Family physicians who provide intrapartum care and those who do not: Very different ways of viewing childbirth

Canadian Family Physician

Volumn 57, Issue 4, 2011, Pages

  Klein, Michael C ^a,b   Kaczorowski, Janusz ^c,d   Tomkinson, Jocelyn ^d,e   Hearps, Stephen ^d   Baradaran, Nazli ^d   Brant, Rollin ^a  

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^b UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^c UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^d CFRI   (Canada)

^e SIMON FRASER UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; ATTITUDE TO HEALTH; CANADA; CESAREAN SECTION; CHILD PARENT RELATION; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; EPIDURAL ANESTHESIA; EPISIOTOMY; FEMALE; FETUS MONITORING; GENERAL PRACTITIONER; HEALTH SURVEY; HOME DELIVERY; HUMAN; INTRAPARTUM CARE; MALE; MATERNAL ATTITUDE; MEDICAL EDUCATION; MIDWIFE; PATIENT SAFETY; PEDIATRIC ADVANCED LIFE SUPPORT; PELVIS FLOOR; PHYSICIAN ATTITUDE; PRENATAL CARE; VAGINAL DELIVERY;

ADULT; ANALGESIA, EPIDURAL; ANALYSIS OF VARIANCE; ATTITUDE OF HEALTH PERSONNEL; CANADA; CESAREAN SECTION; CHI-SQUARE DISTRIBUTION; CROSS-SECTIONAL STUDIES; DATA COLLECTION; DOULAS; EPISIOTOMY; FEMALE; FETAL MONITORING; HUMANS; MALE; MIDDLE AGED; PARTURITION; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS, FAMILY; POSTNATAL CARE; PREGNANCY; PRENATAL CARE;

EID: 79954460482     PISSN: 0008350X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (39)

1. Klein MC, Kaczorowski J, Hall WA, Fraser W, Liston RM, Eftekhary S, et al. The attitudes of Canadian maternity care practitioners towards labour and birth: many differences but important similarities. J Obstet Gynaecol Can 2009;31(9):827-40.
2. Reime B, Klein MC, Kelly A, Duxbury N, Saxell L, Liston R, et al. Do maternity care provider groups have different attitudes towards birth? BJOG 2004;111(12):1388-93.
3. Liu S, Heaman M, Joseph KS, Liston RM, Huang L, Sauve R, et al. Risk of maternal postpartum readmission associated with mode of delivery. Obstet Gynecol 2005;105(4):836-42. (Pubitemid 40432205)
4. Liu S, Liston RM, Joseph KS, Liston RM, Huang L, Sauve R, et al. Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term. CMAJ 2007;176(4):455-60. (Pubitemid 46374353)
5. Liston FA, Allen VM, O'Connell CM, Jangaard KA. Neonatal outcomes with cesarean delivery at term. Arch Dis Child Fetal Neonatal Ed 2008;93(3):F176-82. Epub 2007 Oct 17.
6. Wax JR, Cartin A, Pinette MG, Blackstone J. Patient choice cesarean: an evidence-based review. Obstet Gynecol Surv 2004;59(8):601-16. (Pubitemid 38971773)
7. Joint policy statement on normal childbirth. J Obstet Gynaecol Can 2008;30(12):1163-5.
8. Society of Obstetricians and Gynaecologists of Canada. SOGC advisory. C-sections on demand - SOGC's position. Ottawa, ON: Society of Obstetricians and Gynaecologists of Canada; 2004.
9. Society of Obstetricians and Gynaecologists of Canada. SOGC's position on elective C-sections. Ottawa, ON: Society of Obstetricians and Gynaecologists of Canada; 2004.
10. Canadian Institute for Health Information. Giving birth in Canada: a regional profile. Ottawa, ON: Canadian Institute for Health Information; 2004.
11. Canadian Institute for Health Information. More than 1 in 5 Canadian babies now delivered by C-section: fewer family doctors delivery babies. Ottawa, ON: Canadian Institute for Health Information; 2004.
12. Liston R, Sawchuck D, Young D; Society of Obstetrics and Gynaecologists of Canada; British Columbia Perinatal Health Program. Fetal health surveillance: antepartum and intrapartum consensus guideline. J Obstet Gynaecol Can 2007;29(9 Suppl 4):S3-56. Erratum in: J Obstet Gynaecol Can 2007;29(11):909.
13. Klein MC, Grzybowski S, Harris S, Liston R, Spence A, Le G, et al. Epidural analgesia use as a marker for physician approach to birth: implications for maternal and newborn outcomes. Birth 2001;28(4):243-8.
14. Klein MC. Early epidurals increase caesarean rate, meta-analysis shows [letter]. BMJ 2005;330:790. (Pubitemid 40522350)
15. Anim-Somuah M, Smyth R, Howell C. Epidural versus non-epidural analgesia for pain relief in labour. Cochrane Database Syst Rev 2005;(4):CD000331.
16. Lieberman E. Unintended effects of epidural analgesia during labor: a systematic review. York, UK: University of York; 2004.
17. Klein MC. Does epidural analgesia increase the rate of cesarean section? Can Fam Physician 2006;52:419-21 (Eng), 426-8 (Fr).
18. Lieberman E, O'Donoghue C. Unintended effects of epidural analgesia during labor: a systematic review. Am J Obstet Gynecol 2002;186(5 Suppl Nature):S31-68.
19. Klein MC. Epidural analgesia: does it or doesn't it? Birth 2006;33(1):74-6.
20. Black DP, Fyfe IM. The safety of obstetric services in small communities in northern Ontario. Can Med Assoc J 1984;130(5):571-6. (Pubitemid 14155282)
21. Klein M, Johnston S, Christilaw J, Carty E. Mothers, babies and communities. Centralizing maternity care exposes mothers and babies to complications and endangers community sustainability. Can Fam Physician 2002;48:1177-9 (Eng), 1183-5 (Fr).
22. Nesbitt TS, Larson EH, Rosenblatt RA, Hart LG. Access to maternity care in rural Washington: its effect on neonatal outcomes and resource use. Am J Public Health 1997;87(1):85-90. (Pubitemid 27069114)
23. Chalmers B, Dzakpasu S, Heaman M, Kaczorowski J. The Canadian maternity experiences survey: an overview of findings. J Obstet Gynaecol Can 2008;30(3):217-28.
24. Kaczorowski J, Levitt C, Hanvey L, Avard D, Chance G. A national survey of use of obstetric procedures and technologies in Canadian hospitals: routine or based on existing evidence? Birth 1998;25(1):11-8.
25. College of Family Physicians of Canada, Canadian Medical Association, Royal College of Physicians and Surgeons of Canada. 2007 National Physician Survey. Mississauga, ON: College of Family Physicians of Canada; 2007.
26. Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Earlbaum Associates; 1988.
27. Reid AJ, Grava-Gubins I, Carroll JC. Family physicians in maternity care. Still in the game? Report from the CFPC's Janus Project. Can Fam Physician 2000;46:601-6 (Eng), 609-11 (Fr). Erratum in: Can Fam Physician 2000;46:1569.
28. Reid T, Grava-Gubins I, Carroll JC. Maternity care report. Janus Project: family physicians meeting the needs of tomorrow's society. Can Fam Physician 2002;48:1225-6.
29. Smith C, Brown JB, Stewart M, Trim K, Freeman T, Beckhoff C, et al. Ontario care providers' considerations regarding models of maternity care. J Obstet Gynaecol Can 2009;31(5):401-8.
30. Reynolds JL. Doing obstetrics and staying alive. Can Fam Physician 1993;39:1947-53.
31. Smith LF, Reynolds JL. Factors associated with the decision of family physicians to provide intrapartum care. CMAJ 1995;152(11):1789-97.
32. Price D, Howard M, Shaw E, Zazulak J, Waters H, Chan D. Family medicine obstetrics. Collaborative interdisciplinary program for a declining resource. Can Fam Physician 2005;51:68-74.
33. Price DJ, Lane C, Klein MC. Maternity care by family physicians: characteristics of successful and sustainable models. J Obstet Gynaecol Can 2005;27(5):460-6.
34. Klein MC, Kaczorowski J, Hearps SJC, Tomkinson J, Baradaran N, Hall W, et al. What are the attitudes of Canadian women approaching their first birth towards birth technology and their roles in birth? J Obstet Gynaecol Can. In press.
35. Eftekhary S, Klein MC, Xu SY. The life of a Canadian doula: successes, confusion, and conflict. J Obstet Gynaecol Can 2010;32(7):642-9.
36. McGrath SK, Kennell JH. A randomized controlled trial of continuous labor support for middle-class couples: effect on cesarean delivery rates. Birth 2008;35(2):92-7. (Pubitemid 351748711)
37. Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. Continuous support for women during childbirth. Cochrane Database Syst Rev 2003;(3):CD003766.
38. Sheehan KB. E-mail survey response rates: a review. J Comput Mediat Commun 2001;6(2).
39. Hamilton MB. SuperSurvey. Online survey response rates and times. Background and guidance for industry. Longmont, CO: Ipathia, Inc; 2009.