Specific interventional procedures have enjoyed widespread popularity in the United States in the routine management of low risk obstetric patients without the benefit of clinical studies attesting to their utility. A review of the literature was conducted to survey obstetric practice with regard to amniotomy, intravenous fluids, third stage administration of oxytocics, episiotomy and continuous fetal monitoring.
Leading Articles MEDICAL JOURNAL 13 almost all similar professional bodies in this country levy an annual fee-for example, architects pay 30s., dentists £5, veterinary surgeons £5 5s., solicitors £11. A,-ainst a background of continual inflation the once-for-all fee is an anachronism; it condemns the newly qualified practitioner to bearing the whole burden of rising costs, which is clearly unfair. Annual fees seem inescapable, but their level will always need to be watched closely.
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