Education And Debate

Obstetricians should focus on problems

BMJ 1995; 310 doi: (Published 07 January 1995) Cite this as: BMJ 1995;310:37
  1. David K James, professor of fetomaternal medicinea
  1. a Queen's Medical Centre, Nottingham NG7 2UH

    The provision of care for pregnant women is changing enormously. Many of these changes were under way before the well publicised Winterton and Cumberlege reports.1 2 One of the changes is that women with normal pregnancies increasingly see their general practitioner and midwife for most of their care and see the obstetrician less often. In some instances women do not see an obstetrician at all. I think that this trend is to be encouraged. I believe that in the ideal world women with normal pregnancies need not see an obstetrician for four reasons—consumer, philosophical, scientific, and evolutionary.

    Consumer argument

    Several studies have shown that most women with normal pregnancies do not wish to see an obstetrician.3 4 5 6 Naturally, it is difficult for such studies …

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