More attention needs to be paid to the psychological impact of transfer from midwife-led to consultant-led care, particularly where this involves a change of location or midwife.

Objectives-To evaluate the use of a maternity unit run by general practitioners and midwives, describing the outcome of labour in an unselected group of women and quantifying the contribution made by general practitioners.Design-Retrospective population based review of obstetric patients who had access to an isolated rural maternity unit.Setting-Rural area 120 km from a consultant maternity unit.Subjects

No abstract