Geburtshilfe im Ausland - Unterschiede im Geburtsmanagement zwischen einer englischen und einer westfälischen Abteilung

Autor:	S. A. Wichert, H.-J. Bücker-Nott, R. S. Settatree, C. M. Schlotter
Rok vydání:	2001
Předmět:	Asphyxia Pediatrics medicine.medical_specialty Obstetrics business.industry Perinatal care Obstetrics and Gynecology Placental separation Obstetric care Neonatal morbidity Maternity and Midwifery medicine medicine.symptom business Unit level
Zdroj:	Geburtshilfe und Frauenheilkunde. 61:490-495
ISSN:	1438-8804 0016-5751
DOI:	10.1055/s-2001-15977
Popis:	Objective: The course of labor and maternal and neonatal morbidity are indicators of quality of obstetric care. Standardized data collection permits comparisons of the quality of obstetric and perinatal care at different institutions in different countries. We measured the quality of maternal care at the unit level by comparing obstetric and perinatal data at units in England and Germany. Methods: We compared obstetric and perinatal data obtained between 1991 and 1995 at an obstetric unit in Solihull, England (16,884 deliveries), and one in Ibbenburen, Germany (5048 deliveries). We analyzed Caucasian, nonsingle primiparas 1000 mL, and abnormalities of placental separation were significantly more frequent at the English unit. Five-minute Apgar scores were similar. Conclusion: The differences in obstetric management did not lead to differences in rates of neonatal asphyxia (as indicated by low 5-min. Apgar scores) and stillbirth. Quality standards should be stipulated at the onset of such studies. Mothers' perception of the quality of treatment received should be considered when weighing management options.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::27a2ec4f1694f9a4a4e1a018e8fb725c https://doi.org/10.1055/s-2001-15977 Zobrazit plný text záznamu