Assessing prenatal care in a family practice residency clinic

Terrell W. Zollinger, Robert M. Saywell, Olas A. Hubbs, Mary Beth Lodato, Gregory Hindahl, Gaylen M. Kelton

    Research output: Contribution to journalArticle

    Abstract

    Background and Objectives: This study demonstrates how one family practice residency clinic characterized obstetric clinic patients and assessed obstetric care using birth certificate data (demographic characteristics and risk factors) and birth outcome indicators. Methods: We compared clinical characteristics and birth outcomes for 901 patients who were delivered by family physicians from the family practice residency clinic with a matched and unmatched group of patients who were delivered by other physicians in the county during 1990-1993. Results: The study clinic patients were at higher risk and had lower use of prenatal care. However, the outcomes of the study clinic patients were significantly better (fewer labor and delivery complications, procedures. Cesarean deliveries, abnormal conditions of newborn, low birth weight deliveries, and preterm birth) or no different from the comparison group of non-clinic patients. Conclusions: The analysis of birth certificate data provided a favorable assessment of prenatal care provided by a family practice residency clinic. This type of analysis permits comparisons of birth outcomes with other local or regional providers, statewide providers, and the year 2000 national objectives established by the National Center for Health Statistics.

    Original languageEnglish
    Pages (from-to)736-742
    Number of pages7
    JournalFamily Medicine
    Volume29
    Issue number10
    StatePublished - Nov 1997

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    Prenatal Care
    Family Practice
    Internship and Residency
    Birth Certificates
    Parturition
    Obstetrics
    Obstetric Labor Complications
    National Center for Health Statistics (U.S.)
    Premature Birth
    Family Physicians
    Low Birth Weight Infant
    Research Design
    Demography
    Outcome Assessment (Health Care)
    Newborn Infant
    Physicians

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health

    Cite this

    Zollinger, T. W., Saywell, R. M., Hubbs, O. A., Lodato, M. B., Hindahl, G., & Kelton, G. M. (1997). Assessing prenatal care in a family practice residency clinic. Family Medicine, 29(10), 736-742.

    Assessing prenatal care in a family practice residency clinic. / Zollinger, Terrell W.; Saywell, Robert M.; Hubbs, Olas A.; Lodato, Mary Beth; Hindahl, Gregory; Kelton, Gaylen M.

    In: Family Medicine, Vol. 29, No. 10, 11.1997, p. 736-742.

    Research output: Contribution to journalArticle

    Zollinger, TW, Saywell, RM, Hubbs, OA, Lodato, MB, Hindahl, G & Kelton, GM 1997, 'Assessing prenatal care in a family practice residency clinic', Family Medicine, vol. 29, no. 10, pp. 736-742.
    Zollinger TW, Saywell RM, Hubbs OA, Lodato MB, Hindahl G, Kelton GM. Assessing prenatal care in a family practice residency clinic. Family Medicine. 1997 Nov;29(10):736-742.
    Zollinger, Terrell W. ; Saywell, Robert M. ; Hubbs, Olas A. ; Lodato, Mary Beth ; Hindahl, Gregory ; Kelton, Gaylen M. / Assessing prenatal care in a family practice residency clinic. In: Family Medicine. 1997 ; Vol. 29, No. 10. pp. 736-742.
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