Collaboration between maternal-fetal medicine and family planning: a survey of Northeast US academic medical centers.
J Perinat Med
; 52(1): 81-89, 2024 Jan 29.
Article
em En
| MEDLINE
| ID: mdl-37853776
ABSTRACT
OBJECTIVES:
To explore how complex family planning (CFP) and maternal-fetal medicine (MFM) in Northeast academic medical centers work together to provide abortion care.METHODS:
We distributed an exploratory cross-sectional online survey to CFP and MFM faculty and fellows at academic medical centers in the Northeast between July and September of 2020. The survey included demographic information, assessment of practice patterns, hospital/administration support and assessment of collaboration. Likert scale questions examined opinions about collaboration and an open-ended question solicited ideas for improvement. We performed bivariate analysis to examine the association between subspecialty and practice location regarding provision of abortion care and perceived barriers to care.RESULTS:
The response rate was 31â¯% and was similar by specialty. Of the 69 respondents, 83â¯% were MFMs, 75â¯% were faculty, and 54â¯% practiced in New York. More than 85â¯% reported personal participation in some portion of abortion care. The two most common perceived barriers to care were "lack or reluctance of physicians/staff" and state laws prohibiting termination. Nearly all (95â¯%) stated there was a good working relationship between CFP and MFM divisions; however, almost one-third agreed with or were neutral to the statements "MFM and CFP are siloed in terms of work/patient care."CONCLUSIONS:
Academic MFM and CFP providers in the Northeast collaborate well in providing abortion care, though our findings highlight areas that would benefit from improvement. Optimizing collaboration in the Northeast is important given its regional role for ensuring abortion access in the current national landscape. Improved education of all members of the patient care team on the importance of abortion access may also help provide optimal patient care where abortion services still legally exist.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aborto Induzido
/
Serviços de Planejamento Familiar
Limite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
J Perinat Med
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos