Bull M J
J R Coll Gen Pract. 1980 Apr;30(213):208-15.
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.
在一个与顾问单位密切相关的全科产科病房,对超过8000例预约病例的结果进行了为期10年的前瞻性调查。所有初始预约病例以及全科护理中的最终入院病例的围产期死亡率都在逐步(尽管不稳定)下降,不过这似乎是以初产妇在孕期和分娩时转诊率上升为代价的。还对全科产科医生的表现进行了检查,并讨论了其对全科产科未来的影响。