Critical appraisal of domiciliary obstetric and neonatal practice
Obstetric and neonatal data on 155 domiciliary deliveries were analysed. The findings illustrated the problems in adhering to generally recognised risk criteria for selecting cases for domiciliary confinement and the unpredictability of events in the newborn period. Awareness of the risks of home co...
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| Veröffentlicht in: | BMJ 1976-01, Vol.1 (6001), p.84-86 |
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| creator | Cox, C A Fox, S S Zinkin, P M Matthews, A E |
| description | Obstetric and neonatal data on 155 domiciliary deliveries were analysed. The findings illustrated the problems in adhering to generally recognised risk criteria for selecting cases for domiciliary confinement and the unpredictability of events in the newborn period. Awareness of the risks of home confinement have led to increased efforts to achieve 100% hospital delivery. At the West Middlesex Hospital, to make hospital confinement more acceptable to mothers, we have tried to alter inflexible hospital routines and to make previously austere labour wards less impersonal. The same midwife who has supervised the antenatal period brings the mother into the unit, and transfers her home as soon as possible afterwards.. |
| doi_str_mv | 10.1136/bmj.1.6001.84 |
| format | Article |
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The findings illustrated the problems in adhering to generally recognised risk criteria for selecting cases for domiciliary confinement and the unpredictability of events in the newborn period. Awareness of the risks of home confinement have led to increased efforts to achieve 100% hospital delivery. At the West Middlesex Hospital, to make hospital confinement more acceptable to mothers, we have tried to alter inflexible hospital routines and to make previously austere labour wards less impersonal. 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The findings illustrated the problems in adhering to generally recognised risk criteria for selecting cases for domiciliary confinement and the unpredictability of events in the newborn period. Awareness of the risks of home confinement have led to increased efforts to achieve 100% hospital delivery. At the West Middlesex Hospital, to make hospital confinement more acceptable to mothers, we have tried to alter inflexible hospital routines and to make previously austere labour wards less impersonal. The same midwife who has supervised the antenatal period brings the mother into the unit, and transfers her home as soon as possible afterwards..</description><subject>Birth Weight</subject><subject>Child health services</subject><subject>Delivery, Obstetric</subject><subject>Female</subject><subject>Fetal Distress</subject><subject>General Practice Observed</subject><subject>Home Care Services</subject><subject>Home confinement</subject><subject>Hospital units</subject><subject>Hospitals, Maternity</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - epidemiology</subject><subject>Infants</subject><subject>Labor, Induced</subject><subject>Maternal Mortality</subject><subject>Midwifery</subject><subject>Midwives</subject><subject>Mothers</subject><subject>Obstetrics</subject><subject>Postnatal Care</subject><subject>Predisposing factors</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Prenatal Care</subject><subject>Risk</subject><subject>Social Class</subject><issn>0007-1447</issn><issn>0959-8138</issn><issn>1468-5833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1976</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kcGLEzEYxYMoa1n36FEYEMTL1C_JN0nmIqzFdZWyIqgHLyEzSTR1ZlKTqeh_vyldWvXgKQnvl5f35RHymMKSUi5edONmSZcCgC4V3iMLikLVjeL8PlkAgKwponxILnLelCPjUrUCz8gZZYgt4oJcrlKYQ2-Gymy3yYRcdtFXNo6hD0Mw6XcVuzy7OYW-MpOtJhcnMxeq0H256R6RB94M2V3crefk09Xrj6vrev3-zdvV5bruGuBzzR00HqiEpjXSOS8teLBeSMPR9wYFY0opQQE7r7CD1redU1a0xlrXOMvPycuD73bXjc72bpqTGfQ2hbGk1NEE_bcyhW_6a_ypqeCK07YYPLszSPHHzuVZjyH3bhhMmWmXteKMgUBawKf_gJu4S1MZTlMpBRPIGCtUfaD6FHNOzh-jUND7cnQpR1O9L0crLPyTP_Of6EMVJ32T55iOMgMEVf7m9F4odfw66iZ910Jy2eibzyvNb9bvXl1_4fpD4Z8f-H2M_0e7BZ0xsLI</recordid><startdate>19760110</startdate><enddate>19760110</enddate><creator>Cox, C A</creator><creator>Fox, S S</creator><creator>Zinkin, P M</creator><creator>Matthews, A E</creator><general>British Medical Journal Publishing Group</general><general>British Medical Association</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19760110</creationdate><title>Critical appraisal of domiciliary obstetric and neonatal practice</title><author>Cox, C A ; 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The findings illustrated the problems in adhering to generally recognised risk criteria for selecting cases for domiciliary confinement and the unpredictability of events in the newborn period. Awareness of the risks of home confinement have led to increased efforts to achieve 100% hospital delivery. At the West Middlesex Hospital, to make hospital confinement more acceptable to mothers, we have tried to alter inflexible hospital routines and to make previously austere labour wards less impersonal. The same midwife who has supervised the antenatal period brings the mother into the unit, and transfers her home as soon as possible afterwards..</abstract><cop>England</cop><pub>British Medical Journal Publishing Group</pub><pmid>1244944</pmid><doi>10.1136/bmj.1.6001.84</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; JSTOR Archive Collection A-Z Listing; PubMed Central |
| subjects | Birth Weight Child health services Delivery, Obstetric Female Fetal Distress General Practice Observed Home Care Services Home confinement Hospital units Hospitals, Maternity Humans Infant, Newborn Infant, Newborn, Diseases - epidemiology Infants Labor, Induced Maternal Mortality Midwifery Midwives Mothers Obstetrics Postnatal Care Predisposing factors Pregnancy Pregnancy Complications - epidemiology Prenatal Care Risk Social Class |
| title | Critical appraisal of domiciliary obstetric and neonatal practice |
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