Lynch D A
J Fam Pract. 1978 Oct;7(4):723-30.
Family physicians have a unique service to offer families at the time of their reproduction, and have a role to play that cannot be duplicated by an obstetrician-gynecologist or pediatrician. The process of a family integrating a new member is a natural concept to family practice and lends itself to a family-centered model of care seldom seen in medicine. Practicing obstetrics has a positive effect on a family physician's practice for without obstetrics a practice largely of episodic adult internal medicine develops. Obstetrical care provided by a family physician is a natural answer to the currently articulated public need for personalized, sensitive, family-centered, and expert childbirth care. Obstetrical training in the family practice residency needs to include a longitudinal pregnancy care experience in addition to block rotation on hospital services to teach residents skills of good obstetrical practice and to develop an attitude of family-centered health-care advocacy. A detailed program of family-centered patient education classes practical for a private group practice has been developed to extend throughout the entire course of pregnancy and includes classes after delivery.
家庭医生在家庭生育时期能提供独特的服务，其作用是妇产科医生或儿科医生无法替代的。家庭接纳新成员的过程是家庭医疗实践中的一个自然概念，适合采用医学中少见的以家庭为中心的护理模式。从事产科工作对家庭医生的业务有积极影响，因为没有产科工作，其业务很大程度上就会变成成人内科的间歇性诊疗。家庭医生提供的产科护理是当前公众所表达的对个性化、贴心、以家庭为中心且专业的分娩护理需求的自然回应。家庭医疗住院医师培训中的产科培训，除了在医院科室进行轮转实习外，还需要包括纵向的孕期护理经历，以教授住院医师良好的产科实践技能，并培养以家庭为中心的医疗保健倡导态度。已经制定了一个适用于私人团体诊所的详细的以家庭为中心的患者教育课程计划，该计划贯穿整个孕期，产后也有课程。
