FP and Ped Docs doing OB

[ObstetricsMan]

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In the community hospital i work at it is very common for family Docs and pediatric docs to deliver babies of their patients. Im just curious, do many other hospitals allow this?

 

[TulaneKid24]

Originally posted by ObstetricsMan
In the community hospital i work at it is very common for family Docs and pediatric docs to deliver babies of their patients. Im just curious, do many other hospitals allow this?

I don't know of any pediatricians that deliver babies. They take care of the babies once delivered, but I don't think a peds doc would touch a delivery. In fact, I know some pediatricians who won;t even do a pelvic exam on their teenage patients.

 

[Kiki2004]

i may be an exception! since i can't decide what residency i want to do...peds or OB...this may be the route i have to take!

FP's are more likely to do this since there are FP residencies with an OB fellowship...

i suppose if you live in a very rural area, you might be doing all the work, but again, i think most pediatricians (99.9%) shy from delivering babies...

 

[ckent]

pediatricians are definitely trained to do pelvics as you would have to be unless you wanted to exclude any female patient over the age of 11 from your practice. As for delivering babies, they don't deliver, they aren't trained to. I suspect that you got confused because pediatricians are usually present during the delivery to assess the newborn baby and take care of any medical issues that arise with the baby. FP's don't have to do an OB fellowship to deliver babies either, they can do it after residency. I've always thought of an FP delivering babies like a mid-wife, because they usually only take care of the easy pregnancies and send all of the complicated ones to the ob/gyn's.

 

[gwyn779]

Then there are the FPs who do C-sections.

 

[AZDOC]

and God help their patients.


😀

 

[SupportingOccam]

Originally posted by AZDOC
and God help their patients.


😀

Unfortunately, in underserved areas, there's no one else around to help the patients. Until God starts accepting OB-OR consults...

I would think that a rural FP doc who does c-sections on a regular basis would be pretty competent. If the FP doc has trained, keeps proficient, and keeps current, is s/he really provided sub-standard care if no OB is available?

Bottom line, my opinions/thoughts....if you want to be a FP and do OB, do it regularly to maintain proficiency in skills and knowledge that occupy an entire other specialty in medicine. This is less likely to happen in a metro area with OBs around. Plan on working two jobs (FP and OB) and getting paid 5-10% more for your effort.

 

[PACtoDOC]

Jeez guys, some of you are just clueless. There is no such thing as a family doc who does "part time OB" anymore. They either do enough to pay their malpractice or they don't do any!! And that number seems to be creeping up with rising premiums, closing in on nearly 70 deliveries a year to pay the damn thing! And please folks, who finds a C-section to be all that hard? Under a few layers of sking and muscle you have that thing called a uterus!! Any janitor could do a C-section after watching a few!! And its not like OB docs are really surgeons anyway. On general surgery rotation we used to get called all the time to the OR for the OB doc who couldn't recognize the ureter from a uterine ligament!! Rural FP's are the backbone or small towns, and they are way more qualifed than a midwife for crying out loud. No midwife can do a C-section and I would venture to say they would crap in their drawers the first time a preggo went into DIC after a delivery. If you want to talk about scary, midwives scare me!!

 

[rubyness]

Originally posted by PACtoDOC
Any janitor could do a C-section after watching a few!! And its not like OB docs are really surgeons anyway. ...If you want to talk about scary, midwives scare me!!

1. The idea of a janitor doing a c-section is the scary thing.
2. OB/GYNs ARE surgeons.
3. Midwives are amazing.

 

[PACtoDOC]

OB/GYN docs are not surgeons. They do not go through a general surgery intern year nor do they do enough general in subsequent years to be considered surgeons. Ask any ENT, Urologist, Orthopedist, Neurosurgeon, Cardiovascular surgeon, or plastic surgeon if they did an extensive if not entire general surgery residency. The answer will be yes to all counts.

Midwives serve a purpose, but the real problem with them is how do you really know if a birth is going to be "midwife caliber" until it goes down. My next door neighbor just had their baby at home with a midwife and the baby got sent to the hospital via ambulance because the midwife could not take care of the child with labored respirations as well as the mother who was bleeding severely from a placental tear. The mother ended up taking the next ambulance out of the driveway and they ended up in different hospitals, not being able to see each other for the entire first week of life. In the modern day of medicine, that is just absurd!

 

[rubyness]

Originally posted by PACtoDOC
OB/GYN docs are not surgeons. They do not go through a general surgery intern year nor do they do enough general in subsequent years to be considered surgeons. Ask any ENT, Urologist, Orthopedist, Neurosurgeon, Cardiovascular surgeon, or plastic surgeon if they did an extensive if not entire general surgery residency. The answer will be yes to all counts.

It seems to me that it's not the residency that defines whether or not you're a surgeon, it's the fact that you do surgery. OB/GYNs perform surgery, so they are surgeons. 'Course I did my surgery rotation already and I've already heard all the speeches about how OB/GYNs not surgeons and who do they call to "fix their problems"? Surgeons. But this whole surgeon title thing seems to be an issue with general surgeons. I just don't understand why it's an issue.

Originally posted by PACtoDOC
Midwives serve a purpose, but the real problem with them is how do you really know if a birth is going to be "midwife caliber" until it goes down. My next door neighbor just had their baby at home with a midwife and the baby got sent to the hospital via ambulance because the midwife could not take care of the child with labored respirations as well as the mother who was bleeding severely from a placental tear. The mother ended up taking the next ambulance out of the driveway and they ended up in different hospitals, not being able to see each other for the entire first week of life. In the modern day of medicine, that is just absurd!

We all have heard some kind of horror story--home birth or hospital birth. Today I heard one about a 17 year old who died in L&D. Etc. etc. However, I do agree that midwives "serve a purpose"-- that purpose is to provide women with a choice when it comes to how and where they want to have their babies.