Referral pattern and rate of intervention in a small rural obstetrical practice.

This article describes an obstetrical chart review that covered a seven-year period from April 30, 1978 to March 31, 1984. This review includes both pre- and intra partum transfers and involves two main topics: referral pattern and rate of intervention during labour. The practice was involved in 60% of all pregnancies (344) of the catchment area. Seventeen per cent were transferred in their pre-partum period, and 11% were transferred intra partum. The rates of intervention for forceps, induction, episiotomy and analgesia are presented, and they confirm the non-interventionist attitude of general practice obstetricians.