Michael C Klein

CCFP, FAAP, MD, FCFP

Investigator Emeritus, BC Children's Hospital
Honorary Member, Departments of Family Practice and Pediatrics, BC Children's Hospital and BC Women's Hospital & Health Centre

I am best known as principal investigator for the only North American randomized controlled trial of episiotomy, which showed that episiotomy caused the very problems it was supposed to prevent.

I have continued to focus on best practices in maternity care to help achieve optimal outcome for mothers and newborns. We continue to study the attitudes and beliefs of all those who care for women in their pregnancies and births – family physicians, obstetricians, midwives, nurses, doulas and trainees in these disciplines – as well as the women themselves. These studies demonstrate that attitudes have direct impact on outcome.

The health of rural communities and the place of maternity care in sustainable communities, as well as related areas of safety of rural maternity care and optimal strategies for safe maternity care in any setting, continue to be the focus of my work.

Academic Affiliations

  • Professor Emeritus/a, Department of Family Practice, Faculty of Medicine, University of British Columbia
  • Research Theme: Evidence to Innovation

Aortic dissection: A story of rural assessment, evacuation, and survival

Canadian Family Physician

Klein, M.C. and Oremakinde, A. and Wong, D.R.

DOI: 10.46747/cfp.700125

Letter to the Editor: Large Databases Cannot Illuminate Practice Variation in the Use of Episiotomy

Journal of Obstetrics and Gynaecology Canada

Klein, M.C.

DOI: 10.1016/j.jogc.2024.102588

Homage to Dr. Murray Enkin and the complexity of evidence-based medicine

Birth

Klein, M.C.

DOI: 10.1111/birt.12723

The Magnitude of the Problem: Evidence- Based Practice in Maternity Care: Examining the Evidence

Women-Centered Care in Pregnancy and Childbirth

Klein, M.C.

Survey of Mode of Delivery and Maternal and Perinatal Outcomes in Canada

Journal of Obstetrics and Gynaecology Canada

Yang, J. and Armson, B.A. and Attenborough, R. and Carson, G.D. and da Silva, O. and Heaman, M. and Janssen, P. and Murphy, P.A. and Pasquier, J.C. and Sauve, R. and Von Dadelszen, P. and Walker, M. and Lee, S.K. and Andruschak, J. and Dale, S. and Der, K. and Pacheco, T. and Vida, K. and Frick, C. and Bott, N. and Carr, L.-A. and Bedard, D. and Robert, N. and Sprague, A. and Berthiaume, M. and Beaudoin, R. and Fahey, J. and Gagnon, I. and Murphy, P. and Allen, V. and Bocking, A. and Bottomley, J. and Bujold, E. and Campbell, K. and Christilaw, J. and Crane, J. and Dodds, L. and Donner, A. and Dumont, A. and Dzakpasu, S. and Forson, A. and Fraser, B. and Gagnon, A. and Joseph, K.S. and Klein, M. and Kramer, M. and LaFrance, M. and Lemay, K. and Liu, S. and Moutquin, J.-M. and Nimrod, C. and Platt, R. and O{'}Brien, B. and Ohlsson, A. and Wen, S.W. and Gulmezoghu, M. and Shah, A. and Villar, J.

DOI: 10.1016/j.jogc.2022.04.017

Routine use of episiotomy with forceps should not be encouraged.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

Klein MC and Kaczorowski J

DOI: 10.1503/cmaj.74132 PubMed: 32094270

02 / 2020

What bereaved parents want health care providers to know when their babies are stillborn: a community-based participatory study.

BMC psychology

Farrales LL and Cacciatore J and Jonas-Simpson C and Dharamsi S and Ascher J and Klein MC

DOI: 10.1186/s40359-020-0385-x PubMed: 32066494

02 / 2020

"Be kind to the mother": A celebration of the life of Marshall Klaus, 1927-2017.

Birth (Berkeley, Calif.)

DOI: 10.1111/birt.12332 PubMed: 29286176

12 / 2017

How I learned to love midwifery and stop worrying about episiotomy

Canadian Journal of Midwifery Research and Practice

Klein MC. How I learned to love midwifery and stop worrying about episiotomy. Can J. Midwifery Research and Practice. 116 (1) Spring 2017. 39-45

04 / 2017

Evaluation of a Patient Education Pamphlet for Women Considering Vaginal Birth After Cesarean

The Journal of Perinatal Education

Sarah Munro and Kathryn Dewar and Elizabeth Wilcox and Michael C. Klein and Patricia A. Janssen

DOI: 10.1891/1058-1243.26.1.37

01 / 2017

The refugee experience of acquiring a family doctor

International Journal of Migration, Health and Social Care

Karen J. Grant and Maureen Mayhew and Lorena Mota and Michael C. Klein and Armine Kazanjian

DOI: 10.1108/ijmhsc-12-2013-0047

03 / 2015

Nothing Fails Like Success-The Great Immunization Debate

Birth

Michael C. Klein

DOI: 10.1111/birt.12169

03 / 2015

The Canadian birth place study: examining maternity care provider attitudes and interprofessional conflict around planned home birth

BMC Pregnancy and Childbirth

Saraswathi Vedam and Kathrin Stoll and Laura Schummers and Nichole Fairbrother and Michael C Klein and Dana Thordarson and Jude Kornelsen and Shafik Dharamsi and Judy Rogers and Robert Liston and Janusz Kaczorowski

DOI: 10.1186/1471-2393-14-353

10 / 2014

Competency in rural practice.

Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada

PubMed: 24698749

The modified medical office assistant role in rural diabetes care

Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la mdecine rurale : le journal officiel de la Socit de mdecine rurale du Canada

MacKay, F.D. and Anderson, J.E. and Klein, M.C. and Berkowitz, J. and MacKay, J.T. and Gailius, J.

Improved outcomes for elderly patients who received care on a transitional care unit

Canadian Family Physician

Manville, Margaret and Klein, Michael C. and Bainbridge, Lesley

How birth doulas help clients adapt to changes in circumstances, clinical care, and client preferences during labor.

The Journal of perinatal education

DOI: 10.1891/1058-1243.23.2.96 PubMed: 24839384

Competency in rural practice

Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la mdecine rurale : le journal officiel de la Socit de mdecine rurale du Canada

Johnston, C.S. and Klein, M.C. and Iglesias, S. and Avery, G.

Provincial privileging standards project

British Columbia Medical Journal

Avery, G. and Boyd, J. and Iglesias, S. and Johnston, S. and Klein, M.C. and Ruddiman, A. and Woollard, R.

The modified medical office assistant role in rural diabetes care.

Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada

PubMed: 24698753

The University of British Columbia

Birth

Klein, M.C.

DOI: 10.1111/birt.12047

Cesarean Section on Maternal Request: A Societal and Professional Failure and Symptom of a Much Larger Problem

Birth

Michael C. Klein

DOI: 10.1111/birt.12006

11 / 2012

The Canadian Birth Place Study: Describing maternity practice and providers' exposure to home birth

Midwifery

Saraswathi Vedam and Laura Schummers and Kathrin Stoll and Judy Rogers and Michael C. Klein and Nichole Fairbrother and Shafik Dharamsi and Robert Liston and Gua Khee Chong and Janusz Kaczorowski

DOI: 10.1016/j.midw.2012.06.011

10 / 2012

Pre-University Students Attitudes and Beliefs about Childbirth

Canadian Journal of Midwifery Research and Practice

Saroli-Plumbo C, Hsu R. Klein MC. Tomkinson J. Pre-University Students Attitudes and Beliefs about Childbirth. Canadian Journal of Midwifery Research and Practice. 2012; 11 (2) Summer: 27-37

07 / 2012

Canadian care providers' and pregnant women's approaches to managing birth: minimizing risk while maximizing integrity.

Qualitative health research

DOI: 10.1177/1049732311424292 PubMed: 21940939

05 / 2012

The Tyranny of Meta-analysis and the Misuse of Randomized Controlled Trials in Maternity Care

Birth

Michael C. Klein

DOI: 10.1111/j.1523-536x.2011.00522.x

02 / 2012

Factors associated with differences in Canadian perinatal nurses' attitudes toward birth practices.

Journal of obstetric, gynecologic, and neonatal nursing : JOGNN

DOI: 10.1111/j.1552-6909.2012.01412.x PubMed: 23030678

Early versus late epidural analgesia and the risk of instrumental delivery in nulliparous women.

BJOG : an international journal of obstetrics and gynaecology

DOI: 10.1111/j.1471-0528.2011.03078.x PubMed: 21988850

11 / 2011

Birth technology and maternal roles in birth: knowledge and attitudes of canadian women approaching childbirth for the first time.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

DOI: 10.1016/s1701-2163(16)34908-8 PubMed: 21846449

06 / 2011

Family physicians who provide intrapartum care and those who do not: very different ways of viewing childbirth.

Canadian family physician Medecin de famille canadien

PubMed: 21490345

04 / 2011

Attitudes of the New Generation of Canadian Obstetricians: How Do They Differ from Their Predecessors?

Birth

Michael C. Klein and Robert Liston and William D. Fraser and Nazli Baradaran and Stephen J. C. Hearps and Jocelyn Tomkinson and Janusz Kaczorowski and Rollin Brant and The Maternity Care Research Group

DOI: 10.1111/j.1523-536x.2010.00462.x

03 / 2011

Family physicians who provide intrapartum care and those who do not: Very different ways of viewing childbirth

Canadian Family Physician

Klein, M.C. and Kaczorowski, J. and Tomkinson, J. and Hearps, S. and Baradaran, N. and Brant, R.

Such naches

Patient Education and Counseling

Reis, S. and Klein, M.C.

DOI: 10.1016/j.pec.2010.03.012

Many women and providers are unprepared for an evidence-based, educated conversation about birth.

The Journal of perinatal education

DOI: 10.1891/1058-1243.20.4.185 PubMed: 22942620

Epidural analgesia for pain management: the positive and the negative

Promoting Normal Birth: Research, Reflections & Guidelines

Michael C. Klein Promoting Normal Birth: Research, Reflections & Guidelines. Sylvie Donna editor. Chapter 2 pages 20-30. Epidural analgesia for pain management: the positive and the negative. May 10th 2011. Fresh Heart Publishing. London UK. 358 pages.

Midwives' belief in normal birth: The Canadian Survey of maternity care provider's attitudes toward labour and birth

Canadian Journal of Midwifery

McNiven P, Klein MC, Baradaran N, Tomkinson J, Hearps SJC, Saxell L. (2011) Midwives' belief in normal birth: The Canadian Survey of maternity care provider's attitudes toward labour and birth. The Canadian Journal of Midwifery Research and Practice. 2011.10; (2) Summer: 11-21.

Time for improved standards for studies of home birth.

American journal of obstetrics and gynecology

DOI: 10.1016/j.ajog.2010.04.042 PubMed: 20579965

11 / 2010

The life of a Canadian doula: successes, confusion, and conflict.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

PubMed: 20707952

07 / 2010

A Mirage of Change: Family-Centered Maternity Care in Practice

Birth

Vania Jimenez and Michael C. Klein and Myriam Hivon and Catherine Mason

DOI: 10.1111/j.1523-536x.2010.00396.x

06 / 2010

What Do Episiotomy and Cesarean Have to Do with Copernicus, Galileo, and Newton?

Birth

Michael C. Klein

DOI: 10.1111/j.1523-536x.2009.00371.x

03 / 2010

Development of a Support Tool for Complex Decision-Making in the Provision of Rural Maternity Care

Healthcare Policy | Politiques de Sant

Glen Hearns and Michael Klein and William Trousdale and Catherine Ulrich and David Butcher and Christiana Miewald and Ronald Lindstrom and Sahba Eftekhary and Jessica Rosinski and Oralia Gmez-Ramrez and Andrea Procyk

DOI: 10.12927/hcpol.2013.21641

02 / 2010

The Life of a Canadian Doula: Successes, Confusion, and Conflict

Journal of Obstetrics and Gynaecology Canada

Eftekhary, S. and Klein, M.C. and Xu, S.Y.

DOI: 10.1016/S1701-2163(16)34567-4

Evidence-based Practice in Maternity Care: Examining the Evidence

Woman-Centered Care in Pregnancy and Childbirth

Klein MC. Chapter 10. Evidence-based Practice in Maternity Care: Examining the Evidence. Pages 45-51. in Woman-Centered Care in Pregnancy and Childbirth. Edited by Sara Shields and Lucy Candib. Radcliff Publishing Oxford and New York. 575 pages.

The attitudes of Canadian maternity care practitioners towards labour and birth: many differences but important similarities.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

DOI: 10.1016/s1701-2163(16)34301-8 PubMed: 19941707

09 / 2009

Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician.

CMAJ : Canadian Medical Association Journal

DOI: 10.1503/cmaj.081869 PubMed: 19720688

09 / 2009

"Preventive induction" fails to demonstrate benefits for mothers or newborn infants.

American journal of obstetrics and gynecology

DOI: 10.1016/j.ajog.2008.08.025 PubMed: 18823874

04 / 2009

Preventive Labor Induction-AMOR-IPAT: Much Promise, Not Yet Realized

Birth

Michael C. Klein

DOI: 10.1111/j.1523-536x.2008.00301.x

03 / 2009

A Tribute to Phil Hall

Birth

DOI: 10.1111/j.1523-536x.2008.00298.x

03 / 2009

Birth Models That Work

Birth

Brenda Kent and Michael C. Klein

DOI: 10.1111/j.1523-536x.2009.00368_2.x

Development and evaluation of a Chinese-language newborn feeding hotline: a prospective cohort study.

BMC pregnancy and childbirth

DOI: 10.1186/1471-2393-9-3 PubMed: 19178746

How do physicians and midwives manage the third stage of labor?

Birth (Berkeley, Calif.)

DOI: 10.1111/j.1523-536x.2008.00243.x PubMed: 18844648

09 / 2008

Informed decision-making: the interaction between sustainable maternity care services and community sustainability"a decision support manual

The Maternity Care Research Group

Hearns G, Trousdale W, Klein MC, Butcher D, Ulrich C, Miewald C, Eftekhary S. Informed decision-making: the interaction between sustainable maternity care services and community sustainability"a decision support manual. 2008. The Maternity Care Research Group, The University of British Columbia and the Child and Family Research Institute and Northern Health. Vancouver British Columbia

The Patient-Centered (R)Evolution

Birth

Michael C. Klein and Murray W. Enkin and Andrew Kotaska and Sara G. Shields

DOI: 10.1111/j.1523-536x.2007.00180.x

09 / 2007

Does Cesarean Section Reduce Postpartum Urinary Incontinence? A Systematic Review

Birth

Joshua Z Press and Michael C Klein and Janusz Kaczorowski and Robert M. Liston and Peter von Dadelszen

DOI: 10.1111/j.1523-536x.2007.00175.x

09 / 2007

Association Not Causation: What Is the Intervention?

The Annals of Family Medicine

M. C. Klein

DOI: 10.1370/afm.729

07 / 2007

Outcomes of Planned Hospital Birth Attended by Midwives Compared with Physicians in British Columbia

Birth

Patricia A. Janssen and Elizabeth M. Ryan and Duncan J. Etches and Michael C. Klein and Birgit Reime

DOI: 10.1111/j.1523-536x.2007.00160.x

06 / 2007

Postpartum maternal and newborn discharge.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

DOI: 10.1016/s1701-2163(16)32444-6 PubMed: 17475130

04 / 2007

Standards for the measurement of birth weight, length and head circumference at term in neonates of European, Chinese and South Asian ancestry.

Open medicine : a peer-reviewed, independent, open-access journal

PubMed: 20101298

The Shaman: the medicine man has not died

JP Sturmberg, ed. The Foundations of Primary Care: daring to be different

Klein MC. The Shaman: the medicine man has not died. In: JP Sturmberg, ed. The Foundations of Primary Care: daring to be different. Oxford and Seattle: Radcliffe Publishing: pages 4-6, 2007.

Women's Views of Elective Primary Caesarean Section

Journal of Obstetrics and Gynaecology Canada

Klein, M.C.

DOI: 10.1016/S1701-2163(16)32405-7

Early labor assessment and support at home versus telephone triage: a randomized controlled trial.

Obstetrics and gynecology

DOI: 10.1097/01.aog.0000247644.64154.bb PubMed: 17138781

12 / 2006

Not safer and not cheaper?

Canadian Medical Association Journal

M. Klein

DOI: 10.1503/cmaj.1060106

11 / 2006

IN THE LITERATURE: Pushing in the Wrong Direction

Birth

Michael C. Klein

DOI: 10.1111/j.1523-536x.2006.00111.x

09 / 2006

Why Do Women Go Along with This Stuff?

Birth

Michael C. Klein and Carol Sakala and Penny Simkin and Robbie Davis-Floyd and Judith P. Rooks and Jane Pincus

DOI: 10.1111/j.1523-536x.2006.00110.x

09 / 2006

Epidural Analgesia: Is It Increasing C-Section Rates

Canadian Journal of Diagnosis

Klein MC. Epidural Analgesia: Is It Increasing C-Section Rates? The Canadian Journal of Diagnosis, 3(8):73-75, August 2006.

08 / 2006

Does epidural analgesia increase rate of cesarean section?

Canadian family physician Medecin de famille canadien

PubMed: 16639961

04 / 2006

Epidural analgesia associated with low-dose oxytocin augmentation increases cesarean births: a critical look at the external validity of randomized trials.

American journal of obstetrics and gynecology

DOI: 10.1016/j.ajog.2005.09.014 PubMed: 16522417

03 / 2006

Epidural Analgesia: Does It or Doesnt It?

Birth

Michael C. Klein

DOI: 10.1111/j.0730-7659.2006.00076.x

02 / 2006

Does epidural analgesia increase rate of cesarean section?,L'analgsie pridurale accrot-elle les taux de csariennes?

Canadian Family Physician

Klein, M.C.

Maternal health study: A prospective cohort study of nulliparous women recruited in early pregnancy

BMC Pregnancy and Childbirth

Brown, S.J. and Lumley, J.M. and McDonald, E.A. and Krastev, A.H. and Bessell, C. and Brennecke, S. and Burrows, R. and Gunn, J. and Mitchell, C. and Watson, L. and Wein, P. and MacArthur, C. and Klein, M. and Luoto, R. and Hegarty, K.

DOI: 10.1186/1471-2393-6-12

Maternal transport policy.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

PubMed: 16411011

10 / 2005

Obstetrician's Fear of Childbirth: How Did It Happen?

Birth

Michael C. Klein

DOI: 10.1111/j.0730-7659.2005.00371.x

09 / 2005

Intrathecal analgesia and the cesarean rate.

The Journal of family practice

PubMed: 16061056

08 / 2005

Maternity Care by Family Physicians: Characteristics of Successful and Sustainable Models

Journal of Obstetrics and Gynaecology Canada

David J. Price and Carolyn Lane and Michael C. Klein

DOI: 10.1016/s1701-2163(16)30528-x

05 / 2005

A comparison of urinary and sexual outcomes in women experiencing vaginal and Caesarean births.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

DOI: 10.1016/s1701-2163(16)30459-5 PubMed: 15937606

04 / 2005

Early epidurals increase caesarean rate, meta-analysis shows.

BMJ : British Medical Journal

DOI: 10.1136/bmj.330.7494.790-b

04 / 2005

Perinatal nursing education for single-room maternity care: an evaluation of a competency-based model

Journal of Clinical Nursing

Patricia A Janssen and Lois Keen and Jetty Soolsma and Laurie C Seymour and Susan J Harris and Michael C Klein and Birgit Reime

DOI: 10.1111/j.1365-2702.2004.01014.x

01 / 2005

Perinatal outcomes at Bella Coola General Hospital: 1940 to 2001.

Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada

PubMed: 15656920

Cesarean section on Demand: Is it ethical?

Canadian Journal of Diagnosis

Klein MC. Cesarean section on Demand: Is it ethical? Can J Diagnosis, 22(5):67-8. 2005.

Maternal Transport Policy

Journal of Obstetrics and Gynaecology Canada

Wilson, A.K. and Martel, M.-J. and Arsenault, M.-Y. and Cargill, Y.M. and Delaney, M. and Daniels, S. and Gleason, T. and Iglesias, S. and Klein, M.C. and MacKinnon, C.J. and Roggensack, A.

DOI: 10.1016/S1701-2163(16)30742-3

Intrathecal analgesia and the cesarean rate [2]

Journal of Family Practice

Klein, M.C.

Obstetric maternal outcomes at Bella Coola General Hospital: 1940 to 2001.

Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada

PubMed: 15656919

Maternal transport policy,Politique quant au transport de la mre

Journal of Obstetrics and Gynaecology Canada

Wilson, A.K. and Martel, M.-J. and Arsenault, M.-Y. and Cargill, Y.M. and Delaney, M. and Daniels, S. and Gleason, T. and Iglesias, S. and Klein, M.C. and MacKinnon, C.J. and Roggensack, A.

DOI: 10.1016/S1701-2163(16)30743-5

Early epidurals increase caesarean rate, meta-analysis shows [4]

British Medical Journal

Klein, M.C.

Clinical guidelines for vaginal birth after previous caesarean birth,Directive clinique sur l'accouchement vaginal chez les patientes ayant dj subi une csarienne

Journal of Obstetrics and Gynaecology Canada

Martel, M.-J. and MacKinnon, C.J. and MacKinnon, C.J. and Arsenault, M.-Y. and Bartellas, E. and Cargill, Y.M. and Daniels, S. and Gleason, T. and Iglesias, S. and Klein, M.C. and Martel, M.-J. and Roggensack, A. and Wilson, A.K. and Davies, G.A.

DOI: 10.1016/S1701-2163(16)30189-X

Quick Fix Culture: The Cesarean-Section-on-Demand Debate

Birth

Michael C. Klein

DOI: 10.1111/j.0730-7659.2004.00300.x

09 / 2004

Outcomes after vacuum-assisted deliveries. Births attended by community family practitioners.

Canadian family physician Medecin de famille canadien

PubMed: 15455810

08 / 2004

Guidelines for operative vaginal birth.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

PubMed: 15307980

08 / 2004

Elective cesarean section.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

DOI: 10.1503/cmaj.1040516 PubMed: 15238478

07 / 2004

The effect of family physician timing of maternal admission on procedures in labour and maternal and infant morbidity.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

DOI: 10.1016/s1701-2163(16)30611-9 PubMed: 15248933

07 / 2004

Guidelines for Vaginal Birth after Previous Caesarean Birth

Journal of Obstetrics and Gynaecology Canada

DOI: 10.1016/s1701-2163(16)30614-4

07 / 2004

Single Room Maternity Care: Perinatal Outcomes, Economic Costs, and Physician Preferences

Journal of Obstetrics and Gynaecology Canada

Susan J. Harris and Malcolm D. Farren and Patricia A. Janssen and Michael C. Klein and Shoo K. Lee

DOI: 10.1016/s1701-2163(16)30610-7

07 / 2004

Does experience or delivery volume of family physicians predict maternal and newborn outcomes?

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

PubMed: 14970076

02 / 2004

Elective cesarean section [3] (multiple letters)

CMAJ. Canadian Medical Association Journal

Fernandes, J.R. and Badrinath, P. and Lindballe, P.L. and Klein, M.C. and Gerbelli, C. and Hannah, M.E.

DOI: 10.1503/cmaj.1040492

Guidelines for operative vaginal birth,Directive clinique sur l'accouchement vaginal opratoire

Journal of Obstetrics and Gynaecology Canada

Cargill, Y.M. and MacKinnon, C.J. and Arsenault, M.-Y. and Bartellas, E. and Daniels, S. and Gleason, T. and Iglesias, S. and Klein, M.C. and Lane, C.A. and Martel, M.-J. and Sprague, A.E. and Roggensack, A. and Wilson, A.K.

DOI: 10.1016/S1701-2163(16)30648-X

Does experience or delivery volume of family physicians predict maternal and newborn outcomes? [3]

CMAJ. Canadian Medical Association Journal

Kelly, A. and Klein, M.C. and Kaczorowski, J. and Grzybowski, S.

Do maternity care provider groups have different attitudes towards birth?

BJOG: An International Journal of Obstetrics and Gynaecology

Birgit Reime and Michael C. Klein and Ann Kelly and Nancy Duxbury and Lee Saxell and Robert Liston and Frederique Josephine Petra Maria Prompers and Robert Stefan Willem Entjes and Victor Wong

DOI: 10.1111/j.1471-0528.2004.00338.x

Conception, Pregnancy and Childbirth

Oxford Textbook of Primary Medical Care

1. Klein, MC. Coeditor: Section on Conception, Pregnancy and Childbirth. Oxford Textbook of Primary Medical Care. Vol. 2, Section 8, 2004.

Guidelines for Operative Vaginal Birth

Journal of Obstetrics and Gynaecology Canada

Cargill, Y.M. and MaeKinnon, C.J. and Arsenault, M.Y. and Bartellas, E. and Daniels, S. and Gleason, T. and Iglesias, S. and Klein, M.C. and Lane, C.A. and Martel, M.J. and Sprague, A.E. and Roggensaek, A. and Wilson, A.K.

DOI: 10.1016/S1701-2163(16)30647-8

Outcomes after vacuum-assisted deliveries. Births attended by community family practitioners

Canadian Family Physician

Yarrow, C. and Benoit, A.G. and Klein, M.C.

Guidelines for vaginal birth after previous caesarean birth: This guideline has been prepared and reviewed by the Clinical Practice Obstetrics Committee and approved by Executive and Council of the Society of Obstetricians and Gynaecologists of Canada,Directive Clinique Sur L'accouchement Vaginal Chez Les Patientes Ayant Dj Subi Une Csarienne. Cette directive clinique a t rdige et examine

Journal of Obstetrics and Gynaecology Canada

Martel, M.-J. and MacKinnon, C.J. and Arsenault, M.-Y. and BartelIas, E. and Cargill, Y.M. and Daniels, S. and Gleason, T. and Iglesias, S. and Klein, M.C. and Roggensack, A. and Wilson, A.K. and Davies, G.A.

DOI: 10.1016/S1701-2163(16)30615-6

Management of labor pain: promoting patient choice.

American family physician

PubMed: 14524393

09 / 2003

The nature and management of labor pain: part I. Nonpharmacologic pain relief.

American family physician

PubMed: 14524397

09 / 2003

The nature and management of labor pain: part II. Pharmacologic pain relief.

American family physician

PubMed: 14524398

09 / 2003

Improving competence in maternity care. Women's Advanced Maternity Fellowship for Rural Practitioners.

Canadian family physician Medecin de famille canadien

PubMed: 14526868

09 / 2003

Improving competence in maternity care. Women's advanced maternity fellowship for rural practitioners

Canadian Family Physician

Harris, S.J. and Klein, M.C.

The nature and management of labor pain: Part II. Pharmacologic pain relief

American Family Physician

Leeman, L. and Fontaine, P. and King, V. and Klein, M.C. and Ratcliffe, S.

Exercise in pregnancy and the postpartum period.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obsttrique et gyncologie du Canada : JOGC

Davies, G.A. and Wolfe, L.A. and Mottola, M.F. and MacKinnon, C. and Arsenault, M.Y. and Bartellas, E. and Cargill, Y. and Gleason, T. and Iglesias, S. and Klein, M. and Martel, M.J. and Roggensack, A. and Wilson, K. and Gardiner, P. and Graham, T. and Haennel, R. and Hughson, R. and MacDougall, D. and McDermott, J. and Ross, R. and Tiidus, P. and Trudeau, F.

DOI: 10.1016/s1701-2163(16)30313-9

Management of labor pain: Promoting patient choice

American Family Physician

Leeman, L. and Fontaine, P. and King, V. and Klein, M.C. and Ratcliffe, S.

The nature and management of labor pain: Part I. Nonpharmacologic pain relief

American Family Physician

Leeman, L. and Fontaine, P. and King, V. and Klein, M.C. and Ratcliffe, S.

Delivery volume debated.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

10 / 2002

The management of nausea and vomiting of pregnancy.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

PubMed: 12405123

10 / 2002

Mothers, babies and communities. Centralizing maternity care exposes mothers and babies to complications and endangers community sustainability.

Canadian Family Physician

Klein M, Johnston S, Christilaw J, Carty E: Mothers, babies and communities. Centralizing maternity care exposes mothers and babies to complications and endangers community sustainability. Can Fam Physician, 48:1177-79. 2002.

07 / 2002

In for the long haul. Which family physicians plan to continue delivering babies?

Canadian family physician Medecin de famille canadien

PubMed: 12166012

07 / 2002

Hemorrhagic shock.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

PubMed: 12196857

06 / 2002

Does delivery volume of family physicians predict maternal and newborn outcome?

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

PubMed: 12041842

05 / 2002

Use of Episiotomy in the United States

Birth

Michael C. Klein

DOI: 10.1046/j.1523-536x.2002.0163a.x

03 / 2002

Risk Factors for Difficult Delivery in Nulliparas With Epidural Analgesia in Second Stage of Labor

Obstetrics & Gynecology

William D. Fraser and Mireille Cayer and Bettina M. Soeder and Lucile Turcot and Sylvie Marcoux

DOI: 10.1097/00006250-200203000-00008

03 / 2002

Outcomes of planned home births versus planned hospital births after regulation of midwifery in British Columbia.

CMAJ : Canadian Medical Association Journal

PubMed: 11868639

02 / 2002

Outcomes of planned home births versus planned hospital births after regulation of midwifery in British Columbia

CMAJ. Canadian Medical Association Journal

Janssen, P.A. and Lee, S.K. and Ryan, E.M. and Etches, D.J. and Farquharson, D.F. and Peacock, D. and Klein, M.C.

Mothers, babies, and communities. Centralizing maternity care exposes mothers and babies to complications and endangers community sustainability

Canadian Family Physician

Klein, M. and Johnston, S. and Christilaw, J. and Carty, E.

She laughed

Canadian Family Physician

Klein, M.C. and Kelly, A. and Spence, A. and Kaczorowski, J. and Grzybowski, S.

Delivery volume debated [6] (multiple letters)

CMAJ. Canadian Medical Association Journal

Dattani, D. and MacLachlan, T.B. and Lindbloom, E.J. and LeFevre, M.L. and Klein, M.C. and Lalonde, A.B.

Striae gravidarum as a predictor of vaginal lacerations at delivery.

Southern medical journal

PubMed: 11592761

09 / 2001

Single Room Maternity Care: The Nursing Response

Birth

Patricia A. Janssen and Susan J. Harris and Jetty Soolsma and Michael C. Klein and Laurie C. Seymour

DOI: 10.1046/j.1523-536x.2001.00173.x

09 / 2001

Differences in institutional cesarean delivery rates-the role of pain management.

The Journal of family practice

PubMed: 11252209

03 / 2001

Epidural Analgesia Use as a Marker for Physician Approach to Birth: Implications for Maternal and Newborn Outcomes

Birth

Michael C. Klein and Stefan Grzybowski and Sue Harris and Robert Liston and Andrea Spence and Grace Le and Dorothea Brummendorf and Sharon Kim and Janusz Kaczorowski

DOI: 10.1046/j.1523-536x.2001.00243.x

Differences in institutional cesarean delivery rates: The role of pain management

Journal of Family Practice

Janssen, P.A. and Klein, M.C. and Soolsma, J.H.

Privileging and consultation in maternity and newborn care

Canadian Family Physician

Goluboff S, Reynolds L, Klein M, Handfield-Jones R. Privileging and consultation in maternity and newborn care. Canadian Family Physician, Vol 46. September 2000.

09 / 2000

Single Room Maternity Care and Client Satisfaction

Birth

Patricia A Janssen and Michael C Klein and Susan J Harris and Jetty Soolsma and Laurie C Seymour

DOI: 10.1046/j.1523-536x.2000.00235.x

Privileging and consultation in maternity and newborn care. Maternity and Newborn Care Committee.

Canadian Family Physician

Goluboff, S. and Reynolds, L. and Klein, M. and Handfield-Jones, R.

The Quebec midwifery experiment: lessons for Canada.

Canadian journal of public health = Revue canadienne de sante publique

PubMed: 10765572

The Quebec midwifery experiment: Lessons for Canada,L'exercice de la profession de sage-femme au Quebec: Lecons pour le reste du Canada

Canadian Journal of Public Health

Klein, M.C.

DOI: 10.1007/bf03404244

Managing hyperbilirubinemia in term newborn infants.

Canadian family physician Medecin de famille canadien

PubMed: 10587756

11 / 1999

Launch of a rural advanced maternity care curriculum.

Canadian family physician Medecin de famille canadien

PubMed: 10540681

10 / 1999

Practice tips. A method for presenting maternal serum screening. Promoting choice and saving time.

Canadian family physician Medecin de famille canadien

PubMed: 10463088

08 / 1999

Maternal serum screening.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

PubMed: 10234333

04 / 1999

Walking in labor.

The Journal of family practice

PubMed: 10086770

03 / 1999

You Be the Husband and Let Me Be the Doctor

Patients and Doctors: Life changing stories from primary care

Borkan J, Reis S, Steinmetz D, Medalie J. Patients and Doctors: Life changing stories from primary care (book chapter). University of Wisconsin Press 1999.

Maternal serum screening (multiple letters) [1]

CMAJ. Canadian Medical Association Journal

Lofsky, S. and Klein, M.C. and Goel, V. and Summers, A. and Holzapfel, S. and Glazier, R.

Walking in labor [3]

Journal of Family Practice

Klein, M.C.

Advanced Life Support in Obstetrics: Practical approaches to obstetric emergencies

Canadian Family Physician

Etches D, Klein M, Handfield-Jones R. Advanced Life Support in Obstetrics: Practical approaches to obstetric emergencies. Editorial. Canadian Family Physician, 44: November 1998.

11 / 1998

Rural obstetrics. Joint position paper on rural maternity care. Joint Working Group of the Society of Rural Physicians of Canada (SRPC), The Maternity Care Committee of the College of Family Physicians of Canada (CFPC), and the Society of Obstetricians and Gynaecologists of Canada (SOGC).

Canadian family physician Medecin de famille canadien

PubMed: 9585856

04 / 1998

Joint Position Paper on Rural Maternity Care

Journal SOGC

DOI: 10.1016/s0849-5831(98)80041-4

04 / 1998

Teenage Pregnancy and Adolescent Sexuality: Present Status, Practice Issues, Effective Strategies

BC Medical Journal

McLaren P, Malleson R, Klein M: Teenage Pregnancy and Adolescent Sexuality: Present Status, Practice Issues, Effective Strategies. BC Medical Journal, 40(2). February 1998.

02 / 1998

Factors Influencing Perineal Trauma during Delivery

Journal SOGC

Michael C. Klein and Patricia A. Janssen

DOI: 10.1016/s0849-5831(98)80006-2

02 / 1998

Advanced Life Support in Obstetrics. Practical approaches to obstetric emergencies.

Canadian family physician Mdecin de famille canadien

Etches, D. and Klein, M. and Handfield-Jones, R.

Providing high-quality maternity care.

Canadian family physician Medecin de famille canadien

06 / 1997

Attitudes toward obstetrics training. Residents surveyed at McGill University and University of Montreal.

Canadian family physician Medecin de famille canadien

PubMed: 9040911

02 / 1997

Determinants of vaginal-perineal integrity and pelvic floor functioning in childbirth.

American journal of obstetrics and gynecology

DOI: 10.1016/s0002-9378(97)70506-4 PubMed: 9065189

02 / 1997

Too close for comfort? A family physician questions whether medical professionals should be excluded from their loved ones' care.

CMAJ : Canadian Medical Association Journal

PubMed: 9006566

01 / 1997

A new role model for maternity care.

Canadian family physician Medecin de famille canadien

PubMed: 9626413

01 / 1997

How can second-stage management prevent perineal trauma? Critical review.

Canadian family physician Medecin de famille canadien

PubMed: 9626426

01 / 1997

A randomized trial of a program of early postpartum discharge with nurse visitation.

American journal of obstetrics and gynecology

DOI: 10.1016/s0002-9378(97)80037-3 PubMed: 9024115

01 / 1997

How can second-stage management prevent perineal trauma? Critical review

Canadian Family Physician

Flynn, P. and Franiek, J. and Janssen, P. and Hannah, W.J. and Klein, M.C.

One-to-one Nurse Support in Labor

Birth

Michael C. Klein and Mayri Sagady

DOI: 10.1111/j.1523-536x.1997.tb00606.x

Attitudes toward obstetrics training: Residents surveyed at McGill University and University of Montreal

Canadian Family Physician

Levitt, C. and Khanlou, N. and Kaczorowski, J. and Feldman, P. and Guibert, R. and Goulet, F. and Papageorgiou, A. and Bardin, C. and Continelli, A. and Duarte-Franco, E. and Wilson, R. and Klein, M.C.

Too close for comfort? A family physician questions whether medical professionals should be excluded from their loved ones' care

CMAJ. Canadian Medical Association Journal

Klein, M.C.

CFPC-SRPC: hot-wired at last

Canadian Journal of Rural Medicine

Klein M: CFPC-SRPC:hot-wired at last. (Letter). Can J Rural Med 1997 2(4)

Controversies surrounding the administration of vitamin K to newborns: a review.

CMAJ : Canadian Medical Association Journal

PubMed: 8564900

02 / 1996

An evaluation of a partnership program in pediatric cardiology (PC): What benefit at what cost?

Journal of Investigative Medicine

Human, D.G. and Rempel, G. and Sandor, G.G.S. and Finch, J. and Klein, M.

Controversies surrounding the administration of vitamin K to newborns: A review

CMAJ. Canadian Medical Association Journal

Brousson, M.A. and Klein, M.C.

Episiotomy results stand despite lack of compliance.

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

PubMed: 8529183

12 / 1995

Studying episiotomy: when beliefs conflict with science.

The Journal of family practice

PubMed: 7595267

11 / 1995

Physicians' beliefs and behaviour during a randomized controlled trial of episiotomy: consequences for women in their care.

CMAJ : Canadian Medical Association Journal

PubMed: 7664230

09 / 1995

Family Physician Maternity Care: outcomes when family physicians provide most community-based care (an editorial)

Canadian Family Physician

Klein M: Family Physician Maternity Care: outcomes when family physicians provide most community-based care (an editorial). Can. Fam. Physician. 41:546-48, April 1995

04 / 1995

Family physician maternity care.

Canadian Family Physician

Klein, M.

Studying episiotomy: When beliefs conflict with science

Journal of Family Practice

Klein, M.C.

Physicians' beliefs and behaviour during a radomized controlled trial of episiotomy: Consequences for women in their care

CMAJ. Canadian Medical Association Journal

Klein, M.C. and Kaczorowski, J. and Robbins, J.M. and Gauthier, R.J. and Jorgensen, S.H. and Joshi, A.K.

Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation.

American journal of obstetrics and gynecology

DOI: 10.1016/0002-9378(94)90070-1 PubMed: 8092203

09 / 1994

The midwife dossier: cooperation or competition?

CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

PubMed: 8313284

03 / 1994

Primary Care: The Effectiveness of Family Practice Maternity Care: a cross cultural and environmental view

Primary care obstetrics

Klein M: Primary Care: The Effectiveness of Family Practice Maternity Care: a cross cultural and environmental view (book chapter). Primary care obstetrics. M. Smith (Ed.) WB Saunders co., Philadelphia, 20 (3):523-36, September 1993

09 / 1993

Episiotomy as a Preventive Strategy: Does it work?

Journal of the Society of Obstetricians and Gynaecologists of Canada

Klein M, Gauthier R, Jorgensen S, Robbins J, Kaczorowski J, Johnson B, Corriveau M, Westreich R, Waghorn K, Franco E, Gelfand M, Guralnick M, Luskey G, Joshi A: Episiotomy as a Preventive Strategy: Does it work? Journal of the Society of Obstetricians and Gynaecologists of Canada, 15(5):590-602, June 1993.

06 / 1993

The Active Management of labor: Whose Agenda?

Birth

Michael Klein

DOI: 10.1111/j.1523-536x.1993.tb00425.x

06 / 1993

Does episiotomy prevent perineal trauma and pelvic floor relaxation?,Frebygger episiotomi perineal trauma och frsvagning av bckenbotten?

Jordemodern

Klein, M.C. and Gauthier, R.J. and Jorgensen, S.H. and Robbins, J.M. and Kaczorowski, J. and Johnson, B. and Corriveau, M. and Westreich, R. and Waghorn, K. and Gelfand, M.M.

The Impact of the Rochester Neighbourhood Health Center on the Hospitalization of Children

Haggerty, R.J. et al. Ed. Child Health and the Community, John Wiley & Son (2nd edition)

Klein M, Roghmann K, Charney E: The Impact of the Rochester Neighbourhood Health Center on the Hospitalization of Children, in Haggerty, R.J. et al. Ed. Child Health and the Community, John Wiley & Son (2nd edition) 253 64, 1993.

Firearms control [1]

CMAJ

Ackermann, M.J. and Dworkind, M. and Levitt, C. and Klein, M.

The effectiveness of family practice maternity care: A cross-cultural and environmental view

Primary Care - Clinics in Office Practice

Klein, M.

Does episiotomy prevent perineal trauma and pelvic floor relaxation?

The Online journal of current clinical trials

PubMed: 1343606

07 / 1992

Vitamin D Deficiency Rickets is still with us: a case report

Canadian Family Physician

Weinlander E, Klein M: Vitamin D Deficiency Rickets is still with us: a case report. Canadian Family Physician. 37:2560-64, 1992.

Do Women Under the Care of Family Physicians Have Fewer Cesarean Sections?

Family Practice Research

Klein M: Do Women Under the Care of Family Physicians Have Fewer Cesarean Sections? Fam Pract Res J. 12 (3):225-30, 1992.

Midwifery - A Family Doctor's View from Quebec

Birth

Michael Klein

DOI: 10.1111/j.1523-536x.1991.tb00069.x

06 / 1991

The Demise of the Rotating Internship and Family Practice Program Expansion: View from the trenches.

Canadian family physician Medecin de famille canadien

PubMed: 21229001

03 / 1991

Vitamin D deificiency rickets is still with us

Canadian Family Physician

Weinlander, E. and Klein, M.

The Influence of Birth Setting on the Father's Behavior Toward His Partner and Infant

Birth

Ruta Westreich and Liliane Spector-Dunsky and Michael Klein and Apostolos Papageorgiou and Michael Kramer and Morrie Gelfand

DOI: 10.1111/j.1523-536x.1991.tb00102.x

Structure of Practice and Obstetrical Research

Family Medicine Research Update

Klein M: Structure of Practice and Obstetrical Research. Family Medicine Research Update. 10:9-10, 1991.

Influence of Perinatal Asphyxia on Neurologic Outcome: consequences for family practice accoucheurs

Canadian Family Physician

Klein M, Reynolds JL: Influence of Perinatal Asphyxia on Neurologic Outcome: consequences for family practice accoucheurs. Can. Fam. Phys. 36:1735 39, 1990.

PubMed: 21233995

10 / 1990

Maternal and Neonatal Outcome in Pregnancies with No Risk Factors

Canadian Medical Association Journal

Klein M: Maternal and Neonatal Outcome in Pregnancies with No Risk Factors. Can Med Assoc J.138:205 06 (letter) 1988.

Do family physicians 'prevent' cesarean sections? A Canadian exploration

Family Medicine

Klein, M.

Miscarriage: Etiology, Treatment and Practical Considerations

Canadian Family Physician

Jorgensen SH, Klein M: Miscarriage: Etiology, Treatment and Practical Considerations. Can. Fam. Physician. 34:2053 58, 1988.

Perinatal Care in Europe: Lessons to be learned

Canadian Family Physician

Klein M: Perinatal Care in Europe: Lessons to be learned. Can. Fam. Physican, 33:261 67, 1987.

Is maternity care different in family practice? A pilot matched pair study

The Journal of family practice

Rosenberg, EE and Klein, M

"Obstetrics is too important to be left to the obstetricians".

Family medicine

Klein, M.

The Canadian Family Practice Accoucheur

Canadian Family Physician

Klein M: The Canadian Family Practice Accoucheur. Can. Fam. Phys. 32:533 540, 1986.

PubMed: PMC2327651

03 / 1986

Booking for maternity care. A comparison of two systems.

The Journal of the Royal College of General Practitioners. Occasional paper

Klein, M. and Elbourne, D. and Lloyd, I.

Canadian departments of pediatrics and family medicine: In need of family therapy?

Canadian Medical Association Journal

Klein, M.

Emergency Gyn/OB: Title's A Misnomer.

Canadian family physician Medecin de famille canadien

05 / 1984

Outcomes of Birthing Rooms

Journal of Family Practice

Klein M: Outcomes of Birthing Rooms [letter]. Journal of Family Practice, 18(3):373-4, March 1984.

03 / 1984

Birth Rooms - are they an answer to consumer dissatisfaction with maternity care

Maternal and Child Health

Klein M: Birth Rooms are they an answer to consumer dissatisfaction with maternity care? Maternal and Child Health, 9(3):102 105, March 1984.

03 / 1984

Care in a birth room versus a conventional setting: A controlled trial

Canadian Medical Association Journal

Klein, M. and Papageorgiou, A. and Westreich, R. and Spector-Dunsky, L. and Elkins, V. and Kramer, M.S. and Gelfand, M.M.

Who Should Provide Primary Health Care to Children: Pediatricians or Family Medicine Physicians?

Pediatrics

Hoekelman, Robert A. and Klein, Michael and Strain, James E.

Outcomes of birthing rooms.

Journal of Family Practice

Klein, M.

Birth Room Transfer and Procedure Rates - What Do They Tell About the Setting?

Birth

Michael Klein and Ruta Westreich

DOI: 10.1111/j.1523-536x.1983.tb01407.x

06 / 1983

A comparison of low-risk pregnant women booked for delivery in two systems of care: shared-care (consultant) and integrated general practice unit. I. Obstetrical procedures and neonatal outcome

BJOG: An International Journal of Obstetrics and Gynaecology

MICHAEL KLEIN and IVOR LLOYD and CHRISTOPHER REDMAN and MICHAEL BULL and A. C. TURNBULL

DOI: 10.1111/j.1471-0528.1983.tb08894.x

02 / 1983

A comparison of low-risk pregnant women booked for delivery in two systems of care: shared-care (consultant) and integrated general practice unit. II. Labour and delivery management and neonatal outcome

BJOG: An International Journal of Obstetrics and Gynaecology

MICHAEL KLEIN and IVOR LLOYD and CHRISTOPHER REDMAN and MICHAEL BULL and A. C. TURNBULL

DOI: 10.1111/j.1471-0528.1983.tb08895.x

02 / 1983

[Satisfaction of couples towards birth when using a birthing room or the traditional delivery room.].

Sante mentale au Quebec

PubMed: 17093783

Contracting for Trust in Family Practice Obstetrics

Canadian Family Physician

Klein M: Contracting for Trust in Family Practice Obstetrics. Can. Fam. Physician. 29:2225 27, 1983.

PubMed: PMC2154275

Teaching the Behavioral Sciences in Family Medicine

Canadian Family Physician

Steinert Y, Golden M, Klein M: Teaching the Behavioral Sciences in Family Medicine. Can. Fam. Physician: 27:682 689, April 1981.

PubMed: PMC2305985

05 / 1981

What Do Family Practice Residents Do in Prevention and Counselling?

Canadian Family Physician

Klein M, Bluman R, Tannenbaum D: What Do Family Practice Residents Do in Prevention and Counselling? Can. Fam. Physician, 127:682 689, April 1981.

04 / 1981

Low Birth Weight and the Battered Child Syndrome

Traumatic Abuse and Neglect of Children at Home

Klein M, Stern L: Low Birth Weight and the Battered Child Syndrome. Chapter 18 in Traumatic Abuse and Neglect of Children at Home. Edited by Gertrude J. Williams and John Money. The John Hopkins University Press, Baltimore and London 1980. 100 208.

DOI: 10.1001/archpedi.1971.02110010051005

Teaching Through One Way Glass

Canadian Family Physician

Klein M, Heffernan M: Teaching Through One Way Glass. Can. Fam. Physician, 24:1208 1210, 1978.

Can perinatal regionalization be reconciled with family-centered maternal care?

The Journal of family practice

PubMed: 591888

12 / 1977

Infant Health Screening by Family Physicians and Pediatricians

Canadian Family Physician

Klein M, Wyszogrodski L: Infant Health Screening by Family Physicians and Pediatricians. Can. Fam. Physician 23:1945 1947, December 1977.

12 / 1977

On obstetrics in family practice.

Journal of Family Practice

Klein, M.

Non-treatment of screened children with intermediate blood lead levels.

Pediatrics

PubMed: 1161378

08 / 1975

Hyperglycemia and Sickness

Paediatrics

Klein M, Kopelman A, Lawrence R: Letter: Hyperglycemia and Sickness. Paediatrics. 54(4):516-7, October 1974.

10 / 1974

Lead poisoning. Current status of the problem facing pediatricians.

American journal of diseases of children (1960)

DOI: 10.1001/archpedi.1974.02110250031004 PubMed: 4209739

06 / 1974

Impact of the Rochester Neighbourhood Health Center on Hospitalization of Children in Rochester, New York 1968 1970

Paediatrics

Klein M, Roghmann K, Woodward K, Charney E: Impact of the Rochester Neighbourhood Health Center on Hospitalization of Children in Rochester, New York 1968 1970. Presented at Ambulatory Paediatric Association, May 1972. Published Paediatrics 51:833 839, 1973.

Earthenware Containers as a Source of Fatal Lead Poisoning

New England Journal of Medicine

Michael Klein and Rosalie Namer and Eleanor Harpur and Richard Corbin

DOI: 10.1056/nejm197009242831302

09 / 1970

Hyponatremia Following Asphyxia Neonatorum

Acta Paediatrica Scandinavica

WILLIAM FELDMAN and KEITH N. DRUMMOND and MICHAEL KLEIN

DOI: 10.1111/j.1651-2227.1970.tb15514.x

01 / 1970

Lead Release from Earthenware

New England Journal of Medicine

DOI: 10.1056/nejm197012032832322

Urine Screening for Disorders of Mucopolysaccharide Metabolism

Paediatrics

Klein M, Whelan D, Clow C, Scriver C: Urine Screening for Disorders of Mucopolysaccharide Metabolism. Paediatrics. 44(5): 768-9, November 1969.

Aminoaciduria of Vitamin D Deficiency Rickets in Ethiopian Infants

The Ethiopian Medical Journal

Klein M: Aminoaciduria of Vitamin D Deficiency Rickets in Ethiopian Infants. The Ethiopian Medical Journal 5(3) 143 153, 4/1967.

Vitamin D, Resistant Rickets with Aminoaciduria A study of an Ethiopian family

The Ethiopian Medical Journal

1. Klein M, Belew M, Negusse W: Vitamin D, Resistant Rickets with Aminoaciduria A study of an Ethiopian family. The Ethiopian Medical Journal 3(3): 122 130, 4, 1965.

Current Projects

Our study, "Does delivery volume of family physicians predict maternal and newborn outcome?" (CMAJ, April 2002) on the lack of association between low volume maternity practice and adverse outcome has already led to a rescinding of the Society of Obstetricians and Gynaecologists of Canada (SOGC) Policy on Low Volume Obstetrics and the creation of a new one based on a collaboration between the SOGC, College of Family Physicians of Canada (CFPC) and Society of Rural Physicians of Canada (SRPC) indicating that low volume is not a problem. With colleagues across BC and Canada we research approaches in low volume (usually rural) settings. For example, with Dr. Colin Yarow in Kelowna we have shown that vacuum extraction by family physicians is safe. This is the first study by family physicians on this technology.

Our study "In for the Long Haul--determinants of sustainable practice" (Can Fam Physician, June 2002) tests and evaluates both curricular and practice based interventions in the promotion of safe sustainable practice. We have begun a similar project with Halifax colleagues to determine if the sustainability issues found in BC are similar in Nova Scotia. Similar projects are underway with collaborators in Montreal, Toronto, Ottawa and several rural settings for this and the volume studies. We have published papers on the difficulties of centralization. These studies have led on to our current series of studies on the attitudes of all providers of maternity care and the women themselves.

We are heavily involved in the caesarean section on demand debate and have published original research on pelvic floor functioning in relation to vaginal vs. caesarean birth and are working on a critical review of pelvic floor functioning by mode of birth. We are now looking at the attitudes of ethnic communities toward caesarean by choice. A linked study of the impact of epidural analgesia on caesarean section rates is in progress as well as a new study (with Andrew Kotaska PI) on high vs. low dose oxytocin augmentation in the presence of epidural analgesia.

Working with Patti Janssen, we have completed a series of five studies on single room maternity care and are engaged in the long term study of home birth in BC.

We are beginning a study on the place of maternity care in rural community sustainability – this in collaboration with the SFU Centre for Sustainable Community Development.

Honours & Awards

Award of Excellence: Family Physician Researcher of the Year, College of Family Physicians of Canada - November 2013

Maurice Wood Award for Lifetime Contributions to Primary Care Research, NAPCRG (The North American Primary Care Research Group) – October 2003

Family Physician Researcher of the Year Award 2004, College of Family Physicians of Canada . “The award recognizes a family medicine researcher who has made original contributions to research and has been a pivotal force in the definition, development and dissemination of concepts central to the discipline of Family Medicine in Canada ."

Our Research

At BC Children’s, we are making discoveries that save lives and transform health care for children in our province and around the world. Our research portfolio includes basic, clinical, population, and public health research.

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