Delivery volume debated
=======================

* Dan Dattani

*CMAJ* is to be congratulated for publishing Michael Klein and colleagues' article.1 For many family physicians, like myself, who are committed to practising obstetrics (low-risk, dare I say), it was a breath of much-needed fresh air. The Society of Obstetricians and Gynaecologists of Canada (SOGC) policy statement 24 never did make much sense in the absence of evidence when subjected to critical review by individual family physicians practising low-risk, low-volume obstetrics. Any policies or clinical practice guidelines that affect a broad section of practising physicians such as family doctors ought to be subjected to due diligence and mandatory endorsement or rejection by the body that represents us, the College of Family Physicians of Canada (CFPC) I am not really surprised by the conclusions of the study and was indeed very pleased to read the bottom line, the postscript.

**Dan Dattani** Assistant Clinical Professor of Family Medicine University of Saskatchewan Saskatoon, Sask.

## Reference

1.  1. Klein MC, Spence A, Kaczorowski K, Kelly A, Grzybowski S. Does delivery volume of family physicians predict maternal and newborn outcomes? CMAJ 2002;166(10):1257-63.
    
    [Abstract/FREE Full Text](http://www.cmaj.ca/lookup/ijlink/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NDoiY21haiI7czo1OiJyZXNpZCI7czoxMToiMTY2LzEwLzEyNTciO3M6NDoiYXRvbSI7czoyMjoiL2NtYWovMTY3LzcvNzQxLjEuYXRvbSI7fXM6ODoiZnJhZ21lbnQiO3M6MDoiIjt9)