McManus F, Rang M, Chance G, Whittaker J
Obstet Gynecol. 1977 Jul;50(1):71-7.
The causes of cerebral palsy in 96 young patients were analyzed. Potentially avoidable situations including inappropriate obstetric management and inappropriate neonatal care occurred in 38%. There should be a shift in emphasis from the rehabilitation of cerebral palsy to its prevention by improving services for reproductive care. Prevention can be undertaken by 1) identification and referral of the mother with a high-risk pregnancy to a perinatal center for her confinement; 2) fetal monitoring and appropriate resuscitation at delivery; and 3) early transfer of compromised infants to a neonatal care unit under good supervision.
对96名年轻脑瘫患者的病因进行了分析。包括产科管理不当和新生儿护理不当在内的潜在可避免情况占38%。应将重点从脑瘫康复转向通过改善生殖保健服务进行预防。预防可通过以下方式进行：1）识别高危妊娠的母亲并将其转诊至围产期中心分娩；2）分娩时进行胎儿监测和适当复苏；3）在良好监管下将情况不佳的婴儿尽早转至新生儿护理病房。
