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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >A free-standing low-risk maternity unit in the United Kingdom: does it have a role?
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A free-standing low-risk maternity unit in the United Kingdom: does it have a role?

机译：英国的一个独立的低风险产妇部门：它有作用吗？

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This study aimed to evaluate the safety of this birth setting for low-risk deliveries based on our hospital protocol. The study was carried out at Heatherwood Hospital, Ascot (a low-risk unit) and Wexham Park Hospital, Slough, Berkshire (a consultant-led unit). This was a retrospective analysis of the computerised records and statistics of low-risk women delivered at Heatherwood Hospital, Ascot, UK following the unit protocol between July 1995 and December 2001. Women were assessed to be at low risk in accord with the unit protocol. Those who had antenatal and intrapartum care at Heatherwood Hospital and those who were transferred to the consultant unit for delivery were included in this study. We analysed the appropriateness of the structure of the unit with its medical staff input, reviewed the inclusion and exclusion criteria, analysed the perinatal and maternal mortality rates and evaluated the safety of this birth setting. We have had a total of 5468 women delivered at this low-risk maternity unitsince the unit was opened. Approximately 1950 women were transferred to consultant care during this period. The intrapartum transfer in the first 18 months was 7.9%. However, since 1997 it has been static at 2.7% as confidence has grown in this model of care. The antenatal transfer rate has been static around 23%. Our emergency caesarean section rate was around 6% and the normal delivery rate was around 85%. For the first time we noted a rise in the emergency caesarean rate in 2001 at 9.5%. There were no maternal deaths. We had no serious postpartum complications accounting for long-term maternal morbidity. The antepartum stillbirths accounted for the majority of the perinatal mortality for 19/23 babies. Intrauterine growth retardation accounted for 4/23 babies in this group. The perinatal mortality rate in this low-risk population was 4.2 per 1000 total births and the stillbirth rate was 3.6 per 1000 total births. We conclude that this birth setting is safe to deliver low-risk women with less intrapartum intervention and a low transfer rate and should be setting an example for any future similar birth centre in this country.
机译：这项研究旨在根据我们的医院规程评估这种出生背景对低危分娩的安全性。这项研究在Ascot的Heatherwood医院（低风险部门）和Berkshire的Slough的Wexham Park医院（顾问领导的部门）进行。这是对1995年7月至2001年12月根据单位规程在英国Ascot的希瑟伍德医院分娩的低危妇女的计算机记录和统计数据进行的回顾性分析。根据单位规程，对妇女的低风险进行了评估。那些在希瑟伍德医院接受过产前和产时护理的患者以及那些被转移到咨询单位进行分娩的患者都包括在本研究中。我们根据医务人员的意见分析了该单位结构的适当性，审查了纳入和排除标准，分析了围产期和产妇死亡率，并评估了这种出生环境的安全性。自该部门成立以来，我们总共有5468名妇女在该低风险产科分娩中分娩。在此期间，大约有1950名妇女转入顾问护理。前18个月的产内转移率为7.9％。然而，自从1997年以来，由于对这种护理模式的信心增加，该数字一直稳定在2.7％。产前转移率一直稳定在23％左右。我们的紧急剖腹产率约为6％，正常分娩率约为85％。我们第一次注意到2001年紧急剖腹产率上升了9.5％。没有孕产妇死亡。我们没有严重的产后并发症，不能长期孕产妇发病。产前死产占19/23婴儿围产期死亡率的大部分。宫内生长迟缓占该组婴儿的4/23。该低危人群的围产期死亡率为每千名婴儿中有4.2名死产，死产率为每千名婴儿中有3.6名。我们得出的结论是，这种分娩方式可以安全地分娩，干预率低，分娩率低的低风险妇女，并且应该为该国未来任何类似的分娩中心树立榜样。

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