A comparison of low‐risk pregnant women booked for delivery in two systems of care: shared‐care (consultant) and integrated general practice unit. I. Obstetrical procedures and neonatal outcome

BJOG: An International Journal of Obstetrics and Gynaecology - Tập 90 Số 2 - Trang 118-122 - 1983
Michael Klein1, IVOR LLOYD2, Christopher W.G. Redman3, M J Bull4, A. C. Turnbull3
1McGill University Department of Family Medicine, Montreal, Quebec, Canada
2Department of Experimental Psychology, University of Oxford, Oxford
3Nuffield Department of Obstetrics and Gynaecology, Oxford.
4East Oxford Health Centre, Oxford, UK.

Tóm tắt

Summary. Samples of records of comparable low‐risk pregnant women booked for delivery in an integrated general practice unit (GPU) and a consultant (or shared‐care) system were derived from a computer tape of all 5005 births which occurred at the John Radcliffe Hospital in 1978.Induction of labour, epidural analgesia and forceps delivery were all less frequently carried out in women booked for delivery in the GPU. Infants of multiparous women were more often intubated in the shared‐care system (3%) than in the GPU (0%); rates in infants of nulliparous women were similar (approx. 7%) in the two systems. These data suggest that short‐term outcomes are as good for GPU‐booked low‐risk women and their infants as for comparable women booked in consultant or shared‐care.

Từ khóa


Tài liệu tham khảo

Bull M. J. V., 1980, Ten years experience in a general practice obstetric unit, J R Coll Gen Pract, 30, 208

Bull M. J. V., 1981, The general practitioner accoucheur in the 1980s, J R Coll Gen Pract, 31, 357

Bull M. J. V., 1978, The John Radcliffe Hospital GP Maternity Unit and Obstetric Department Authors

10.1136/bmj.1.5949.79

10.1136/bmj.3.5610.112

10.1136/bmj.1.5950.139

Owen J. D., 1981, A review of the general practitioner obstetric service in Colchester 1970–1979, J R Coll Gen Pract, 31, 92

10.1016/S0140-6736(80)92348-X

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Thông tin xuất bản

BJOG: An International Journal of Obstetrics and Gynaecology

Tập 90 Số 2

118-122

Thông tin tác giả