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Community antenatal careFrom: Jason Gardosi (jason.gardosi@nottingham.ac.uk)Mon Oct 9 13:03:00 1995
In reply to Gail Hart, 5 Oct 1995: 1. >Does the UK still do home based or neighborhood prenatal care? Here and there, but not enough. There is much discussion now under the 'Partners in Care' initiative, and I expect community midwifery will be strengthened in due course, unless they manage to abolish the national health service first. But there is a lack of definition of the PURPOSE of antenatal care, so the status quo (nonsensical 'routine' visits of low risk mothers to overflowing hospital clinics) carries on in many centers. 2. >(Heck, they could even take fundal heights and FHTs --it doesn't require a college degree!) A college degree is in fact very poor qualification for proper fundal height measurement, as I see only too often during our postgraduate courses. It is, interestingly, not taught at most medical and midwifery schools. In this, the professions seem definitely united. Many unindicated 3rd trimester 'growth scans' in low risk pregnancies are then presumably the intended substitute... jason.gardosi@nottingham.ac.uk Ob/Gyn, Queen's Medical Centre University of Nottingham, UK
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