I’ve finally decided on a thesis topic, and it isn’t an “international” focus. But it is… let me explain.

I will be looking at he birth to practitioner ratio it the USA, to see if there is a level of busy-ness that increases certain outcomes.  In other words, how many births can a doctor attend a year before we see problems.  Seems like a simple question, but has never really been answered here in the US.  Actually, I can find very little about it anywhere.

I did a similar project while in my BSN program in New York.  There were counties where the birth to physician rate was over 250!  This has significant public health implications because it shows a lack of access to care if the providers are too busy for new patients.  I know looking by county is not “fair” because women may travel for prenatal care, but if they have to travel is that not an indicator of a lack of access to care?

This project has major implications for policy for the USA.  But it also can give some information globally about the minimum number of providers needed to give safe care and avoid problems.  I’m very excited to start.

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Jennifer Vanderlaan CNM MPH is the author of the website. She has been working with expectant families since 2000, training doulas, childbirth educators, and midwives. She has worked with midwives in Central America and Sub-Saharan Africa. Her interest in public health grew in 2010, and she is now a PhD student learning to become a producer of knowledge.

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