample and interviews among remote-area residents of Far North Queensland confirm the need to develop community-based perinatal services to reduce cultural and social barriers to clinical care.
在昆士兰遥远的极北地区，因强制住院分娩而进行的疏散拯救了生命。然而，母亲和婴儿的发病率和死亡率仍然很高。一项对为期一年的分娩情况进行的回顾性研究结果显示，农村和城市的原住民、托雷斯海峡岛民以及白人女性在产科风险和分娩结果方面存在显著差异。偏远地区居民的分娩地点选择极为有限，但那些了解该系统运作方式的女性会选择区域公立医院以外的其他地方。昆士兰极北地区回顾性医院样本研究以及对偏远地区居民的访谈结果均证实，有必要发展以社区为基础的围产期服务，以减少临床护理中的文化和社会障碍。
