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为了研究医院产科质量管理指标与孕妇、新生儿发病率的相关性,2010年Howell等收集了纽约市41家医院住院分娩病例资料,共纳入孕产妇115 742例,足月正常新生儿103 416例,对2项产科质量管理指标:37~39周无医学指征选择性剖宫产和孕妇存在低危因素行剖宫产进行研究分析。孕妇严重发病者指发生威胁生命的合并症或需施行挽救措施者,新生儿发病者指发生产伤、低氧血症、住院时间
In order to study the correlation between hospital obstetrics quality management indicators and the incidence of pregnant women and newborns, Howell et al. Collected data of hospital delivery in 41 hospitals in New York City in 2010, enrolling 115,742 pregnant women and 103,416 full-term normal newborns , Two obstetric quality management indicators: 37 to 39 weeks without medical indications for selective cesarean section and pregnant women with low risk factors for cesarean section were analyzed. Severe pregnant women who refer to the occurrence of life-threatening complications or the need for implementation of rescue measures, the incidence of newborns refers to the occurrence of trauma, hypoxemia, hospital stay