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Midwife Laborist Model in a Collaborative Community Practice.

Gokhan Anil¹, Theresa M Hagen², Laura J Harkness²

¹Department of Obstetrics and Gynecology, Mayo Clinic Health System, Mankato, MN.

Mayo Clinic Proceedings. Innovations, Quality & Outcomes

|February 15, 2020

Summary

The physician laborist model faces challenges due to an anticipated obstetrician shortage. A midwife laborist model offers an alternative staffing solution for labor and delivery care.

Keywords:

ACOG, American College of Obstetricians and Gynecologists VBAC, vaginal birth after cesarean

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Area of Science:

Healthcare Management
Obstetrics and Gynecology
Workforce Studies

Background:

The hospitalist physician model emerged in 1996, followed by the physician laborist model in 2003.
The American Congress of Obstetricians and Gynecologists supports the laborist model for improving patient safety and satisfaction.

Purpose of the Study:

To address the projected shortage of obstetricians and gynecologists.
To explore alternative labor and delivery staffing models incorporating all obstetric providers.

Main Methods:

Presentation of a midwife laborist model as an alternative to the physician laborist model.
Description of a collaborative practice in a high-risk community setting.

Main Results:

Anticipated shortage of 6,000-8,800 obstetricians by 2020 and nearly 22,000 by 2050.
Increasing demand for obstetric and gynecologic care due to healthcare reform and population trends.
Aging workforce, early retirements, and increased part-time employment exacerbate staffing issues.

Conclusions:

The midwife laborist model is proposed as a viable alternative staffing solution.
Collaborative practice models can help mitigate workforce shortages in obstetrics and gynecology.
Alternative staffing models are crucial for ensuring adequate labor and delivery care.