A study of pregnancy outcomes in a maternity center and a tertiary care hospital.
A study of pregnancy outcomes in a maternity center and a tertiary care hospital.
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妇产中心和三级医院妊娠结局的研究。
DOI：
10.2105/ajph.74.9.973
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发表时间：
1984
影响因子：
12.7
通讯作者：
A. Ross
中科院分区：
文献类型：
--
作者：
G. Baruffi;W. S. Dellinger;D. M. Stobino;A. Rudolph;R. Timmons;A. Ross
这项研究比较了妇产科中心(BMC)的796例妊娠结局和医院(TJUH)的804例妊娠结局。来自参与机构的孕妇样本根据社会人口学特征进行匹配；进行结果分析，以控制医疗-产科风险。这些机构之间的差异主要是在分娩风险较低的妇女中发现的。对于这些妇女，BMC的新生儿发病率和婴儿托儿所停留时间低于TJUH。在BMC，1分钟阿普加评分低于7分或出生时需要复苏的婴儿比例较高，但5分钟阿普加评分低于7分的婴儿百分比以及新生儿死亡率在两家机构之间没有差异。患有产中或产后发热的妇女人数太少，无法进行比较。研究结果表明，就所使用的评估标准而言，在BMC提供的护理是安全的。
This study compares 796 pregnancy outcomes at a maternity center (BMC) with 804 hospital (TJUH) pregnancy outcomes. The samples of pregnant women from the participating institutions were matched on sociodemographic characteristics; analysis of outcomes was performed controlling for medical-obstetric risk. Differences between the institutions were found mainly among women with low intrapartum risk. For these women, neonatal morbidity and length of infant nursery stay were lower at BMC than at TJUH. The percentage of infants with one-minute Apgar scores less than 7 or requiring resuscitation at birth was greater at BMC, but the percentage of infants with five-minute Apgar scores less than 7 as well as neonatal mortality rates did not differ between the two institutions. The number of women with intrapartum or postpartum fever was too small to permit comparison. The study results suggest that care delivered at BMC is safe with regard to the evaluative criteria used.