Barr Wendy B, Tong Sebastian T, LeFevre Nicholas M
Lawrence Family Medicine Residency, Tufts University.
Fam Med. 2017 Mar;49(3):218-221.
Group prenatal care has been shown to improve both maternal and neonatal outcomes. With increasing adaption of group prenatal care by family medicine residencies, this model may serve as a potential method to increase exposure to and interest in maternity care among trainees. This study aims to describe the penetration, regional and program variations, and potential impacts on future maternity care practice of group prenatal care in US family medicine residencies.
The CAFM Educational Research Alliance (CERA) conducted a survey of all US family medicine residency program directors in 2013 containing questions about maternity care training. A secondary data analysis was completed to examine relevant data on group prenatal care in US family medicine residencies and maternity care practice patterns.
23.1% of family medicine residency programs report provision of group prenatal care. Programs with group prenatal care reported increased number of vaginal deliveries per resident. Controlling for average number of vaginal deliveries per resident, programs with group prenatal care had a 2.35 higher odds of having more than 10% of graduates practice obstetrics and a 2.93 higher odds of having at least one graduate in the past 5 years enter an obstetrics fellowship.
Residency programs with group prenatal care models report more graduates entering OB fellowships and practicing maternity care. Implementing group prenatal care in residency training can be one method in a multifaceted approach to increasing maternity care practice among US family physicians.
群组产前护理已被证明可改善孕产妇和新生儿结局。随着家庭医学住院医师培训项目对群组产前护理的采用日益增加，该模式可能成为增加受训人员接触和关注产科护理的一种潜在方法。本研究旨在描述美国家庭医学住院医师培训项目中群组产前护理的普及情况、地区和项目差异，以及对未来产科护理实践的潜在影响。
2013年，CAFM教育研究联盟（CERA）对所有美国家庭医学住院医师培训项目主任进行了一项调查，其中包含有关产科护理培训的问题。完成了一项二次数据分析，以检查美国家庭医学住院医师培训项目中群组产前护理的相关数据以及产科护理实践模式。
23.1%的家庭医学住院医师培训项目报告提供群组产前护理。提供群组产前护理的项目报告称，每位住院医师的阴道分娩数量有所增加。在控制每位住院医师的平均阴道分娩数量后，提供群组产前护理的项目中，毕业生从事产科工作的比例超过10%的可能性高出2.35倍，在过去5年中至少有一名毕业生进入产科专科培训的可能性高出2.93倍。
采用群组产前护理模式的住院医师培训项目报告称，有更多毕业生进入产科专科培训并从事产科护理工作。在住院医师培训中实施群组产前护理可以是增加美国家庭医生产科护理实践的多方面方法之一。
