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Obstetrical Crisis in Canada: The decline of intrapartum care by Family Physicians

The proportion of family physicians (FPs providing intrapartum care is rapidly declining.  The involvement of FPs in intrapartum care is invaluable; they provide continuity, trust, and familiarity to women throughout pregnancy.  FPs contribute significantly to obstetrical care in our nation; in 1995, they delivered half of of the babies born in Canada.  Since 1983, however, the percentage of FPs delivering babies has dropped from 68 % to 18.7 %.  Reasons for the decline include the centralization of medical care, decline in interest, lifestyle factors and inadequate training.  This review discusses research related to the decline, analysis of resident interest in obstetrics as part of family practice, as well as possible solutions for the impending crisis.