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Old 03-04-2022, 12:21 PM
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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.
Check out these studies


1. Reid AJ, Grava-Gubins I, Carroll JC. Family physicians in maternity care.
Still in the game? Report from the CFPC’s Janus Project. Can Fam Physician
2000;46:601-11.
2. Buchman S. It’s about time: 3-year FM residency training. Can Fam Physician
2012;58:1045 (Eng), 1046 (Fr).
3. Klein MC, Kelly A, Spence A, Kaczorowski J, Grzybowski S. In for the long
haul. Which family physicians plan to continue delivering babies? Can Fam
Physician 2002;48:1216-22.
4. Kaczorowski J, Levitt C. Intrapartum care by general practitioners and fam-
ily physicians. Provincial trends from 1984-1985 to 1994-1995. Can Fam
Physician 2000;46:587-97.
5. Shapiro JL. Satisfaction with obstetric care. Patient survey in a family prac-
tice shared-call group. Can Fam Physician 1999;45:651-7.
6. Orrantia E, Poole H, Strike J, Zelek B. Evaluation of a novel model for rural
obstetric care. Can J Rural Med 2010;15(1):14-8.
7. Omar MA, Schiffman RF, Bingham CR. Development and testing of the
Patient Expectations and Satisfaction with Prenatal Care instrument. Res Nurs
Health 2001;24(3):218-29.
8. Hoddinott SN, Bass MJ. The Dillman Total Design Survey Method: a sure-fire
way to get high survey return rates. Can Fam Physician 1986;32:2366-8.
9. Nunnally JC. Psychometric theory. 2nd ed. New York, NY: McGraw-Hill; 1978.
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