Number of women requiring care at a tertiary hospital equipped with a neonatal intensive care unit at night in an area with a population of 2 million.
Number of women requiring care at a tertiary hospital equipped with a neonatal intensive care unit at night in an area with a population of 2 million.
复制标题
在拥有 200 万人口的地区，夜间需要在配备新生儿重症监护室的三级医院接受护理的妇女人数。
DOI：
10.1111/jog.12113
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Minakami H.
中科院分区：
文献类型：
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作者：
Yamada T;Cho K;Morikawa M;Yamada T;Akaishi R;Ishikawa S;Minakami H.
目的临产妇女即使在夜间也被送往配备新生儿重症监护病房（NICU）的三级医院。然而，对夜间闪光的发生率尚无广泛的研究。本研究的目的是确定一个有200万人口的地区夜间IPL的发生率。材料和方法利用2008年10月启动的札幌急诊患者产科系统收集的数据进行了回顾性分析，在该系统中，协调员通过电话咨询告知在夜间（19.00-06.00小时）寻求适当产科/妇科设施的妇女、医生和救护人员。该系统覆盖了札幌地区，该地区拥有200万人口，每年有1.7万新生儿。在该地区，大约14%和86%的妇女分别在6家和35家产科机构接受了产前护理，其中有新生儿重症监护室，没有新生儿重症监护室。夜间IPL被定义为有威胁的早产，并在第二天早上19点至6点之间被送往有新生儿重症监护病房的六家三级医院之一。结果在2008年10月1日至2012年9月30日的4年期间，札幌产科急诊系统每月接受158±23次（平均±标准差）电话咨询（每月范围114-218次）。每月夜间IPL患者数为3.0±2.2（范围0-9 /月）。结论在某地区200万人口中，在无新生儿重症监护病房的产科机构接受产前护理的妇女每月夜间IPL病例数约为3例。
AimWomen with imminent premature labor (IPL) are transported to a tertiary hospital equipped with neonatal intensive care unit (NICU) even during the night. However, there have been no extensive studies of the occurrence rate of night IPL. The aim of this study was to determine the occurrence rate of night IPL in an area with a population of 2 million.Materials and MethodsA retrospective analysis was conducted using data collected by the Sapporo Obstetric System for Emergency Patients launched in October 2008, in which women, physicians, and ambulance staff who sought appropriate obstetric/gynecological facilities available in the night (19.00–06.00 hours) were informed of candidate hospitals by coordinators through telephone consultation. This system covered the Sapporo area, which has a population of 2 000 000 and 17 000 births annually. Approximately 14% and 86% of women received antenatal care at six and 35 obstetric facilities with and without NICU, respectively, in this area. Night IPL was defined as a threatened premature labor and transport to one of six tertiary hospitals with NICU between 19.00 and 06.00 hours the next morning.ResultsDuring a 4‐year period from 1 October 2008 to 30 September 2012, the Sapporo Obstetric System for Emergency Patients received 158 ± 23 (mean ± standard deviation) monthly telephone consultations (range 114–218 per month). The monthly number of patients with night IPL was 3.0 ± 2.2 (range 0–9 per month).ConclusionsThe monthly number of cases of night IPL was around three among women who received antenatal care at obstetrics facilities without NICU in an area with a population of 2 000 000.