Family Medicine Presence on Labor and Delivery: Effect on Safety Culture and Cesarean Delivery.

ABSTRACT:

Purpose

Currently, 40% of counties in the United States do not have an obstetrician or midwife, and in rural areas the likelihood of childbirth being attended to by a family medicine (FM) physician is increasing. We sought to characterize the effect of the FM presence on unit culture and a key perinatal quality metric in Iowa hospital intrapartum units.

Methods

Using a cross-sectional design, we surveyed Iowa physicians, nurses, and midwives delivering intrapartum care at hospitals participating in a quality improvement initiative to decrease the incidence of cesarean delivery. We linked respondents with their hospital characteristics and outcomes data. The primary outcome was the association between FM physician, obstetrician (OB), or both disciplines' presence on labor and

SUBMITTER: VanGompel EW 

PROVIDER: S-EPMC11419729 | biostudies-literature | 2024 Sep-Oct

REPOSITORIES: biostudies-literature