Candib L
J Fam Pract. 1976 Aug;3(4):391-6.
A heated debate is currently taking place concerning the style, methods and location of future obstetrical and neonatal care. On the one hand, there is a trend toward increasing technology of obstetrical and neonatal care with some professional groups favoring regionalization of these services to large regional centers. On the other hand, there are counterforces to such regionalization including community hospitals, many practicing obstetricians, nurse midwives, the women's liberation movement, the "alternative lifestyle movement," the Leboyer concept of delivery, the family-centered maternity care movement, and the family practice movement. This paper explores these issues and presents important reasons for family-oriented obstetric and neonatal care involving the family physician in community settings readily accessible to patients. The inclusion of obstetrical care as an integral part of family practice is important to the growth and development of the specialty.
目前，关于未来产科和新生儿护理的方式、方法及地点正在进行一场激烈的辩论。一方面，产科和新生儿护理技术有不断提高的趋势，一些专业团体倾向于将这些服务集中到大型区域中心。另一方面，存在抵制这种集中化的力量，包括社区医院、许多执业产科医生、助产士、妇女解放运动、“另类生活方式运动”、勒博耶分娩理念、以家庭为中心的产妇护理运动以及家庭医疗运动。本文探讨了这些问题，并阐述了在患者易于前往的社区环境中开展以家庭为导向的产科和新生儿护理并让家庭医生参与其中的重要原因。将产科护理纳入家庭医疗的整体范畴对该专业的成长与发展至关重要。
