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Family physicians' perspectives on advising patients on an obstetric delivery location: Study from a remote community
Nicholas Martel1, Tamara Tsang2, Vivian R Ramsden3
1Assistant Professor at Northern Medical Services in the Department of Academic Family Medicine at the University of Saskatchewan in La Ronge.
Objective:
To determine what factors individual physicians in a remote northern Saskatchewan community consider when advising patients on an obstetric delivery location.
Design:
Semistructured interviews.
Setting:
La Ronge, a remote northern Saskatchewan community.
Participants:
Eleven family physicians providing full-scope care in a remote medical clinic.
Methods:
Each physician at the only medical clinic in the area was sent an email in February 2017 inviting them to be involved in the study. Interviews were conducted between February and April 2017 and were audiorecorded and manually transcribed. The transcribed interviews were returned to participants for their review and additional input. Saturation was reached after 9 interviews, with 2 further interviews being conducted after saturation for a total of 11 interviews. Inductive thematic analysis was undertaken following the interviews.
Main Findings:
Patient choice was an important factor in the discussion about delivery location. Themes that evolved from physician consideration on delivery location included benefits of local delivery, local resources, selection of low-risk pregnancies, physician and nursing skills, and patient choice.
Conclusion:
Family physicians should provide patients with all potential options for delivery location and support the decision made with the patient.
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