Should obstetricians see women with normal pregnancies? A multicentre randomised controlled trial of routine antenatal care by general practitioners and midwives compared with shared care led by obstetricians

Abstract Objective: To compare routine antenatal care provided by general practitioners and midwives with obstetrician led shared care. Design: Multicentre randomised controlled trial. Setting: 51 general practices linked to nine Scottish maternity hospitals. Subjects: 1765 women at low risk of ante...

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Bibliographic Details
Published in:BMJ 1996-03, Vol.312 (7030), p.554-559
Main Authors: Tucker, J S, Hall, M H, Howie, P W, Reid, M E, Barbour, R S, Florey, C du V, McIlwaine, G M
Format: Article
Language:English
Subjects:
Clinical Protocols
Family Practice
Female
Gender equality
General Practice
Gynecology
Health care delivery
Hospitals, Maternity
Humans
Hypertension
Medical referrals
Medical specialists
Midwifery
Midwives
Patient Acceptance of Health Care
Patient Care Team
Patient Satisfaction
Pregnancy
Pregnancy Complications
Pregnancy Outcome
Prenatal Care - methods
Prenatal Care - organization & administration
Prenatal Care - statistics & numerical data
Public health
Quality of Health Care
Risk
Scotland
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Summary:Abstract Objective: To compare routine antenatal care provided by general practitioners and midwives with obstetrician led shared care. Design: Multicentre randomised controlled trial. Setting: 51 general practices linked to nine Scottish maternity hospitals. Subjects: 1765 women at low risk of antenatal complications. Intervention: Routine antenatal care by general practitioners and midwives according to a care plan and protocols for managing complications. Main outcome measures: Comparisons of health service use, indicators of quality of care, and women's satisfaction. Results: Continuity of carer was improved for the general practitioner and midwife group as the number of carers was less (median 5 carers v 7 for shared care group, P
ISSN:0959-8138
1468-5833
1756-1833
DOI:10.1136/bmj.312.7030.554