Are rural general practitioner-obstetricians performing too many prenatal ultrasound examinations? Evidence from western Labrador

CMAJ. Canadian Medical Association Journal

Volumn 158, Issue 3, 1998, Pages 307-313

  Thompson, Elisabeth ^a,b,d   Freake, Darren ^c   Worrall, Graham ^c  

^a UNIVERSITY OF ALBERTA   (Canada)

^b Centre for Rural Health Studies ^*

^c Centre for Rural Health Studies   (Canada)

^d Box 4010   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; DELIVERY; FEMALE; FETUS ECHOGRAPHY; GENERAL PRACTITIONER; GESTATIONAL AGE; HIGH RISK PREGNANCY; HUMAN; HUMAN EXPERIMENT; LABOR; NORMAL HUMAN; PATIENT CARE; PRACTICE GUIDELINE; PREGNANCY; RURAL AREA;

EID: 0032502012     PISSN: 08203946     EISSN: 14882329     Source Type: Journal    
DOI: None     Document Type: Article

References (27)

1. Lefevre M, Williamson H, Hector M. Obstetric risk assessment in rural practice. J Fam Pract 1989;28:691-6.
2. Wall EM. Assessing obstetric risk; a review a obstetric risk scoring systems. J Fam Pract 1988;27:153-63.
3. Goodwin JW, Dunne JT, Thomas BW. Anteparum identification of the fetus M risk. Can Med Assoc J 1969;101:458-68.
4. Coopland AT, Peddle LJ, Baskett TF, Rollwagen R, Simpson A, Parker E. A simplified antepartum high-risk pregnancy scoring form: statistical analysis of 5459 cases. Can Med Assoc J 1977;116:999-1001.
5. Hutchison BG, Milner R. Reliability of the guide to Pregnancy Risk Grading of the Ontario. Antenatal Record in assessing obstetric risk. Can Med Assoc J 1994;150:1983-7.
6. Hall PF. Rethinking risk. Can fam Physician 1994;40:1239-44.
7. Peek MJ, Devonald KJ, Beilhy R, Ellwood D. The value of routine early pregnancy ultrasound in the antenatal booking clinic. Aust N Z Obstet Gynecol 1994;34:140-3.
8. Bull MJV. Maternal and fetal screening for antenatal care. BMJ 1990;300: 1118-20.
9. Anderson G. Routine prenatal ultrasound screening. In: Canadian Task Force on the Periodic Health Examination. The Canadian guide to clinical preventive health care. Ottawa: Health Canada; 1994. Cat no H21-117/1994E. p. 3-14.
10. Anderson GU. Use of prenatal ultrasound examination in Ontario and British Columbia in the 1980's. J Soc Obstet Gynaecol Can 1994;16:1329-39.
11. Black DP, Gick S. Management of obstetric complications at a small rural hospital. Can Med Assoc 1979;120:31-7.
12. Casson RI, Sennett ES. Prenatal risk assessment and obstetric care in a small rural hospital: comparison with guidelines. Can Med Assoc J 1984;130:1311-5.
13. RADIUS Study Group. Effect of prenatal ultrasound screening on perinatal outcome. N Engl J Med 1993;329:821-7.
14. RADIUS Study Group. A randomized trial of prenatal ultrasonography screening: impact on maternal management and outcome. Am J Obstet Gynecol 1993;169:483-9.
15. Helewa ME. Caesarean section in Canada: What constitutes an appropriate rate? J Soc Obstet Gynaecol Can 1995;17:237-46.
16. Baldwin LM, Hart LG, Lloyd M, Fordyce M, Rosenblatt R. Defensive medicine and obstetrics. JAMA 1995;274:1606-10.
17. The use of diagnostic ultrasound imaging during pregnancy [consensus statement]. JAMA 1984;252:669-72.
18. Campbell S, Warsof SL, Little D, Cooper DJ. Routine ultrasound screening for the prediction of gestational age. Obstet Gynecol 1985;65:613-20.
19. Ultrasound screening and perinatal mortality: controlled trial of systematic one stage screening in pregnancy. The Helsinki ultrasound trial. Lancet 1990;336:387-91.
20. Reid AJ, Carroll JC, Ruderman J, Murray M. Consultation in family practice obstetrics. Can Fam Physician 1995;41:591-8.
21. Bakashi TK, Intrapartum obstetrical consultation in a rural hospital. Can Fam Physician 1988;34:825-8.
22. Hueston WJ. Obstetric referral in family practice. J Fam Pract 1994;38:368-72.
23. Gaspar D, Jordan J. Family practice obstetrics in a teaching hospital: Does a tertiary care environment make a difference? Can Fam Physician 1995;41:610-5.
24. Lemelin J. Referral pattern and rate of intervention in a small rural obstetrical practice. Can Fam Physician 1986;32:214-6.
25. Reynolds JL, Yudkin PL, Bull MJV. General practitioner obstetrics: Does risk prediction work? J R Coll Gen Pract 1988;38:307-10.
26. Gaspar D, Jordan J. Family medicine in a tertiary care hospital: obstetrical outcomes and interventions. Can Fam Physician 1995;41:601-7.
27. Ruderman J, Carroll JC, Reid AJ, Murray MA. Are physicians changing the way they practise obstetrics? Can Med Assoc J 1993;148:409-15.