C. Delmar et V. Oconnor, GENERAL-PRACTITIONERS IN PUBLIC OBSTETRICS - AN UNDERUTILIZED RESOURCE, Australian and New Zealand Journal of Obstetrics and Gynaecology, 34(1), 1994, pp. 35-38
We questioned 229 general practitioners (GPs), 288 women who had recen
tly delivered babies in public hospitals, 26 public hospital doctors,
and 33 midwives in South Brisbane. Shared antenatal care was undertake
n by 84% of mothers, and recently provided by 88% GPs. Mothers valued
having sufficient time with their antenatal clinician, continuity of c
are, and short waiting and travel times. They preferred a GP to provid
e antenatal care, and a hospital midwife to deliver them. GPs were int
erested in providing even more obstetric care - one third in providing
intrapartum care - and in gaining continuing education in obstetrics.
Hospital doctors and midwives were supportive of women choosing the p
ersonnel to deliver them, and of an increased GP and midwife role in p
ublic hospital obstetrics, but unenthusiastic about home deliveries. T
here is widespread support for an increased role for GPs in public obs
tetrics.