首页> 外文期刊>Australian and New Zealand Journal of Obstetrics and Gynecology >Antenatal transfer of rural women to perinatal centres. High Risk Obstetric and Perinatal Advisory Working Group.
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Antenatal transfer of rural women to perinatal centres. High Risk Obstetric and Perinatal Advisory Working Group.

机译:农村妇女的产前转移到围产中心。高危产科和围产期咨询工作组。

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摘要

The aim of this study was to describe antenatal transfers of rural women to perinatal centres, and among transferred women, to assess the use of selected evidence-based therapies and determine the predictors of preterm and imminent births. The clinical records of rural women antenatally transferred to perinatal centres in NSW and the ACT during 1997-1998 were reviewed. Of 453 rural antenatal transfers, 408 (90%) were emergency transfers. Increasing remoteness was associated with increased rates of antenatal transfer but not with a lower probability of giving birth. Of all transferred women, 64% delivered; 58% of preterm transfers delivered preterm and of those delivering preterm, 76% delivered within 7 days. Although the main reason for antenatal transfer was the possibility of preterm birth, women presenting with preterm contractions only were less likely to deliver preterm (OR = 0.2, 95% CI 0.1-0.4) or < or = 7 days (OR = 0.3, 95% CI 0.2-0.5) than women with any other presenting symptoms. The overall usage of effective interventions (antenatal steroids, antibiotics for PPROM and beta-mimetic tocolysis to delay birth) among antenatally transferred rural women was high, but there is room for increased uptake prior to transfer.
机译:这项研究的目的是描述农村妇女到产前中心以及在转移的妇女中的产前转移,以评估所选循证疗法的使用并确定早产和临产的预测因素。回顾了1997-1998年农村妇女在产前转移到新南威尔士州和首都地区的围产中心的临床记录。在453项农村产前转移中,有408例(90%)是紧急转移。距离的增加与产前转移率的提高有关,但与分娩的可能性降低无关。在所有转移的妇女中,有64%分娩;早产和早产中有58%交付早产,7天内交付了76%。尽管产前转移的主要原因是早产的可能性,但仅表现为早产的妇女分娩的可能性较小(OR = 0.2,95%CI 0.1-0.4)或<或= 7天(OR = 0.3,95) %CI 0.2-0.5)高于具有其他任何症状的女性。在产前转移的农村妇女中,有效干预措施的总体使用量较高(产前类固醇,PPROM用抗生素和β-拟象体溶宫以延缓生育),但在转移前仍有增加摄取的空间。

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