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Research ArticleOriginal Article

Perinatal Outcomes In Obstetric And Family Medicine Services In A County Hospital

John H. Kurata, Merrill N. Werblun, Guillermo Valenzuela, Michelle Ziffer, Sandra Kantor-Fish and Elizabeth Richards
The Journal of the American Board of Family Practice April 1989, 2 (2) 82-86; DOI: https://doi.org/10.3122/jabfm.2.2.82
John H. Kurata
From the Department of Family Medicine and the Department of Obstetrics and Gynecology, San Bernardino County Medical Center, San Bernardino, CA. Address reprint requests to John H. Kurata, Ph.D., Department of Family Medicine, San Bernardino County Medical Center, 780 East Gilbert Street, San Bernardino, CA 92404.
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Merrill N. Werblun
From the Department of Family Medicine and the Department of Obstetrics and Gynecology, San Bernardino County Medical Center, San Bernardino, CA. Address reprint requests to John H. Kurata, Ph.D., Department of Family Medicine, San Bernardino County Medical Center, 780 East Gilbert Street, San Bernardino, CA 92404.
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Guillermo Valenzuela
From the Department of Family Medicine and the Department of Obstetrics and Gynecology, San Bernardino County Medical Center, San Bernardino, CA. Address reprint requests to John H. Kurata, Ph.D., Department of Family Medicine, San Bernardino County Medical Center, 780 East Gilbert Street, San Bernardino, CA 92404.
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Michelle Ziffer
From the Department of Family Medicine and the Department of Obstetrics and Gynecology, San Bernardino County Medical Center, San Bernardino, CA. Address reprint requests to John H. Kurata, Ph.D., Department of Family Medicine, San Bernardino County Medical Center, 780 East Gilbert Street, San Bernardino, CA 92404.
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Sandra Kantor-Fish
From the Department of Family Medicine and the Department of Obstetrics and Gynecology, San Bernardino County Medical Center, San Bernardino, CA. Address reprint requests to John H. Kurata, Ph.D., Department of Family Medicine, San Bernardino County Medical Center, 780 East Gilbert Street, San Bernardino, CA 92404.
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Elizabeth Richards
From the Department of Family Medicine and the Department of Obstetrics and Gynecology, San Bernardino County Medical Center, San Bernardino, CA. Address reprint requests to John H. Kurata, Ph.D., Department of Family Medicine, San Bernardino County Medical Center, 780 East Gilbert Street, San Bernardino, CA 92404.
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Abstract

The relations between perinatal outcomes and physician specialty were examined in a retrospective study. Data pertaining to demographics, labor and delivery events, and maternal and neonatal outcomes were examined for 125 family medicine and 125 obstetric patients. Bivariate analyses showed no differences between the groups for demographics. Significant differences were found for two of 13 labor and delivery events: episiotomy and degree of lacerations. However, when multivariate analyses were conducted to control for possibie confounding effects, differences between the groups for episiotomy or degree of lacerations were no longer significant. The only significant difference between the groups on perinatal outcomes was that family medicine newborns had a significantly higher mean birth weight (3364.9 grams) than obstetric newborns (3147.1 grams). Stepwise multiple regression analysis showed that smoking and specialty account for approximately 10 percent of the variance in birth weight. Overall, the results suggest that, regardless of physician specialty, obstetric and family medicine patients had similar outcomes.

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The Journal of the American Board of Family     Practice: 2 (2)
The Journal of the American Board of Family Practice
Vol. 2, Issue 2
1 Apr 1989
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Perinatal Outcomes In Obstetric And Family Medicine Services In A County Hospital
John H. Kurata, Merrill N. Werblun, Guillermo Valenzuela, Michelle Ziffer, Sandra Kantor-Fish, Elizabeth Richards
The Journal of the American Board of Family Practice Apr 1989, 2 (2) 82-86; DOI: 10.3122/jabfm.2.2.82

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Perinatal Outcomes In Obstetric And Family Medicine Services In A County Hospital
John H. Kurata, Merrill N. Werblun, Guillermo Valenzuela, Michelle Ziffer, Sandra Kantor-Fish, Elizabeth Richards
The Journal of the American Board of Family Practice Apr 1989, 2 (2) 82-86; DOI: 10.3122/jabfm.2.2.82
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