Bayer H, Issel E P, Agricola H, Roigas E
Zentralbl Gynakol. 1976;98(17):1025-34.
At first the allround etiology of premature birth is explained in the paper. There are to distinguish three groups: 1. Causes with known etiologic mechanism. 2. Causes with partly known etiologic mechanism. 3. Dispositions for premature birth. These are concluded from statistically investigations. In the last group are collected the patients from which are established some known scores for diagnosis of the risk of premature birth. All the scores but have a detriment. If they want to detect about 90% from premature births one must carry out examination and observation about 40% from all pregnant women. For this the scores are not suitable for selection of patients to observe in a special consultation. The organised care for pregnant women must be in such a way that all the criterias of imminent prematurity will be detected. This way has been successfull in our hospital.
本文首先阐述了早产的综合病因。可分为三组:1. 病因机制已知的原因。2. 病因机制部分已知的原因。3. 早产的易患因素。这些是通过统计调查得出的。最后一组收集了一些已建立了早产风险诊断已知评分的患者。但所有这些评分都有缺陷。如果要检测出约90%的早产病例,就必须对约40%的所有孕妇进行检查和观察。因此,这些评分不适用于在专门咨询中选择观察对象。对孕妇的有组织护理必须能检测出所有早产即将发生的标准。这种方法在我们医院取得了成功。