Quote:
Originally Posted by Unregistered
In other countries the OBGYN dont manage normal uncomplicated deliveries. They leave that to the FP or Midwife. Prenatal Intrapartum and Post Partum. The specialists only deal with high risk cases. And rightly so.
In sg the OBGYN take all these normal pregnancies which can be managed by FP. Wha a waste of resources and time. Not to mention cost of having a baby is then much higher as you have to pay specialist fees.
Part of the problem is the sg public expect specialist OBGYN for every pregnancy. For this reason sg FP will never be recognized as equivalent FP in other first world countries. The OB knowledge and competence is just not there.
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not true. Numerous studies have show that ob/gyn on the whole has better outcomes even when delivering normal risk pregnancies which can turn nasty halfway through. The midwife who deliver the baby still do so in the hospital and have a oncall reg / consultant assigned to help them and who still BEARS the medical responsibility and TAKES a financial reward for assuming THAT medical responsibility. The FM
obs who settle everything themselves on the whole has worse outcomes.
FM
obs exist in countries that are large and where a rural setting of 20000-50000 population cannot support a team of ob/gyn to be profitable and so no choice. Also the rural FM
obs will definitely see way more case than the urban FM
obs and hence have better outcomes ( but still lose to a true blue Ob/gyn)
Why would the FM in SG be stupid to assume such responsibilities when u are 15 minutes from anywhere. FYI , it cost 30K pa for ob insurance coverage in SG and there is no tail cover. Go google what tail cover means. Worse outcomes , not financial viable so why even chase after it ? Not as if i sit in clinic all day and has no patients to begin with.