Maternal-Fetal Medicine Specialists and Routine Vaginal Birth: Why Subspecialty Resources Should Be Reserved for High-Risk Care

Maternal-fetal medicine (MFM) specialists are highly trained subspecialists whose expertise lies in managing complex pregnancies. This paper argues against the routine involvement of MFMs in low-risk labor and delivery, focusing on cost inefficiencies, workforce shortages, maternity care deserts, equity concerns, and comparisons to other subspecialists providing primary care. It also highlights the benefits of obstetric hospitalist frameworks and collaborative care models with midwives as sustainable alternatives.