Authors' reply

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7050.169 (Published 20 July 1996) Cite this as: BMJ 1996;313:169
  1. Jim Sikorski,
  2. Sarah Clement,
  3. Jennifer Wilson,
  4. Sarah Das,
  5. Nigel Smeeton
  1. General practitioner Lecturer Honorary research midwife Department of General Practice, United Medical and Dental School, London SE11 6SP
  2. Project coordinator National Maternity Record Project, London NW1 5SD
  3. Lecturer in medical statistics Department of Public Health Medicine, United Medical and Dental School, Guy's Hospital, London SE1 9RT

    EDITOR,—Tom O'Connell reiterates our point that the differences in psychosocial outcomes in our study, although significant, were small. Consequently their importance is uncertain. We will soon begin a two year follow up of women in the antenatal care project to evaluate possible long term effects of reduced schedules of visits on maternal psychological health, the relationship between mother and child, and use of the health service postnatally. We hope that this study will help to clarify the clinical importance of the differences in psychosocial outcome that we found.

    O'Connell also questions the generalisability of our findings, given our non-participation …

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