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Re: Assistants at CESAREAN SectionFrom: Arthurfree@aol.comSun Aug 4 15:53:57 1996
In a message dated 96-08-03 22:57:01 EDT, Ashley Hill writes: << < I can't answer your question with stats, but can say that about 4% of FPs < deliver babies once out of training. NOTE: This is a Florida statistic, SEE BELOW < In our program, the residents are taught surgical skills, starting with the basics (i.e. suture and instruments) right up through abdominal cases, including c/sections. Only a few of our graduates pursue OB care once in practice (usually in very rural areas), but all of these have "come in early and gone home late" in order to gain expertise in c/sections. Our graduates who plan on doing some OB can have more than 100 c/sections under their belt. Plus, we have a felloship that further teaches Ob and NICU care to the fellows. 96% of FPs do not incorporate Ob care into their practice. The 4% that do *most* often do so in rural areas that do not have Ob/Gyns practicing nearby. Thanks, Ashley D. Ashley Hill, M.D. Ashley, I'm not certain why maternity care has such poor prevalence within the FP community in Florida. I know your statistics are accurate because Walt Larimore in your back yard there (Kissimmee) has documented it (and tried to come up with reasons as well). An author search with his name would pull up five or six articles on the subject. However the national statistics are much better. If I wasn't on the road, I could give you some actual numbers, but that 4% you quote is pretty close to the percentage of FP's (nationally) who do sections. The percentage of FP's who do maternity care is somewhere in the low 40's%, and increased last year for the first time in several years. I suspect the Florida bias is a combination of having lots of obstetric providers already in the area and a history of very punitive liability insurance rates. In many areas of the rural Midwest and West over 80% of FP's provide maternity care (which is a fortunate thing as most of these communities do not have enough business to keep an obstetrician happy). Arthur Freeland Centerville, Iowa
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