Dr. Kim Smith

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The objective of this study was to assess the effects of two brief training interventions to improve obstetricians' and midwives' explanations to patients of a routine prenatal screening test. Health professionals were randomly allocated to one of two intervention groups or a control group. Information-giving about the test and communication skills were(More)
Women offered prenatal tests should be given sufficient information to enable them to make an informed decision. We compared the decision-making of 261 women who underwent serum screening for Down syndrome with 63 who did not. A questionnaire completed at 16 weeks' gestation assessed systematic decision-making (the weighing up of pros and cons on the basis(More)
OBJECTIVE To assess obstetricians' and midwives' knowledge of routine prenatal screening tests for fetal abnormality and factors associated with such knowledge. DESIGN Questionnaire assessment of antenatal clinic staff. SETTING Six hospitals within the United Kingdom (four district general hospitals in London, one district general hospital in Wales, and(More)
Following a completed suicide, the cues that a patient was on a suicidal course can be painfully obvious. One of the most frequent retrospective discoveries is of the suicided patient's gradual withdrawal of interest in his external world, Among outpatients, for example, it is common to find such withdrawal in relationships and in their erratic attendance(More)
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