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. 1991 Mar 23;302(6778):698–700. doi: 10.1136/bmj.302.6778.698

Community obstetric care in West Berkshire.

P Street 1, M J Gannon 1, E M Holt 1
PMCID: PMC1669136  PMID: 1878023

Abstract

OBJECTIVE--To assess the effects of a revised obstetric booking policy whereby all low risk pregnant women received their antenatal care entirely in the community. DESIGN--Comparison of the distribution of antenatal clinic attendances, transfers, and perinatal mortality rates for 1987 and 1989, before and after introduction of the revised policy. SETTING--West Berkshire Health District. SUBJECTS--All women who delivered with a registrable birth in the district in 1987 (5817 women) and 1989 (5372). MAIN OUTCOME MEASURES--Attendances at community and consultant antenatal clinics; bookings transferred from community care to consultant care; perinatal mortality rates. RESULTS--Of 5372 women delivering in West Berkshire in 1989, 3185 (58.3%) were originally booked for general practitioner-midwife care, of whom 1567 (49.2% of general practitioner-midwife bookings) were transferred to consultant care. 1618 women (30.1% of all women delivered) received their entire obstetric care from general practitioners and midwives. Attendance at hospital antenatal clinics was reduced by 16%. In 1989 the perinatal mortality rates (1987 values) for the district were 6.3 (7.6) per 1000 births overall; 8.2 (8.3) per 1000 consultant bookings; 5.0 (4.7) per 1000 for community bookings; and 10.2 (14.4) per 1000 for women transferred to consultant care. CONCLUSION--Antenatal care of low risk pregnant women may safely be provided by their general practitioner and midwife.

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Selected References

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  1. Brudenell J. M. Future of general practitioner obstetrics: discussion paper. J R Soc Med. 1983 Mar;76(3):197–199. doi: 10.1177/014107688307600309. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bryce F. C., Clayton J. K., Rand R. J., Beck I., Farquharson D. I., Jones S. E. General practitioner obstetrics in Bradford. BMJ. 1990 Mar 17;300(6726):725–727. doi: 10.1136/bmj.300.6726.725. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bull M. GP obstetrics: making the most of shared care. Practitioner. 1989 Feb 22;233(1463):211–215. [PubMed] [Google Scholar]
  4. Chamberlain G. NHS review. Obstetrics after the white paper. BMJ. 1989 Jun 24;298(6689):1702–1703. doi: 10.1136/bmj.298.6689.1702. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Loudon I. Obstetrics and the general practitioner. BMJ. 1990 Oct 3;301(6754):703–707. doi: 10.1136/bmj.301.6754.703. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Marsh G. N., Cashman H. A., Russell I. T. General practitioner obstetrics in the Northern region in 1983. Br Med J (Clin Res Ed) 1985 Mar 23;290(6472):901–903. doi: 10.1136/bmj.290.6472.901. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Reynolds J. L., Yudkin P. L., Bull M. J. General practitioner obstetrics: does risk prediction work? J R Coll Gen Pract. 1988 Jul;38(312):307–310. [PMC free article] [PubMed] [Google Scholar]
  9. Sangala V., Dunster G., Bohin S., Osborne J. P. Perinatal mortality rates in isolated general practitioner maternity units. BMJ. 1990 Sep 1;301(6749):418–420. doi: 10.1136/bmj.301.6749.418. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Taylor A. Maternity services: the consumer's view. J R Coll Gen Pract. 1986 Apr;36(285):157–160. [PMC free article] [PubMed] [Google Scholar]
  11. Taylor G. W., Edgar W., Taylor B. A., Neal D. G. How safe is general practitioner obstetrics? Lancet. 1980 Dec 13;2(8207):1287–1289. doi: 10.1016/s0140-6736(80)92348-x. [DOI] [PubMed] [Google Scholar]

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