Amar H S, Maimunah A H, Wong S L
Department of Paediatrics, Ipoh Hospital, Perak, Malaysia.
Arch Dis Child Fetal Neonatal Ed. 1996 Jan;74(1):F56-9. doi: 10.1136/fn.74.1.f56.
A one year prospective study of perinatal deaths was conducted to test the feasibility of using the Wigglesworth pathophysiological classification in the Malaysian health service. Four regions with high perinatal mortality rates were selected. Deaths were actively identified. Nursing staff were trained to use the classification and every death was reviewed by a clinician. A total of 26,198 births and 482 perinatal deaths were reported. The perinatal mortality rate was 18.4. Only 14 (2.9%) deaths had their Wigglesworth category reclassified. Most deaths were in the normally formed macerated stillbirths (34.4%), asphyxial conditions (26.8%), and immaturity (20.1%) subgroups. The results were compared with data from other countries that used this classification. This study has shown that the Wigglesworth pathophysiological classification can be applied to perinatal deaths in the existing Malaysian health service.
开展了一项为期一年的围产期死亡前瞻性研究,以检验在马来西亚医疗卫生服务中使用威格尔斯沃思病理生理分类法的可行性。选择了四个围产期死亡率高的地区。积极识别死亡病例。培训护理人员使用该分类法,且每例死亡均由临床医生进行审查。共报告了26198例分娩和482例围产期死亡。围产期死亡率为18.4。只有14例(2.9%)死亡病例的威格尔斯沃思分类被重新划分。大多数死亡发生在正常形态的浸软死产(34.4%)、窒息情况(26.8%)和未成熟(20.1%)亚组中。将结果与使用该分类法的其他国家的数据进行了比较。这项研究表明,威格尔斯沃思病理生理分类法可应用于马来西亚现有的医疗卫生服务中的围产期死亡病例。