PA-C's on L&D

  1. Does anyone have any expeirence with physician assistants on labor and delivery? My wife is looking to hire a PA and is convinced that they can do just about anything their doc will let them, going as far as doing uncomplicated vaginal deliveries.

    Anyone care to share what their PA's do?

    Dave
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  2. 60 Comments

  3. by   SmilingBluEyes
    sorry can't help you. we never use them---Just CNM's and MD's.
  4. by   Dave ARNP
    That's all I ever heard of. I've seen PA-C's in an Ob/Gyn office. My wife's doc has one. But she never ventured out of the clinic.

    Dave
  5. by   L&DTami
    Nope, none at our 1200 deliveries per year hospital. Level 2 nrsry, so we send all complicated cases to the "Big House", AKA our Main campus.
  6. by   Dave ARNP
    Starting to think my theory might be true.

    You can teach a monkey to do a c-section... but only nurses/doctors can tell you when and why.



    Dave
  7. by   SmilingBluEyes
    basically.
  8. by   fergus51
    I have never heard of this. Why would someone want a PA to deliver babies?
  9. by   SmilingBluEyes
    dunno fergus. makes no sense to me either.
  10. by   Dave ARNP
    So the supervising MD can bill for their service and make 3500 while either sitting in the lounge or the comfort of their home.

    I guess in rural areas it could be done. But I'll take a newly hired janitor over a PA-C when it comes to catching one of my kids.

    Dave
  11. by   fergus51
    I would NEVER allow a PA to deliver my child. I don't think it's appropriate and would have serious concerns if my OB even suggested it to me. I would allow a GP or a midwife or an OB. Nothing else.
  12. by   Dave ARNP
    I agree Fergus.

    But I wouldn't let a FP doc do a c-section.

    Dave
  13. by   fergus51
    No, not a c-section, but with my birthin hips, that ain't gonna happen My mother actually used the words "physically easy" to describe my birth....
  14. by   CraigB-RN
    Comments based on ignorance are one of the reasons that no one takes us seriously. I"m hearing comments based on emotion and not fack. Over the past 20+ years there are as many NP's and midwifes that I would let touch me or any family member of mine. For example, I picked up a mother and child from a scene (I work as a flight nurse part time) whose deliver had been totally botched by the Nurse Midwife.

    On the other hand, some of the rural hospitals that I respond to have PA's that have probably delivered half the residents in town. And they've got more experience than the FP doc that is only 2 years out of residency.

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