BABIES BORN BEFORE ARRIVAL AT HOSPITAL
BABIES BORN BEFORE ARRIVAL AT HOSPITAL
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DOI：
10.1111/j.1471-0528.1991.tb10312.x
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发表时间：
1991-01-01
期刊：
影响因子：
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通讯作者：
WATKINSON, M
中科院分区：
文献类型：
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作者：
BHOOPALAM, PS;WATKINSON, M
确定在抵达两所当地医院之前出生的婴儿的患病率。 目的：确定有风险的妇女在到达目的地之前分娩，以及与这种分娩相关的发病率和死亡率。设计-病例对照研究。 每个在到达之前出生的婴儿及其母亲都与医院中的下一个婴儿进行了比较（随机对照），一个与母亲的妊娠期和出生体重相匹配。设置-两个产科单位服务东伯明翰和索利赫尔。受试者-所有婴儿1983年1月至1987年12月在这些医院出生前出生的婴儿（及其母亲）。结果：在31140例连续分娩的产妇中，有137例（0.44%）是在到达医院之前分娩的（BBA组）。 BBA组的围产期死亡率为58.4/1000（8例死亡），而所有先天婴儿的围产期死亡率为10.1/1000（相对风险5.8，95%置信区间2.9-11.4）。 BBA组的平均出生体重为3008 g，比随机对照组少212 g（95% CI 50-374 g）;平均妊娠期为266天，比随机对照组少10天（95% CI 5.9-14.1天）。 低体温是最常见的疾病。 抵达前交付的妇女往往是多孕内城亚洲人生活在很长的路要走，从医院或未婚未预订的年轻白色European. Conclusions围产期死亡率高的不成熟和低出生体重，而不是出生前抵达本身。 虽然可以确定有可能在抵达前分娩的母亲群体，但还需要更多的信息来确定额外的产前护理是否对这些妇女及其婴儿有益。
Objective-To establish the prevalence of babies born before arrival at two local hospitals. To identify women at risk of giving birth before arrival, and the morbidity and mortality associated with such births.Design-A case control study. Each baby born before arrival and its mother were compared with the next born in the hospital (random control), and one matched for gestation and birthweight, together with their mothers.Setting-Two maternity units serving East Birmingham and Solihull.Subjects-All babies (and their mothers) born before arrival at these hospitals from January 1983 to December 1987.Main Outcome Measures-Perinatal mortality rates, patterns of perinatal morbidity, demographic, social and obstetric features of the mothers.Results-137 (0.44%) of 31 140 consecutive births were before arrival at hospital (BBA group). The perinatal mortality rate in the BBA group was 58.4/1000 (8 deaths) compared with 10.1/1000 for all inborn babies (relative risk 5.8, 95% confidence interval 2.9-11.4). In the BBA group the mean birthweight of 3008 g was 212 g (95% CI 50-374 g) less than that in the random control group; the mean gestation of 266 days was 10 days less (95% CI 5.9-14.1 days) than in the random control group. Hypothermia was the commonest morbidity. Women delivered before arrival tended to be either multigravid inner city Asians living a long way from the hospital or unmarried unbooked younger white Europeans.Conclusions-The high perinatal mortality was related to immaturity and low birthweight, rather than to birth before arrival itself. Although groups of mothers at risk of delivery before arrival can be identified more information is needed to establish whether additional antenatal care would be beneficial for these women and their babies.