title: Well-woman care among obstetrician-gynecologists: opportunity for preconception care.
abstract: OBJECTIVE
  To describe the practices of obstetrician-gynecologists who provide routine gynecological care and assess the relative importance of well-woman care to their training and practices.
  
  
  METHODS
  A questionnaire was mailed to 1000 members of the American College of Obstetricians and Gynecologists, of whom 600 participated in the Collaborative Ambulatory Research Network.
  
  
  RESULTS
  The response rate was 57%. Of these, 403 respondents providing routine obstetric and gynecologic care (OB&Gyn) are included. Obstetricians-gynecologists spend the majority of their time on labor/delivery (22%) followed by well-woman care (14%). It was found that 26% of the respondents rarely or never discuss sexual abuse or domestic violence with non-pregnant patients and only 19% always discuss folic acid with non-pregnant patients during well-woman care. Most (71%) say that 50% or more of their pregnant patients initially contact them once they are pregnant. Respondents rated their training in well-woman care least strong of several areas listed.
  
  
  CONCLUSIONS
  Obstetrician-gynecologists devote a substantial proportion of work time to providing well-woman care, though some important topics are not addressed and training in this area was rated least strong.
authors: American College of Obstetricians and Gynecologists, Washington, DC 20024, USA.
authors: Maria A
authors: MA
authors: Morgan
authors: Britta L
authors: BL
authors: Anderson
authors: Hal
authors: H
authors: Lawrence
authors: Jay
authors: J
authors: Schulkin
mesh_terms: D000328:Adult; D017579:Domestic Violence / Q000517:prevention & control / Q000706:statistics & numerical data; D004501:Education, Medical / Q000379:methods / Q000706:statistics & numerical data / Q000639:trends; D005260:Female; D006176:Gynecology / Q000193:education / Q000379:methods* / Q000706:statistics & numerical data; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009774:Obstetrics / Q000193:education / Q000379:methods* / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D016742:Preconception Care / Q000379:methods / Q000706:statistics & numerical data*; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods / Q000706:statistics & numerical data; D011364:Professional Practice / Q000639:trends; D011795:Surveys and Questionnaires; D016387:Women's Health / Q000706:statistics & numerical data / Q000639:trends