Is antenatal care apportioned according to obstetric risk?
Janet Tucker, Research Fellow Charles du V. Florey, Professor Peter Howie, Professor Gillian Mcllwaine, Consultant (Women’s Health) Marion Hall, Consultant Department of Epidemiology and Public Health, University of Dundee, Ninewells Hospital and Medical School Dundee DDI 9SY Department of Obstetrics and Gynaecology, University of Dundee Department of Public Health, Greater Glasgow Health Board Department of Obstetrics and Gynaecology, Aberdeen Maternity Hospital Janet Tucker. A retrospective cohort study of case records of antenatal care was carried out to describe and compare antenatal services in Scotland according to type of hospital and risk category of women. The study took place at 15 randomly selected maternity hospitals which were divided into teaching hospitals (n=5), rural catchment hospitals (n=2), and district general hospitals divided by size as those with 1000 1699 deliveries per year (n=4), and those with 1700 deliveries per year (n=4). The subjects were 3574 (87.7 per
A retrospective cohort study of case records of antenatal care was carried out to describe and compare antenatal services in Scotland according to type of hospital and risk category of women. The study took place at 15 randomly selected maternity hospitals which were divided into teaching hospitals (n=5), rural catchment hospitals (n=2), and district general hospitals divided by size as those with 1000–1699 deliveries per year (n=4), and those with ≥1700 deliveries per year (n=4). The subjects were 3574 (87.7 per cent) of 4069 eligible women who delivered in the last quarter of 1989 at these hospitals. Of those 3574, 19 per cent (675) were considered to be high risk at booking, 64 per cent (2899) continued low risk throughout their pregnancy and the remaining 17 per cent (608) changed from low risk to high risk during pregnancy. The main outcome measures were the number, timing, location and supervision of antenatal visits and antenatal admissions in relation to hospital types and obst
