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- Page navigation anchor for Have we given up "We deliver" to Dominoes?Have we given up "We deliver" to Dominoes?Show More
I read with interest and personal experience the article of Cohen and Coco. We have an excellent relationship with our OB colleagues, delivering VBACs and twins in our practice in a busy suburban area. Midwifery in our town has been decimated by malpractice premiums, while in Virginia FPs pay relatively reasonable rates. The average "lifespan" of a female OB is 5 years. A family physician, especially a female, would...
Competing Interests: None declared. - Page navigation anchor for Prenatal Care in the Uniformed ServicesPrenatal Care in the Uniformed ServicesShow More
To the Editor
It was with great interest that we read the recent article by Cohen and Coco [1] regarding the declining provision of maternity care services by family physicians across the United States. This decline parallels the general decline in interest in family medicine and we feel it is directly proportional to two primary factors:
1. Professional jousting. This phenomenon is a unique and sad pr...
Competing Interests: None declared. - Page navigation anchor for Author reply: Access to care may be the more effective argument for ongoing maternity care by familyAuthor reply: Access to care may be the more effective argument for ongoing maternity care by familyShow More
Dr. Lin makes a compelling argument that further studies are needed examining the impact of the declining trend in prenatal care by family physicians. Studies demonstrating the cost-effectiveness and increased value of FP-provided maternity care may indeed substantiate the argument for ongoing maternity care training in family medicine. However, there are some inherent difficulties in structuring such an analysis. Unl...
Competing Interests: None declared. - Page navigation anchor for Promoting support for maternity care by family physiciansPromoting support for maternity care by family physiciansDrs. Cohen and Coco demonstrate convincingly that the proportion of maternity care in the U.S. provided by family physicians continues its historic decline. I agree with the authors that this phenomenon will likely be connected with decreases in the quality and comprehensiveness of care received by pregnant women in the U.S., and possibly care of infants and young children as well. However, to make the case for supporting conti...Show MoreCompeting Interests: None declared.
- Page navigation anchor for Documenting the maternity care cascadeDocumenting the maternity care cascadeShow More
This article makes a very important contribution to ongoing discussions around maternity care – discussions about the unavailability of care in rural communities especially and it’s implication for the health of women and children who live there, the wisdom of a continuing maternity care requirement in family medicine residency training, and the future of integrated low-intervention care of the family in the peri-partu...
Competing Interests: None declared.