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. 1980 Apr;30(213):208-212, 214-215.

Ten years' experience in a general practice obstetric unit

M J V Bull
PMCID: PMC2159471  PMID: 7411510

Abstract

The outcomes of over 8,000 bookings in a general practice obstetric unit closely associated with a consultant unit were surveyed prospectively over a 10-year period. There was a progressive (though erratic) reduction in perinatal mortality rates for all original bookings and for final admissions in general practice care though these appeared to be at the expense of an increasing transfer rate for primiparae both during pregnancy and in labour. The performance of general practice obstetricians was also examined and the implications for the future of general practice obstetrics are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barr R. G., Levine M. D., Watkins J. B. Recurrent abdominal pain of childhood due to lactose intolerance. N Engl J Med. 1979 Jun 28;300(26):1449–1452. doi: 10.1056/NEJM197906283002602. [DOI] [PubMed] [Google Scholar]
  2. Chalmers I., Zlosnik J. E., Johns K. A., Campbell H. Obstetric practice and outcome of pregnancy in Cardiff residents 1965-73. Br Med J. 1976 Mar 27;1(6012):735–738. doi: 10.1136/bmj.1.6012.735. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cooper J. A. Obstetric care in the first pregnancy. Br J Clin Pract. 1969 Mar;23(3):107–111. [PubMed] [Google Scholar]
  4. Cox C. A., Fox S. S., Zinkin P. M., Matthews A. E. Critical appraisal of domiciliary obstetric and neonatal practice. Br Med J. 1976 Jan 10;1(6001):84–86. doi: 10.1136/bmj.1.6001.84. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Curzen P., Mountrose U. M. The general practitioner's role in the management of labour. Br Med J. 1976 Dec 11;2(6049):1433–1434. doi: 10.1136/bmj.2.6049.1433. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Fedrick J., Butler N. R. Intended place of delivery and perinatal outcome. Br Med J. 1978 Mar 25;1(6115):763–765. doi: 10.1136/bmj.1.6115.763. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Geals M. F., Howat R. C. Obstetric care in mothers booked for a general practitioner maternity unit. Health Bull (Edinb) 1977 Sep;35(5):243–248. [PubMed] [Google Scholar]
  8. Hobbs M. S., Acheson E. D. Perinatal mortality and the organization of obstetric services in the Oxford area in 1962. Br Med J. 1966 Feb 26;1(5486):499–505. doi: 10.1136/bmj.1.5486.499. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. James D. K. Patients transferred in labour from general-practitioner maternity units. J R Coll Gen Pract. 1977 Jul;27(180):414–418. [PMC free article] [PubMed] [Google Scholar]
  10. Lewis B. V., Tipton R. H., Sloper I. M. Changing pattern in a general practitioner obstetric unit. Br Med J. 1978 Feb 25;1(6111):484–485. doi: 10.1136/bmj.1.6111.484. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Lloyd G. Retrospective normality. A comparison of the outcome of pregnancy of women booked in a GP maternity unit and a GP obstetric unit. Practitioner. 1975 Feb;214(1280):261–263. [PubMed] [Google Scholar]
  12. MacFarlane A. Variations in number of births and perinatal mortality by day of week. Br Med J. 1979 Mar 17;1(6165):750–751. doi: 10.1136/bmj.1.6165.750-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Marsh G. N. Obstetric audit in general practice. Br Med J. 1977 Oct 15;2(6093):1004–1006. doi: 10.1136/bmj.2.6093.1004. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Oldershaw K. L., Brudenell J. M. Use by general practitioners of obstetric beds in a consultant unit: a further report. Br Med J. 1975 Jan 18;1(5950):139–142. doi: 10.1136/bmj.1.5950.139. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Richmond G. A. An analysis of 3,199 patients booked for delivery in general-practitioner obstetric units. J R Coll Gen Pract. 1977 Jul;27(180):406–413. [PMC free article] [PubMed] [Google Scholar]
  20. Sides B. A. The effect of the introduction of a short-stay G.P. obstetrical unit on home confinements. Practitioner. 1973 Feb;210(256):286–290. [PubMed] [Google Scholar]
  21. Woods J. O. Place of the general practitioner in the obstetric service. Br Med J. 1971 Dec 25;4(5790):803–805. doi: 10.1136/bmj.4.5790.803. [DOI] [PMC free article] [PubMed] [Google Scholar]

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