FM providers backed up by general surgeons can deliver a high standard of obstetric care, suggesting that this team-based model could address growing maternity care deserts.
Labor and delivery centers run by family medicine healthcare providers have a lower cesarean delivery rate and better safety culture than centers led by obstetricians , based on observational data from Iowa hospitals.
The study found that FM-only hospitals, all of which were located in rural areas with fewer than 1000 annual births, had significantly lower cesarean delivery rates than hospitals with mixed or OB-only staffing. After adjusting for factors such as hospital birth volume, geographic location, patient body mass index, maternal age, and insurance status, FM-only hospitals had an adjusted 34.3% lower rate of cesarean sections than hospitals with both FM and OB physicians .
“Quite honestly, many people around the country, including family physicians like myself, did not know existed and was thriving in these rural areas that are on the verge of becoming maternity care deserts,” White VanGompel said in an interview. “That makes a huge difference clinically because those are patients that otherwise wouldn’t have access to comprehensive pregnancy care.”
“We are missing the opportunity to incorporate family physicians and nurse midwives into the continuum of care for women, especially in these remote areas,” Russo said in an interview. “Family physicians and nurse midwives are the only two in the health system trained and licensed to care for both mother and baby, and I have to believe that there’s something profoundly important about that.
Pregnant Hospitals Practice Management Revenue Social Determinants Of Health SDOH Social Determinants Of Health (SDOH) Rural Health Rural Medicine Rural Cesarean Delivery Caesarean Delivery Cesarean Section Caesarean Section C-Section Birth Nurse Midwife Primary Care Depression Florida Illinois Iowa Louisiana Postpartum Postpartum Period Postnatal Puerperium Vaginal
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