Abstract
This article describes an obstetrical chart review that covered a seven-year period from April 30, 1978 to March 31, 1984. This review includes both pre- and intra partum transfers and involves two main topics: referral pattern and rate of intervention during labour. The practice was involved in 60% of all pregnancies (344) of the catchment area. Seventeen per cent were transferred in their pre-partum period, and 11% were transferred intra partum. The rates of intervention for forceps, induction, episiotomy and analgesia are presented, and they confirm the non-interventionist attitude of general practice obstetricians.
Keywords: obstetrical chart review, referral pattern, rate of intervention during labour
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Black D. P., Fyfe I. M. The safety of obstetric services in small communities in northern Ontario. Can Med Assoc J. 1984 Mar 1;130(5):571–576. [PMC free article] [PubMed] [Google Scholar]
- Bull M. J. The general practitioner accoucheur in the 1980s. J R Coll Gen Pract. 1981 Jun;31(227):357–367. [PMC free article] [PubMed] [Google Scholar]
- Casson R. I., Sennett E. S. Prenatal risk assessment and obstetric care in a small rural hospital: comparison with guidelines. Can Med Assoc J. 1984 May 15;130(10):1311–1315. [PMC free article] [PubMed] [Google Scholar]
- Cavenagh A. J., Phillips K. M., Sheridan B., Williams E. M. Contribution of isolated general practitioner maternity units. Br Med J (Clin Res Ed) 1984 May 12;288(6428):1438–1440. doi: 10.1136/bmj.288.6428.1438. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ely J. W., Ueland K., Gordon M. J. An audit of obstetric care in a university family medicine department and an obstetrics-gynecology department. J Fam Pract. 1976 Aug;3(4):397–401. [PubMed] [Google Scholar]
- Hogg W. E. Definition of the catchment area for a small rural hospital near a large city. Can Fam Physician. 1984 Feb;30:326–332. [PMC free article] [PubMed] [Google Scholar]
- Klein M., Lloyd I., Redman C., Bull M., Turnbull A. C. 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. Br J Obstet Gynaecol. 1983 Feb;90(2):118–122. doi: 10.1111/j.1471-0528.1983.tb08894.x. [DOI] [PubMed] [Google Scholar]
- Klein M., Lloyd I., Redman C., Bull M., Turnbull A. C. A comparison of low-risk pregnant women booked for delivery in two systems of care: shared-care (consultant) and integrated general practice unit. II. Labour and delivery management and neonatal outcome. Br J Obstet Gynaecol. 1983 Feb;90(2):123–128. doi: 10.1111/j.1471-0528.1983.tb08895.x. [DOI] [PubMed] [Google Scholar]
- Meyer H. B. Regional care for mothers and their infants. Clin Perinatol. 1980 Mar;7(1):205–221. [PubMed] [Google Scholar]
- Owen J. D. A review of the general practitioner obstetric service in Colchester 1970-1979. J R Coll Gen Pract. 1981 Feb;31(223):92–96. [PMC free article] [PubMed] [Google Scholar]
- 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]
- 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]
- Wanderer M. J., Suyehira J. G. Obstetrical care in a prepaid cooperative: a comparison between family practice residents, family physicians, and obstetricians. J Fam Pract. 1980 Oct;11(4):601–606. [PubMed] [Google Scholar]