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Training, Skills and Approach to High‐risk Obstetrics in Rural GP Obstetricians
Author(s) -
Watts Richard W.,
Marley John E.,
Beilby Justin J.,
MacKin Richard P.G.,
Doughty Susan
Publication year - 1997
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1997.tb02451.x
Subject(s) - medicine , indemnity , obstetrics , caesarean section , pregnancy , family medicine , episiotomy , nursing , biology , actuarial science , business , genetics
Summary: One hundred and sixty seven (82%) of the 204 practising South Australian rural GP obstetricians responded to a questionnaire on training, skills and approach to high‐risk obstetrics. The mean length of training was 8.5 months; 78% of GP obstetricians held a diploma. There was a mean of 13 years experience and 22 deliveries per year. However, 26.3% of practitioners had stopped obstetrics in the previous 12 months and cited indemnity insurance and lifestyle factors as the main reason for stopping. The GPs practised a wide range of skills; forceps (96%), Caesarean section (42%) and had good access to epidural services (83.6%), blood transfusions (91%) and specialist advice. High‐risk obstetrics such as twin pregnancy, fetal growth retardation, insulin‐dependent diabetes and preterm labour, are avoided by most rural GP obstetricians. The mean visual analogue comfort score for providing obstetric care was 7.46 (2.16) and correlated with length of training (p=0.008) and number of deliveries per year (p=0.02). Health authorities must continue to support and encourage country GP obstetricians to provide this essential service to rural women.