台南地區各層級醫療機構新生兒生命統計概況

Neonatal Vital Statistics at Different Hospital Levels in Tainan Area

陳德人(Te-Jen Chen) ； 林其和(Chyi-Her Lin) ； 王琪珍(Chih-Jen Wang) ； 王新台(Shan-Tair Wang) ； 葉純甫(Tsu-Fuh Yeh)

《中華公共衛生雜誌》 14卷5期 (1995/10) Pp. 400-406

https://doi.org/10.6288/CJPH1995-14-05-03

摘要

In Taiwan, with the increasing demands of better care for newborn infants, neonatal intensive care units have been established in many medical institutions. However, neonatal intensive care requires relatively high cost and additional health care manpower. Regionalization is an alternative in meeting the following objectives: quality care for all newborns, maximal utilization of highly trained perinatal personnel and intensive care facilities, as well as assurance of reasonable cost-effectiveness. The purposes of this study were to disclose neonatal vital statistics at different hospital levels and to prepare for regionalization in the Tainan area.
The data of cesarean section rate, birthweight and gestational age distribution, and neonatal outcome from each of three levels of medical institution in Tainan area from July, 1991 to April, 1992 were collected and analyzed. Fifteen medical institutions were included on a voluntary basis; eight from level Ⅰ (obstetric clinic/hospital), six from level Ⅱ (community hospital) and one from level Ⅲ (tertiary medical center). In 14,307 newborn deliveries, the cesarean section rate was 26.38%. The incidence of low birthweight(＜2500gm) was 5.69%, and the incidence of very low birthweight(＜1500gm) was 1.08%. The results also showed that part of high risk newborn infants and pregnant women have been transferred to higher level medical institution for better care. Furthermore, 40% of the transferred newborn infants were born in the obstertric clinic/hospital(level Ⅰ). The incidences of premature(3.97%)and low birthweight(4.20%) infants born in the obstetric clinic/hospital should be reduced. Further improvement of regionalization of perinatal medical care in the community is needed.

關鍵字

新生兒 ； 區域規劃 ； 生命統計

並列摘要

In Taiwan, with the increasing demands of better care for newborn infants, neonatal intensive care units have been established in many medical institutions. However, neonatal intensive care requires relatively high cost and additional health care manpower. Regionalization is an alternative in meeting the following objectives: quality care for all newborns, maximal utilization of highly trained perinatal personnel and intensive care facilities, as well as assurance of reasonable cost-effectiveness. The purposes of this study were to disclose neonatal vital statistics at different hospital levels and to prepare for regionalization in the Tainan area.
The data of cesarean section rate, birthweight and gestational age distribution, and neonatal outcome from each of three levels of medical institution in Tainan area from July, 1991 to April, 1992 were collected and analyzed. Fifteen medical institutions were included on a voluntary basis; eight from level Ⅰ (obstetric clinic/hospital), six from level Ⅱ (community hospital) and one from level Ⅲ (tertiary medical center). In 14,307 newborn deliveries, the cesarean section rate was 26.38%. The incidence of low birthweight(＜2500gm) was 5.69%, and the incidence of very low birthweight(＜1500gm) was 1.08%. The results also showed that part of high risk newborn infants and pregnant women have been transferred to higher level medical institution for better care. Furthermore, 40% of the transferred newborn infants were born in the obstertric clinic/hospital(level Ⅰ). The incidences of premature(3.97%)and low birthweight(4.20%) infants born in the obstetric clinic/hospital should be reduced. Further improvement of regionalization of perinatal medical care in the community is needed.

並列關鍵字

newborn ； regionalization ； vital statistics