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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
14:43

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

Topics for family medicine research in obstetrics

W E Hogg, N Calonge

    Canadian Family Physician Medecin De Famille Canadien
    |January 22, 2011
    PubMed

    Insights

    Declining numbers of rural family physicians practicing obstetrics threaten neonatal survival. Further research is needed to forecast impacts and develop retention strategies for these essential providers.

    Area of Science:

    • Neonatal mortality research
    • Rural healthcare access
    • Obstetrics and Gynecology

    Background:

    • Canadian neonatal mortality rates have decreased due to improved care for low-birthweight infants.
    • Further reductions in neonatal mortality necessitate research into prematurity prevention.
    • Maintaining current rates and implementing new research relies on rural obstetric care provider availability.

    Purpose of the Study:

    • To highlight the critical role of rural obstetric care providers in maintaining neonatal mortality rates.
    • To address the trend of family physicians discontinuing obstetrics, jeopardizing rural obstetric care access.
    • To propose a research agenda focused on the impact of declining obstetric manpower in rural areas.

    Main Methods:

    • Forecasting the impact of decreased obstetric care manpower in rural settings.
    • Investigating the underlying factors contributing to physicians leaving obstetric practice.
    • Evaluating programs designed to retain family physicians in obstetric practice.

    Main Results:

    • A decline in family physicians providing obstetrics significantly threatens rural obstetric care access.
    • Literature suggests reduced access to obstetric care correlates with increased neonatal death rates.
    • A research agenda is proposed to address these critical issues.

    Conclusions:

    • The trend of family physicians leaving obstetrics poses a significant risk to rural neonatal outcomes.
    • Urgent research is required to understand and mitigate this trend.
    • Strategies to support and retain rural obstetric providers are essential for public health.

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