母胎医学专家与常规阴道分娩：为何应将亚专科资源保留用于高风险护理
Maternal-Fetal Medicine Specialists and Routine Vaginal Birth: Why Subspecialty Resources Should Be Reserved for High-Risk Care.
摘要(中文译文)
母胎医学（MFM）专家是经过高度培训的亚专科医生，其专长在于管理复杂妊娠。本文反对母胎医学专家常规参与低风险分娩过程，重点关注成本效率低下、劳动力短缺、产科护理荒漠、公平性问题以及与其他提供初级保健的亚专科医生的比较。本文还强调了产科住院医师框架及与助产士协作护理模式作为可持续替代方案的优势。
Abstract
Maternal-fetal medicine (MFM) specialists are highly trained subspecialists whose expertise lies in managing complex pregnancies. This paper argues against the routine involvement of MFMs in low-risk labor and delivery, focusing on cost inefficiencies, workforce shortages, maternity care deserts, equity concerns, and comparisons to other subspecialists providing primary care. It also highlights the benefits of obstetric hospitalist frameworks and collaborative care models with midwives as sustainable alternatives.
如何引用
AMA
Jeffrey D Sperling. Maternal-Fetal Medicine Specialists and Routine Vaginal Birth: Why Subspecialty Resources Should Be Reserved for High-Risk Care.. Clinical obstetrics and gynecology. 2026; doi:10.1097/GRF.0000000000001051.
APA
Jeffrey D Sperling (2026). Maternal-Fetal Medicine Specialists and Routine Vaginal Birth: Why Subspecialty Resources Should Be Reserved for High-Risk Care.. Clinical obstetrics and gynecology. https://doi.org/10.1097/GRF.0000000000001051
GB/T 7714
Jeffrey D Sperling. Maternal-Fetal Medicine Specialists and Routine Vaginal Birth: Why Subspecialty Resources Should Be Reserved for High-Risk Care.[J]. Clinical obstetrics and gynecology, 2026 doi:10.1097/GRF.0000000000001051.
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