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Logo of jroyalcgpracBJGP at RCGPBJGP at PubMed CentralJ R Coll Gen Pract at PubMed CentralRCGP homepage
J R Coll Gen Pract. 1978 August; 28(193): 455–458.
PMCID: PMC2158917

Integration of general-practitioner and specialist antenatal care


Despite the growing role of specialist obstetricians in intranatal care the importance of the general practitioner's role, especially in antenatal and postnatal care, is being increasingly recognized. We describe a new way of sharing care which involves the consultant obstetrician attending antenatal sessions at fortnightly intervals in the practice. In addition the antenatal record is retained by the patient herself who brings it to all attendances, both in the practice and at the hospital.

We analysed the results of this arrangement and compared them with a controlled series of hospital patients and found some advantages for shared care arrangements including, in particular, a reduction in the number of different doctors seen by patients, a big reduction in the number of patients who were seen by more than three doctors, and an increase in the breast feeding rate at the time of discharge from hospital.

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Selected References

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  • Elstein M, Angus W, Barker I, Dennis KJ. The general-practitioner obstetrician--the evolution of his role in the next decade. J R Coll Gen Pract. 1975 May;25(154):373–376. [PMC free article] [PubMed]
  • Lloyd G. The general practitioner and changes in obstetric practice. Br Med J. 1975 Jan 11;1(5949):79–82. [PMC free article] [PubMed]
  • Wilkes E, Dixon RA, Knowelden J. Modern obstetrics and the general practitioner. Br Med J. 1975 Dec 20;4(5998):687–690. [PMC free article] [PubMed]

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