Obstetrics and gynecology
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The National Hospital Discharge Survey indicates that rates of obstetric and gynecologic operations in the United States plateaued from 1979 to 1984, despite an increase in the number of obstetricians-gynecologists. Thus, the average surgical case-load of the obstetrician-gynecologist has declined. ⋯ As surgical case-loads decrease, obstetricians-gynecologists are likely to direct greater attention toward primary prevention, including prevention of cervical neoplasia, tubal infertility, unplanned pregnancy, and osteoporosis. In the years ahead, social gynecology may emerge as a discipline of equal stature as surgical gynecology in the United States.
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Obstetrics and gynecology · Jun 1986
Obstetric and gynecologic operations in the United States, 1979 to 1984.
An in-depth analysis of numbers of obstetric and gynecologic operations from 1979 to 1984 was performed using data from the National Center for Health Statistics. During the study period, there was a decrease in total numbers of obstetric and gynecologic procedures of 1%. During the same five-year period the numbers of physicians who label themselves as obstetrician-gynecologists increased 22%. ⋯ These figures demonstrate the dynamics of obstetric and gynecologic surgical practice. They show that numbers of obstetric and gynecologic operations have decreased over the last five years, in spite of constantly increasing numbers of obstetrician-gynecologists. If current trends continue, future individual operative workloads, on average, will decrease with possible adverse effects on quality of obstetric-gynecologic surgical care.