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Old 02-23-2024, 09:36 AM
 
Location: Chicago
3,918 posts, read 6,829,377 times
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We have noticed an increasing trend in our area where gynocologist's are no longer present for the delivery of the babies they have overseen during pregnancy.

I'm wondering if some of you are noticing the same trend? I am also wondering WHY?

My wife and I have two kids and both were delivered by my wife's gynecologist but some of my wife's coworkers have had their gyno refuse to be there for the delivery, citing a problem with liability in the delivery. When we had our first the gynocologist would visit the baby to check on development and with our second the hospital assigned us an in house gyno.

Is it an insurance thing with hospitals? What gives? Any information is welcome!
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Old 02-23-2024, 11:05 AM
 
14,299 posts, read 11,677,294 times
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In the first place, the doctor who specializes in pregnancy and delivering babies is an obstetrician, not a gynecologist. My own doctor is both, but a doctor can be one or the other. Probably the obstetrician does need special insurance, and not everyone who specializes in gynecology also wants to be an obstetrician.
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Old 02-23-2024, 02:31 PM
 
Location: Chicago
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Quote:
Originally Posted by saibot View Post
In the first place, the doctor who specializes in pregnancy and delivering babies is an obstetrician, not a gynecologist. My own doctor is both, but a doctor can be one or the other. Probably the obstetrician does need special insurance, and not everyone who specializes in gynecology also wants to be an obstetrician.
Fair enough on the differences, but that isn't what the issue is here. Docs who used to deliver are no longer attending the deliveries. I can't figure out why that is. So doctor titles aside, I'm wondering why the industry is seeing this shift.
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Old 02-23-2024, 02:34 PM
 
3,075 posts, read 1,540,961 times
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Quote:
Originally Posted by ChiGuy2.5 View Post
Fair enough on the differences, but that isn't what the issue is here. Docs who used to deliver are no longer attending the deliveries. I can't figure out why that is. So doctor titles aside, I'm wondering why the industry is seeing this shift.
maybe cheaper to have nurse- midwives deliver a normal birth than MDs. maybe not enough MDs around. Drs are in short supply in many places.
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Old 02-23-2024, 05:12 PM
 
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If doctors are saying they're not delivering babies because of the liability, that's probably the truth. Without looking it up, I'll bet the cost of insurance for an obstetrician is astronomical. Things sometimes go wrong during a delivery and people are really quick to sue.
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Old 02-24-2024, 03:50 PM
 
Location: Oak Park, IL
247 posts, read 235,711 times
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20 years ago their annual malpractice premiums were in the 7 figure range; I can only imagine that cost has gone up exponentially. Therefore I would imagine you’ll see fewer delivering obstetricians in private practice and end up delivering with staff hospitalist obstetricians.
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Old 02-27-2024, 05:56 PM
 
Location: USA
9,111 posts, read 6,155,520 times
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Quote:
Originally Posted by ChiGuy2.5 View Post
We have noticed an increasing trend in our area where gynocologist's are no longer present for the delivery of the babies they have overseen during pregnancy.

I'm wondering if some of you are noticing the same trend? I am also wondering WHY?

My wife and I have two kids and both were delivered by my wife's gynecologist but some of my wife's coworkers have had their gyno refuse to be there for the delivery, citing a problem with liability in the delivery. When we had our first the gynocologist would visit the baby to check on development and with our second the hospital assigned us an in house gyno.

Is it an insurance thing with hospitals? What gives? Any information is welcome!


OK- who are delivering babies?

Midwifery is having a resurgence?

Hospitalists?
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Old 03-04-2024, 11:18 AM
 
Location: Chicago
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Quote:
Originally Posted by Lillie767 View Post
OK- who are delivering babies?

Midwifery is having a resurgence?

Hospitalists?
If you read the full post I was referring to the OBGYN who oversaw the pregnancy. Instead, people are being assigned a new OBGYN from the hospital, it is not the chosen OBGYN that the mother had leading up to the delivery.
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Old 03-04-2024, 12:09 PM
 
Location: Kansas City North
6,814 posts, read 11,531,564 times
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Some OB practices have a “deliver-er” on call for any particular day. You may see Doctor A for your entire pregnancy, but if it’s Doctor B’s day in the box when you go into labor, he/she will be doing the catching. This should be explained at the beginning of the pregnancy.

My gynecologist does not do any obstetrical care. If you get pregnant while under his care, he will pass you off to an OB in his practice.
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Old 03-04-2024, 01:28 PM
 
14,299 posts, read 11,677,294 times
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Quote:
Originally Posted by Okey Dokie View Post
Some OB practices have a “deliver-er” on call for any particular day. You may see Doctor A for your entire pregnancy, but if it’s Doctor B’s day in the box when you go into labor, he/she will be doing the catching. This should be explained at the beginning of the pregnancy.
This happened to me. I saw Dr. A throughout all three of my pregnancies, but she did not end up delivering any of my babies. In fact, the first two times she was on duty when I went to the hospital, but by the time I actually gave birth (these things can take a while) her shift had ended.

Thus Dr. B, whose shift was apparently always next, delivered both of my daughters, three years apart.

And then it was Dr. C, in the same medical group, who delivered my son.
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