Biomedical subjects

C A Cox

Publications and source records attributed to C A Cox.

21 records · Page 2Linked to original sources

PubMed1977

Aspects of the six-month developmental examination in a longitudinal study.

In a longitudinal study concerned with the early detection of delayed and aberrant development, the findings at the six-month examination have been studied in some detail. All births within a given catchment area were included and the results on 1200 babies seen at this age are reported. The findings illustrated that under ordinary clinic conditions not all children achieved the "milestones" expected of them at a particular age. The examinations were carried out in child health clinics by a heterogeneous group of doctors with widely varying training and experience, and this is reflected in the differences between the findings of the more and the less experienced doctors. The problems of follow-up and their implications for total population surveillance programmes are considered. A positive approach to routine developmental examinations is advocated, with the emphasis not only on early detection of developmental problems but also on enabling all children to achieve their optimum potential.

Child Development↗

PubMed1976

Child health clincs and inverse care laws: evidence from longitudinal study of 1878 pre-school children.

In a longitudinal study it was intended that 1878 children should receive periodic developmental examinations from the age of 6 weeks to 3 years. The children were divided into those with a high or low risk of developmental problems. Although clinic attendance rate of 85-89% were achieved in the catchment area 100% coverage was difficult because of population mobility and non-attendance at clinics. Children in families who moved away from the area were more difficult to trace and thus more likely to miss developmental examinations. This was a greater problem in the high-risk group. Altogether 683 home developmental examinations were carried out on 269 children who did not attend clinics. Thirty-five per cent of these children were in the high-risk group compared with 22% in the study population, and significantly more had developmental problems. Thus one possible way of reaching and helping such children is though home developmental examinations.

Child Development↗

PubMed1976

Critical appraisal of domiciliary obstetric and neonatal practice.

Obstetric and neonatal data on 155 domiciliary deliveries were analysed. The findings illustrated the problems in adhering to generally recognised risk criteria for selecting cases for domiciliary confinement and the unpredictability of events in the newborn period. Awareness of the risks of home confinement have led to increased efforts to achieve 100% hospital delivery. At the West Middlesex Hospital, to make hospital confinement more acceptable to mothers, we have tried to alter inflexible hospital routines and to make previously austere labour wards less impersonal. The same midwife who has supervised the antenatal period brings the mother into the unit, and transfers her home as soon as possible afterwards..

Birth Weight↗