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Br Med J. 1980 November 1; 281(6249): 1184–1186.
PMCID: PMC1714522

An audit of antenatal care: the value of the first antenatal visit.


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.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Hall MH, Chng PK, MacGillivray I. Is routine antenatal care worth while? Lancet. 1980 Jul 12;2(8185):78–80. [PubMed]
  • Marsh GN. Obstetric audit in general practice. Br Med J. 1977 Oct 15;2(6093):1004–1006. [PMC free article] [PubMed]
  • Lewis BV, Tipton RH, Sloper IM. Changing pattern in a general practitioner obstetric unit. Br Med J. 1978 Feb 25;1(6111):484–485. [PMC free article] [PubMed]
  • Mentally disordered offenders. Br Med J. 1979 Jan 6;1(6155):1–2. [PMC free article] [PubMed]
  • Schoenenberger GA, Monnier M. Characterization of a delta-electroencephalogram (-sleep)-inducing peptide. Proc Natl Acad Sci U S A. 1977 Mar;74(3):1282–1286. [PubMed]

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