ArticleMaternal and child health journal2013
Family physicians in the maternity care workforce: factors influencing declining trends.
Article in Maternal and child health journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Continuity at the Incision: Why Cesarean Delivery Belongs in Family Medicine.Annals of family medicine · 2026Article
- Strong Obstetric Care Training in Family Medicine Residency: Bolstering the Number of Family Physicians Attending Births.Family medicine · 2026Article
- Residency Characteristics Associated With Pregnancy Care Among Graduates: A Family Medicine Residency Outcomes Project Study.Family medicine · 2025Article
- The Impact of Length of Training on Clinical Preparedness Among New Graduates: A Report From the Length of Training Pilot Study in Family Medicine.Family medicine · 2025Article
- Regional Variation in Scope of Practice by Family Physicians.Journal of the American Board of Family Medicine : JABFM · 2025Article
- Factors Affecting Family Medicine Residents' Decision to Provide Obstetric Care: A Concept Mapping Study.Journal of graduate medical education · 2025Article
- Mapping maternity care deserts: Driving distance and health outcomes in North Carolina.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Prenatal Care Utilization and Birth Outcomes After Expansion of the National Health Service Corps.Obstetrics and gynecology · 2024Article
- Fitting in? Physician practice style after forced relocation.Health services research · 2024Article
- Current Procedural Practices of Family Medicine Teaching Physicians.Family medicine · 2024Article
- Understanding and Overcoming Barriers to Rural Obstetric Training for Family Physicians.Family medicine · 2023Article
- Rural Versus Urban Family Medicine Residency Scope of Training and Practice.Family medicine · 2023Article
- Influences on intentions for obstetric practice among family physicians and residents in Canada: an explorative qualitative inquiry.BMC pregnancy and childbirth · 2022Article
- Racial and Ethnic Diversity of Family Physicians Delivering Maternity Care.Journal of racial and ethnic health disparities · 2022Article
- Labor and Delivery Unit Closures in Rural Georgia from 2012 to 2016 and the Impact on Black Women: A Mixed-Methods Investigation.Maternal and child health journal · 2022Article
- Physician Referrals During Prenatal Care.Maternal and child health journal · 2021Article
- Change in Site of Children's Primary Care: A Longitudinal Population-Based Analysis.Annals of family medicine · 2019Article
- Nature and scope of certified nurse-midwifery practice: A workforce study.Journal of clinical nursing · 2018Article
- Challenges Faced by Family Physicians Providing Advanced Maternity Care.Maternal and child health journal · 2018Article
- Why Are Obstetric Units in Rural Hospitals Closing Their Doors?Health services research · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Family physicians provide access to maternity care for a disproportionate share of rural and urban underserved communities. This paper aims to determine trends in maternity care provision by family physicians and the characteristics of family physicians that provide maternity care. We used American Board of Family Medicine survey data collected from every family physician during application for the Maintenance of Certification Examination to determine the percentage of family physicians that provided maternity care from 2000 to 2010. Using a cross-sectional study design, logistic regression analysis was performed to examine association between maternity care provision and various physician demographic and practice characteristics. Maternity care provision by family physicians declined from 23.3 % in 2000 to 9.7 % in 2010 (p < 0.0001). Family physicians who were female, younger and US medical graduates were more likely to practice maternity care. Practicing in a rural setting (OR = 2.2; 95 % CL 2.1-2.4), an educational setting (OR = 6.4; 95 % CL 5.7-7.1) and in either the Midwest (OR = 2.6; 95 % CL 2.3-2.9) or West (OR = 2.3; 95 % CL 2.1-2.6) were the strongest predictors of higher likelihood of providing maternity care. While family physicians continue to play an important role in providing maternity care in many parts of the United States, the steep decline in the percentage of family physicians providing maternity care is concerning. Formal collaborations with midwives and obstetrician-gynecologists, malpractice reform, payment changes and graduate medical education innovations are potential avenues to explore to ensure access to maternity care.
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