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Changing stillbirth rates: quality of care or quality of patients?

作者信息

Iliff P J, Bonduelle M M, Gupta V

机构信息

Department of Paediatrics, Medical School, University of Zimbabwe, Avondale, Harare, Zimbabwe.

出版信息

Cent Afr J Med. 1996 Apr;42(4):89-92.

PMID:8791862
Abstract

OBJECTIVES

To explain the U-shaped curve of stillbirth rates (SBR) in Harare.

DESIGN

A retrospective descriptive study.

SETTING

Greater Harare Maternity Unit

SUBJECTS

A 15pc (approx.) sample of deliveries recorded in Labour Ward registers in 1979, 1984 and 1989.

MAIN OUTCOME MEASURE

Stillbirth or livebirth.

RESULTS

Some changes over the three years (e.g. proportion of primipara) indicate that obstetric "riskiness" of the population changed in a way which could explain the changes in SBR.

CONCLUSIONS

However SBR's of large babies (birth weight 2,500 g to 4,499 g) increased and decreased over the years implying that changes in quality of care may also have contributed to the changes in SBR.

摘要

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引用本文的文献

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BMC Pregnancy Childbirth. 2005 May 5;5(1):9. doi: 10.1186/1471-2393-5-9.