A survey of obstetric malpractice in western frontier areas

A mail survey of 524 physicians in the frontier areas of Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming, and the rural areas of Utah was conducted; 286 valid responses were collected (54.6%). Of the respondents, 97% had at some time practiced obstetrics, and, of those now practicing obstetrics, 39% reported they would discontinue providing obstetrical care within the next year. Of those stopping, 95% indicated that malpractice was a major factor in their decision. Of the respondents, 74% indicated that access to obstetric services would be a problem in their areas if they discontinued this type of care.