Michael C Klein

Summary

Affiliation: University of British Columbia
Country: Canada

Publications

  1. ncbi Do maternity care provider groups have different attitudes towards birth?
    Birgit Reime
    Faculty of Nursing, University of British Columbia, Vancouver, BC, Canada
    BJOG 111:1388-93. 2004
  2. ncbi A comparison of urinary and sexual outcomes in women experiencing vaginal and Caesarean births
    Michael C Klein
    Department of Family Practice, University of British Columbia, Vancouver BC
    J Obstet Gynaecol Can 27:332-9. 2005
  3. pmc Does epidural analgesia increase rate of cesarean section?
    Michael C Klein
    Can Fam Physician 52:419-21, 426-8. 2006
  4. ncbi Why do women go along with this stuff?
    Michael C Klein
    Emeritus of Family Practice and Pediatrics, University of British Columbia, and Senior Scientist Emeritus, BC Child and Family Research Institute, Vancouver, British Columbia, Canada
    Birth 33:245-50. 2006
  5. ncbi In the literature: pushing in the wrong direction
    Michael C Klein
    Emeritus of Family Practice and Pediatrics, University of British Columbia, and Senior Scientist Emeritus, BC Child and Family Research Institute, Vancouver, British Columbia, Canada
    Birth 33:251-3. 2006
  6. pmc Family physicians who provide intrapartum care and those who do not: very different ways of viewing childbirth
    Michael C Klein
    University of British Columbia, Canada
    Can Fam Physician 57:e139-47. 2011
  7. pmc In for the long haul. Which family physicians plan to continue delivering babies?
    Michael C Klein
    Division of Maternity and Newborn Care, Department of Family Practice, University of British Columbia, Vancouver
    Can Fam Physician 48:1216-22. 2002
  8. ncbi Birth technology and maternal roles in birth: knowledge and attitudes of canadian women approaching childbirth for the first time
    Michael C Klein
    Developmental Neuroscience and Child Health, Child and Family Research Institute, University of British Columbia, Vancouver BC, Canada
    J Obstet Gynaecol Can 33:598-608. 2011
  9. doi The Canadian Birth Place Study: describing maternity practice and providers' exposure to home birth
    Saraswathi Vedam
    Division of Midwifery, Department of Family Practice, University of British Columbia, Canada
    Midwifery 28:600-8. 2012
  10. pmc Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician
    Patricia A Janssen
    School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
    CMAJ 181:377-83. 2009

Collaborators

Detail Information

Publications47

  1. ncbi Do maternity care provider groups have different attitudes towards birth?
    Birgit Reime
    Faculty of Nursing, University of British Columbia, Vancouver, BC, Canada
    BJOG 111:1388-93. 2004
    ..To compare family physicians', obstetricians' and midwives' self-reported practices, attitudes and beliefs about central issues in childbirth...
  2. ncbi A comparison of urinary and sexual outcomes in women experiencing vaginal and Caesarean births
    Michael C Klein
    Department of Family Practice, University of British Columbia, Vancouver BC
    J Obstet Gynaecol Can 27:332-9. 2005
    ..To evaluate the urinary and sexual consequences of vaginal delivery compared with Caesarean section...
  3. pmc Does epidural analgesia increase rate of cesarean section?
    Michael C Klein
    Can Fam Physician 52:419-21, 426-8. 2006
  4. ncbi Why do women go along with this stuff?
    Michael C Klein
    Emeritus of Family Practice and Pediatrics, University of British Columbia, and Senior Scientist Emeritus, BC Child and Family Research Institute, Vancouver, British Columbia, Canada
    Birth 33:245-50. 2006
    ..Why do women go along with this stuff? In this Roundtable Discussion, Part 2, we asked some maternity care professionals and advocates to discuss this question...
  5. ncbi In the literature: pushing in the wrong direction
    Michael C Klein
    Emeritus of Family Practice and Pediatrics, University of British Columbia, and Senior Scientist Emeritus, BC Child and Family Research Institute, Vancouver, British Columbia, Canada
    Birth 33:251-3. 2006
  6. pmc Family physicians who provide intrapartum care and those who do not: very different ways of viewing childbirth
    Michael C Klein
    University of British Columbia, Canada
    Can Fam Physician 57:e139-47. 2011
    ..To examine FPs' attitudes toward birth for those providing intrapartum care (IPC) and those providing only antepartum care (APC)...
  7. pmc In for the long haul. Which family physicians plan to continue delivering babies?
    Michael C Klein
    Division of Maternity and Newborn Care, Department of Family Practice, University of British Columbia, Vancouver
    Can Fam Physician 48:1216-22. 2002
    ..To compare characteristics of family physicians planning to discontinue or stay in intrapartum care...
  8. ncbi Birth technology and maternal roles in birth: knowledge and attitudes of canadian women approaching childbirth for the first time
    Michael C Klein
    Developmental Neuroscience and Child Health, Child and Family Research Institute, University of British Columbia, Vancouver BC, Canada
    J Obstet Gynaecol Can 33:598-608. 2011
    ..To describe Canadian nulliparous women's attitudes to birth technology and their roles in childbirth...
  9. doi The Canadian Birth Place Study: describing maternity practice and providers' exposure to home birth
    Saraswathi Vedam
    Division of Midwifery, Department of Family Practice, University of British Columbia, Canada
    Midwifery 28:600-8. 2012
    ....
  10. pmc Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician
    Patricia A Janssen
    School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
    CMAJ 181:377-83. 2009
    ..We compared the outcomes of planned home births attended by midwives with those of planned hospital births attended by midwives or physicians...
  11. doi How do physicians and midwives manage the third stage of labor?
    Weiping M Tan
    Private Practice, Coquitlam, British Columbia, Canada
    Birth 35:220-9. 2008
    ..Current practice guidelines recommend active management of the third stage of labor. We compared practices of three maternity care provider disciplines in management of third-stage labor and the justifications for their approach...
  12. ncbi The effect of family physician timing of maternal admission on procedures in labour and maternal and infant morbidity
    Michael C Klein
    Department of Family Practice, University of British Columbia, Vancouver, BC
    J Obstet Gynaecol Can 26:641-5. 2004
    ..To determine if a family physician practice pattern of early admission is associated with increased rates of intervention in labour and delivery, and/or adverse maternal and newborn outcomes...
  13. pmc The Canadian birth place study: examining maternity care provider attitudes and interprofessional conflict around planned home birth
    Saraswathi Vedam
    Faculty of Medicine, University of British Columbia, B54 2194 Health Sciences Mall Vancouver, Vancouver, BC V6T 1Z3, Canada
    BMC Pregnancy Childbirth 14:353. 2014
    ..However, national rates of planned home birth remain low, and many maternity providers do not support choice of birth place...
  14. doi Factors associated with differences in Canadian perinatal nurses' attitudes toward birth practices
    Sarah J Liva
    University of British Columbia, School of Nursing, Vancouver, British Columbia, Canada
    J Obstet Gynecol Neonatal Nurs 41:761-73. 2012
    ..To test whether demographic characteristics predict registered nurses' attitudes toward birth practices...
  15. ncbi Outcomes of planned hospital birth attended by midwives compared with physicians in British Columbia
    Patricia A Janssen
    Department of Health Care and Epidemiology, University of British Columbia, Vancouver, BC, Canada
    Birth 34:140-7. 2007
    ..We compared maternal and newborn outcomes between women planning hospital birth attended by a midwife versus a physician in British Columbia, Canada...
  16. doi Attitudes of the new generation of Canadian obstetricians: how do they differ from their predecessors?
    Michael C Klein
    Centre for Developmental Neuroscience and Child Health, Child and Family Research Institute, University of British Columbia, Vancouver, British Columbia
    Birth 38:129-39. 2011
    ..Attitudes drive practice, perhaps more than evidence. The objective of this study was to determine if the new generation of Canadian obstetricians has attitudes differing from those of their predecessors...
  17. ncbi Does cesarean section reduce postpartum urinary incontinence? A systematic review
    Joshua Z Press
    Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, British Columbia, Canada
    Birth 34:228-37. 2007
    ..The primary objective of this systematic review was to compare the prevalence of postpartum urinary incontinence after cesarean section compared with vaginal birth...
  18. ncbi Perinatal nursing education for single-room maternity care: an evaluation of a competency-based model
    Patricia A Janssen
    Department of Family Practice and Health Care, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
    J Clin Nurs 14:95-101. 2005
    ..To evaluate the success of a competency-based nursing orientation programme for a single-room maternity care unit by measuring improvement in self-reported competency after six months...
  19. doi Canadian care providers' and pregnant women's approaches to managing birth: minimizing risk while maximizing integrity
    Wendy A Hall
    University of British Columbia, Vancouver, Canada
    Qual Health Res 22:575-86. 2012
    ..The findings highlight difficulties resisting surveillance and interventions in a risk-adverse culture, and the need for attention to processes of giving birth...
  20. ncbi Early labor assessment and support at home versus telephone triage: a randomized controlled trial
    Patricia A Janssen
    Department of Health Care and Epidemiology, Faculty of Medicine, and School of Nursing, University of British Columbia, and Department of Maternal Fetal Medicine, Surrey Memorial Hospital, Surrey, British Columbia, Canada
    Obstet Gynecol 108:1463-9. 2006
    ..To compare rates of cesarean delivery among women who were triaged by obstetric nurses, either by telephone or by means of home visits...
  21. ncbi Epidural analgesia: does it or doesn't it?
    Michael C Klein
    Family Practice and Pediatrics, University of British Columbia, Vancouver, Canada
    Birth 33:74-6. 2006
  22. ncbi Single room maternity care: perinatal outcomes, economic costs,and physician preferences
    Susan J Harris
    Department of Family Practice, University of British Columbia, Vancouver, BC
    J Obstet Gynaecol Can 26:633-40. 2004
    ....
  23. pmc Does delivery volume of family physicians predict maternal and newborn outcome?
    Michael C Klein
    Department of Family Practice, Children s and Women s Health Centre of British Columbia, Vancouver
    CMAJ 166:1257-63. 2002
    ..We wanted to determine if the practice-volume relations that have been shown in other fields of medical practice also exist in maternity care practice by family doctors...
  24. pmc Outcomes of planned home births versus planned hospital births after regulation of midwifery in British Columbia
    Patricia A Janssen
    Centre for Community Health and Health Evaluation Research, BC Research Institute for Children s and Women s Health, Vancouver
    CMAJ 166:315-23. 2002
    ..The purpose of this study was to evaluate the safety of home birth by comparing perinatal outcomes for planned home births attended by regulated midwives with those for planned hospital births...
  25. doi Cesarean section on maternal request: a societal and professional failure and symptom of a much larger problem
    Michael C Klein
    Family Practice and Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada
    Birth 39:305-10. 2012
    ..Tinkering with the system will not work-it requires a complete refit...
  26. ncbi Obstetrician's fear of childbirth: how did it happen?
    Michael C Klein
    University of British Columbia, Vancouver, British Columbia, Canada
    Birth 32:207-9. 2005
  27. pmc Outcomes after vacuum-assisted deliveries. Births attended by community family practitioners
    Colin Yarrow
    Department of Family Practice, Kelowna General Hospital, British Columbia
    Can Fam Physician 50:1109-14. 2004
    ..To assess success rates, modes of delivery following failure, complications of mothers and newborns, and effect of extractor station and parity on vacuum-assisted deliveries attended by family physicians...
  28. pmc Development and evaluation of a Chinese-language newborn feeding hotline: a prospective cohort study
    Patricia A Janssen
    School of Population and Public Health, University of British Columbia, Child and Family Research Institute, Vancouver, BC, Canada
    BMC Pregnancy Childbirth 9:3. 2009
    ..The goal of this study was to develop an intervention targeting Chinese immigrant mothers to increase their rates of exclusive breastfeeding...
  29. ncbi Epidural analgesia associated with low-dose oxytocin augmentation increases cesarean births: a critical look at the external validity of randomized trials
    Andrew J Kotaska
    Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, British Columbia, Canada
    Am J Obstet Gynecol 194:809-14. 2006
    ..We analyzed trials comparing EA with opioid analgesia to determine their external validity in contemporary North American practice...
  30. doi The tyranny of meta-analysis and the misuse of randomized controlled trials in maternity care
    Michael C Klein
    Family Practice and Pediatrics at the University of British Columbia, Vancouver, British Columbia V6H 3V4, Canada
    Birth 39:80-2. 2012
    ..For a meta-analysis to be useful, the included studies must be broadly representative of the way that maternity care is carried out in usual birth environments...
  31. pmc Does experience or delivery volume of family physicians predict maternal and newborn outcomes?
    Ann Kelly
    CMAJ 170:446-7. 2004
  32. pmc Association not causation: what is the intervention?
    Michael C Klein
    Ann Fam Med 5:294-7. 2007
  33. ncbi Obstetric maternal outcomes at Bella Coola General Hospital: 1940 to 2001
    Harvey V Thommasen
    Faculty of Medicine, University of British Columbia, 4202 Davie Avenue, Prince George, BC, V2M 4G7 Canada
    Can J Rural Med 10:13-21. 2005
    ..To describe obstetric procedures (episiotomy, forceps, vacuum extraction, caesarean section) and maternal outcomes for patients who gave birth in an isolated, rural hospital...
  34. ncbi Maternity care by family physicians: characteristics of successful and sustainable models
    David J Price
    Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada
    J Obstet Gynaecol Can 27:460-6. 2005
    ..To provide examples of sustainable and rewarding models of maternity care that can help reduce the attrition of family practitioners from intrapartum maternity care practice...
  35. pmc Improving competence in maternity care. Women's Advanced Maternity Fellowship for Rural Practitioners
    Susan J Harris
    Department of Family Practice, BC Women s Hospital and Health Centre
    Can Fam Physician 49:1155. 2003
  36. ncbi Management of labor pain: promoting patient choice
    Lawrence Leeman
    Am Fam Physician 68:1023, 1026, 1033 passim. 2003
  37. ncbi Hemorrhagic shock
    Marie Jocelyne Martel
    J Obstet Gynaecol Can 24:504-20; quiz 521-4. 2002
    ..To review the clinical aspects of hemorrhagic shock and provide recommendations for therapy...
  38. ncbi Use of episiotomy in the United States
    Michael C Klein
    Birth 29:74-6. 2002
  39. ncbi The management of nausea and vomiting of pregnancy
    Marc Yvon Arsenault
    J Obstet Gynaecol Can 24:817-31; quiz 832-3. 2002
    ..To review the evidence-based management of nausea and vomiting of pregnancy (NVP) and hyperemesis gravidarum...
  40. ncbi The nature and management of labor pain: part II. Pharmacologic pain relief
    Lawrence Leeman
    University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
    Am Fam Physician 68:1115-20. 2003
    ..Research is needed regarding which pain-relief options women would choose if they were offered a range of choices beyond epidural analgesia or parenteral opioids...
  41. pmc Elective cesarean section
    Michael C Klein
    CMAJ 171:14-5; author reply 15-6. 2004
  42. ncbi Guidelines for operative vaginal birth
    Yvonne M Cargill
    J Obstet Gynaecol Can 26:747-61. 2004
    ..To provide guidelines for operative vaginal birth in the management of the second stage of labour...
  43. ncbi Quick fix culture: the cesarean-section-on-demand debate
    Michael C Klein
    Birth 31:161-4. 2004
  44. ncbi Women's views of elective primary caesarean section
    Michael C Klein
    J Obstet Gynaecol Can 29:214; author reply 214-5. 2007
  45. ncbi Intrathecal analgesia and the cesarean rate
    Michael C Klein
    J Fam Pract 54:690. 2005
  46. ncbi Perinatal outcomes at Bella Coola General Hospital: 1940 to 2001
    Harvey V Thommasen
    Faculty of Medicine, University of British Columbia, 4202 Davie Avenue, Prince George, BC, V2M 4G7 Canada
    Can J Rural Med 10:22-8. 2005
    ..To describe perinatal outcomes (mortality, weight, condition at birth) at an isolated, rural hospital...
  47. ncbi Maternal transport policy
    Ann Kathleen Wilson
    J Obstet Gynaecol Can 27:956-63. 2005