General practitioner obstetric practice in rural and remote Western Australia

The objective of this study was to examine the practice of obstetrics by general practitioners in rural and remote areas of Western Australia (WA). A questionnaire was mailed to all rural and remote GPs in June, 1994. The response rate was 67%. Questionnaires asked GPs to self-report how many deliveries they had performed in the previous year and how many of those deliveries were by Caesarean section or assisted by forceps or ventouse. Comparisons were made with perinatal statistics for the entire State of WA. GPs reported an average of 28 deliveries per year. The Caesarean section rate of 8% was lower than the rate of 21% for all WA in 1993. Ventouse was used more often than forceps to assist the delivery of a baby. Intervention rates for ventouse, forceps and Caesarean section were lower in rural and remote areas of WA than the State as a whole; there was also less use of epidural analgesia. More than half of these GPs currently practising obstetrics hold the Dip RACOG or DRCOG. Medical indemnity is an increasing issue for many GPs. For 6 of the 7 country health regions, close to 80% of women deliver within the health region in which they reside.