General practitioners in public obstetrics--an underutilized resource.
We questioned 229 general practitioners (GPs), 288 women who had recently delivered babies in public hospitals, 26 public hospital doctors, and 33 midwives in South Brisbane. Shared antenatal care was undertaken by 84% of mothers, and recently provided by 88% GPs. Mothers valued having sufficient time with their antenatal clinician, continuity of care, and short waiting and travel times. They preferred a GP to provide antenatal care, and a hospital midwife to deliver them. GPs were interested in providing even more obstetric care--one third in providing intrapartum care--and in gaining continuing education in obstetrics. Hospital doctors and midwives were supportive of women choosing the personnel to deliver them, and of an increased GP and midwife role in public hospital obstetrics, but unenthusiastic about home deliveries. There is widespread support for an increased role for GPs in public obstetrics.
Del Mar
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Department of Social and Preventive Medicine, University of Queensland, Brisbane.
O'Connor
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D001291:Attitude of Health Personnel; D036861:Delivery, Obstetric; D005260:Female; D006779:Hospitals, Public / Q000458:organization & administration / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008880:Midwifery; D009775:Obstetrics and Gynecology Department, Hospital / Q000458:organization & administration; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010821:Physicians, Family / Q000706:statistics & numerical data*; D011181:Postnatal Care; D011247:Pregnancy; D011295:Prenatal Care; D011793:Queensland; D011795:Surveys and Questionnaires; D000078329:Workforce