Stephen Earwicker, Nottingham:
>>We are looking at changing from the current system of seeing patients 4
>weekly
>>
>>to 28 weeks, 2 weekly to 36 weeks and weekly thereafter to a system of
>>assessing the category of risk at the time of booking and planning the
>>intervals of clinic attendance depending on whether high or low risk.
>>Is anyone else already doing this?
>>Has it been evaluated?
>>
Swedish NHS has just recently made an national evaluative survey of antenatal
care. The routine has therefore been altered in our county of Sweden.
A specially trained nurse/midwife sees the mother in week numbers:
8+25+30+32+34+36+37+38+39+40.
There is an ultrasound-screening carried out in week number 17 or 18.
A doctor (specialised in obstetrics or, more seldom, family medicin/general
practice) examines the mother week no 11 + possibly 36 (+ .42)
(The change is: Less visits in the beginning)
Women who are well and have previously had normal partus, skip the last visit to
the doctor. All higher-risc-pregnancies make more visits to the doctor,
depending on the conditions. Smoking mothers have extra ultrasonic examinations
in w. 32 + 36 to determine the size and growth of the child.
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Dr Ulf L Eriksson,
General Practitioner
Kvartersmottagningen
Kungsmarksv 3
S-371 44 Karlskrona SWEDEN
Phone: +46 (0)455 888 76
Fax: +46 (0)455 888 78
E-mail: ulf.eriksson(at)ltblekinge.se
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