Chng P K, Hall M H, MacGillivray I
Br Med J. 1980 Nov 1;281(6249):1184-6. doi: 10.1136/bmj.281.6249.1184.
A critical analysis of the events recorded at the first antenatal visits in a city where all pregnant women are seen by specialist obstetricians for booking for antenatal care and confinement showed that many women attended too late for optimal care. The selection of women for their risk of complications was not very effective, partly because of failure to take account of information that was available, but mainly because many obstetric complications cannot be predicted, except by classifying large proportions of pregnant women as high risk. Even with the greatest care, inappropriate bookings are made at the first visit, and reappraisal of booking for continuing care and confinement is necessary during pregnancy.
对某城市首次产前检查记录事件的批判性分析表明，在该城市所有孕妇均由专科产科医生进行产前护理和分娩登记，结果显示许多孕妇就诊过晚，无法获得最佳护理。根据孕妇并发症风险进行筛选的效果不太理想，部分原因是未能考虑到已有的信息，但主要原因是除了将很大比例的孕妇归类为高风险外，许多产科并发症无法预测。即使格外小心，首次就诊时仍会出现不恰当的登记情况，因此孕期有必要对继续护理和分娩的登记进行重新评估。
