Taylor H A, Hayes S M, McGowan L M
Naval Hospital, Jacksonville, FL 32214, USA.
Mil Med. 1997 Sep;162(9):620-2.
Military family practice residency programs produce a high percentage of graduates who provide maternity care. This study will define the scope of maternity care practice for one military family practice residency program's graduates while they were serving on active duty in the U.S. Navy.
Two hundred eight surviving graduates of the family practice residency at Naval Hospital, Jacksonville, Florida, from 1971 to 1995 were surveyed by mail regarding their maternity care practice while on active duty. One hundred eighty-one (87%) responded to the survey, and the data were analyzed with descriptive statistics.
The vast majority of these Navy family practice residency graduates provided prenatal care (88.4%) and routine vaginal delivery services (85.1%) while on active duty. The majority repaired third- and fourth-degree perineal lacerations and performed vacuum- or forceps-assisted vaginal delivery. Additionally, a significant minority provided more advanced maternity care services such as dilation and curettage, tubal ligation, and cesarean section. The overwhelming majority (97%) of these graduates felt that their residency education had adequately prepared them to provide these maternity care services while on active duty.
During the past 25 years, Navy residency-trained family physicians provided a wide range of maternity care services while on active duty and felt that their Navy residency training program had prepared them well to meet this responsibility.
军事家庭医疗住院医师培训项目培养出了大量提供产科护理的毕业生。本研究将界定一个军事家庭医疗住院医师培训项目的毕业生在美国海军现役期间的产科护理实践范围。
对佛罗里达州杰克逊维尔海军医院1971年至1995年家庭医疗住院医师培训项目的208名在世毕业生进行了邮件调查，询问他们现役期间的产科护理实践情况。181人（87%）回复了调查，数据采用描述性统计进行分析。
这些海军家庭医疗住院医师培训项目的绝大多数毕业生在现役期间提供产前护理（88.4%）和常规阴道分娩服务（85.1%）。大多数人修复三度和四度会阴裂伤，并进行真空或产钳辅助阴道分娩。此外，少数人提供更高级的产科护理服务，如刮宫术、输卵管结扎术和剖宫产术。这些毕业生中的绝大多数（97%）认为他们的住院医师培训使他们有足够的能力在现役期间提供这些产科护理服务。
在过去25年中，接受海军住院医师培训的家庭医生在现役期间提供了广泛的产科护理服务，并认为他们的海军住院医师培训项目使他们能够很好地履行这一职责。
