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Related Experiment Videos

Why family physicians deliver babies

R G Roberts1, J A Bobula, M S Wolkomir

  • 1Department of Family Medicine, University of Wisconsin Medical School, Madison 53715, USA.

The Journal of Family Practice
|February 6, 1998
PubMed
Summary

Family physicians choose to deliver babies for personal enjoyment and to care for younger families, supported by adequate residency training. Lifestyle concerns and community need influence decisions against providing maternity care.

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Area of Science:

  • Family Medicine
  • Obstetrics
  • Medical Education

Background:

  • Declining numbers of family physicians provide maternity care.
  • This study investigates motivations for family physicians choosing to deliver babies.

Purpose of the Study:

  • Identify reasons why family physicians choose to provide maternity care.
  • Contrast motivations of physicians who deliver babies with those who do not.

Main Methods:

  • Survey distributed to 1300 family physicians attending pregnancy-related continuing education.
  • Physicians categorized into "Always Did," "Started Later or Plan," and "Will Not Do" delivery groups.
  • Reasons for delivering or not delivering babies were analyzed.

Main Results:

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  • 575 valid responses received.
  • Key motivators for delivering babies: personal enjoyment, adequate obstetrical training, desire to care for younger families, supportive residency experiences.
  • Reasons for not delivering: unacceptable lifestyle, community saturation of maternity caregivers, fear of lawsuits, lack of practice need.

Conclusions:

  • Personal enjoyment, desire to care for younger patients, and adequate training are primary drivers for family physicians delivering babies.
  • Unacceptable lifestyle is a major deterrent for physicians not performing deliveries.
  • Practice expectations and community need significantly influence decisions regarding maternity care provision.