Sedaghatian M R, Noor A M
Neonatal Department, Mafraq Hospital, Abu Dhabi, United Arab Emirates.
J Perinatol. 1997 Mar-Apr;17(2):161-3.
The United Arab Emirates has witnessed extensive social and economic development during the past 2 decades. Significant demographic changes have also taken place mainly as a result of the continuous flow of expatriates. The development of the health care delivery system resulted in the reduction of the infant mortality rate by 25% (10.93 per thousand live births by 1992), but the perinatal mortality rate has remained almost unchanged. Although maternal and child health care has improved dramatically, its limited impact on perinatal mortality can be attributed to underutilization of maternal health centers, absence of screening programs for mothers at high risk, absence of regionalization of perinatal care centers, poor maternal and neonatal transport facilities, absence of effective referral and cooperation and interaction between hospitals and health centers, the limited number of nursing and medical staff, and, finally, underutilization of available information to support and enhance research. The national perinatal mortality survey may address and seek appropriate solutions to such problems.
在过去二十年中，阿拉伯联合酋长国经历了广泛的社会和经济发展。主要由于外籍人士的持续涌入，人口结构也发生了重大变化。医疗保健系统的发展使婴儿死亡率降低了25%（到1992年为每千例活产10.93例），但围产期死亡率几乎保持不变。尽管母婴保健有了显著改善，但其对围产期死亡率的有限影响可归因于产妇保健中心利用不足、缺乏对高危母亲的筛查项目、围产期护理中心未实行区域化、母婴运输设施差、医院与保健中心之间缺乏有效的转诊以及合作与互动、护理和医务人员数量有限，最后还可归因于对支持和加强研究的现有信息利用不足。全国围产期死亡率调查可能会解决这些问题并寻求适当的解决方案。
