From the Agency for Healthcare Research and Quality, Rockville, MD (STT); American Board of Family Medicine, Lexington, KY (ARE, ZJM, AWB, LEP); Department of Family and Community Medicine, College of Medicine, University of Kentucky, Lexington, KY (LEP).
J Am Board Fam Med. 2021 Jan-Feb;34(1):10-11. doi: 10.3122/jabfm.2021.01.200132.
Of family physicians who perform cesarean sections, more than half do so in rural communities and 38.6% provide cesarean sections in counties without any obstetrician/gynecologists. As policymakers in the United States struggle with a widening landscape of 'obstetrical deserts,' efforts to adequately train a family physician workforce prepared to provide cesarean sections could help maintain access to local obstetric services in rural communities and reduce perinatal morbidity and mortality.
在施行剖宫产术的家庭医生中,超过一半在农村社区执业,而 38.6%在没有妇产科医生的县施行剖宫产术。随着美国政策制定者努力应对不断扩大的“产科荒漠”局面,努力培训一支有能力施行剖宫产术的家庭医生队伍,可能有助于维持农村社区当地产科服务的可及性,并降低围产期发病率和死亡率。