Overview

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.

Publications

The Magnitude of the Problem: Evidence- Based Practice in Maternity Care: Examining the Evidence
Women-Centered Care in Pregnancy and Childbirth
Klein, M.C.
2023

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
2022

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
Michael C. Klein and Penny Simkin and Diony Young
DOI: 10.1111/birt.12332
03/2018

How I learned to love midwifery and stop worrying about episiotomy
Canadian Journal of Midwifery Research and Practice
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

Nothing Fails Like Success-The Great Immunization Debate
Birth
Michael C. Klein
DOI: 10.1111/birt.12169
03/2015

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 Arminée Kazanjian
DOI: 10.1108/ijmhsc-12-2013-0047
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 médecine rurale : le journal officiel de la Société de médecine rurale du Canada
Johnston, C.S. and Klein, M.C. and Iglesias, S. and Avery, G.
2014

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
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
2014

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
2014

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
2014

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 médecine rurale : le journal officiel de la Société de médecine rurale du Canada
MacKay, F.D. and Anderson, J.E. and Klein, M.C. and Berkowitz, J. and MacKay, J.T. and Gailius, J.
2014

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.
2014

Improved outcomes for elderly patients who received care on a transitional care unit
Canadian Family Physician
Manville, M. and Klein, M.C. and Bainbridge, L.
2014

The University of British Columbia
Birth
Klein, M.C.
DOI: 10.1111/birt.12047
2013

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
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
2012

The Tyranny of Meta-analysis and the Misuse of Randomized Controlled Trials in Maternity Care
Birth
Klein, M.C.
DOI: 10.1111/j.1523-536X.2011.00522.x
2012

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.
2011

Midwives' belief in normal birth: The Canadian Survey of maternity care provider's attitudes toward labour and birth
Canadian Journal of Midwifery
2011

Epidural analgesia for pain management: the positive and the negative
Promoting Normal Birth: Research, Reflections & Guidelines
2011

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
2011

Such naches
Patient Education and Counseling
Reis, S. and Klein, M.C.
DOI: 10.1016/j.pec.2010.03.012
2011

Attitudes of the new generation of canadian obstetricians: How do they differ from their predecessors?
Birth
Klein, M.C. and Liston, R. and Fraser, W.D. and Baradaran, N. and Hearps, S.J.C. and Tomkinson, J. and Kaczorowski, J. and Brant, R.
DOI: 10.1111/j.1523-536X.2010.00462.x
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
Klein, M.C. and Kaczorowski, J. and Hearps, S.J.C. and Tomkinson, J. and Baradaran, N. and Hall, W.A. and McNiven, P. and Brant, R. and Grant, J. and Dore, S. and Brasset-Latulippe, A. and Fraser, W.D.
DOI: 10.1016/S1701-2163(16)34908-8
2011

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 Santé
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 Gómez-Ramírez 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
2010

Evidence-based Practice in Maternity Care: Examining the Evidence
Woman-Centered Care in Pregnancy and Childbirth
2010

A mirage of change: Family-centered maternity care in practice
Birth
Jimenez, V. and Klein, M.C. and Hivon, M. and Mason, C.
DOI: 10.1111/j.1523-536X.2010.00396.x
2010

What do episiotomy and cesarean have to do with copernicus, galileo, and newton?
Birth
Klein, M.C.
DOI: 10.1111/j.1523-536X.2009.00371.x
2010

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

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
2009

Birth Models That Work
Birth
DOI: 10.1111/j.1523-536x.2009.00368_2.x
2009

The Attitudes of Canadian Maternity Care Practitioners Towards Labour and Birth: Many Differences but Important Similarities
Journal of Obstetrics and Gynaecology Canada
Klein, M.C. and Kaczorowski, J. and Hall, W.A. and Fraser, W. and Liston, R.M. and Eftekhary, S. and Brant, R. and M{\^a}sse, L.C. and Rosinski, J. and Mehrabadi, A. and Baradaran, N. and Tomkinson, J. and Dore, S. and McNiven, P.C. and Saxell, L. and Lindstrom, K. and Grant, J. and Chamberlaine, A.
DOI: 10.1016/S1701-2163(16)34301-8
2009

Preventive labor induction-AMOR-IPAT: Much promise, not yet realized
Birth
Klein, M.C.
DOI: 10.1111/j.1523-536X.2008.00301.x
2009

A tribute to Phil Hall.
Birth (Berkeley, Calif.)
Klein, M.C.
DOI: 10.1111/j.1523-536X.2008.00298.x
2009

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

HYPONATREMIA FOLLOWING ASPHYXIA NEONATORUM
Acta Paediatrica
WILLIAM FELDMAN and KEITH N. DRUMMOND and MICHAEL KLEIN
DOI: 10.1111/j.1651-2227.1970.tb15514.x
01/2008

How do physicians and midwives manage the third stage of labor?
Birth
Tan, W.M. and Klein, M.C. and Saxell, L. and Shirkoohy, S.E. and Asrat, G.
DOI: 10.1111/j.1523-536X.2008.00243.x
2008

Informed decision-making: the interaction between sustainable maternity care services and community sustainability—a decision support manual
The Maternity Care Research Group
2008

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

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
2007

The Shaman: the medicine man has not died
JP Sturmberg, ed. The Foundations of Primary Care: daring to be different
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
2007

Does cesarean section reduce postpartum urinary incontinence? A systematic review
Birth
Press, J.Z. and Klein, M.C. and Kaczorowski, J. and Liston, R.M. and Von Dadelszen, P.
DOI: 10.1111/j.1523-536X.2007.00175.x
2007

The patient-centered (R)evolution
Birth
Klein, M.C. and Enkin, M.W. and Kotaska, A. and Shields, S.G.
DOI: 10.1111/j.1523-536X.2007.00180.x
2007

Postpartum Maternal and Newborn Discharge
Journal of Obstetrics and Gynaecology Canada
Cargill, Y. and Martel, M.-J. 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 Martel, M.-J. and Roggensack, A. and Wilson, A.K.
DOI: 10.1016/S1701-2163(16)32444-6
2007

Outcomes of planned hospital birth attended by midwives compared with physicians in British Columbia
Birth
Janssen, P.A. and Ryan, E.M. and Etches, D.J. and Klein, M.C. and Reime, B.
DOI: 10.1111/j.1523-536X.2007.00160.x
2007

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
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 Doesn’t 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'analgésie péridurale accroît-elle les taux de césariennes?
Canadian Family Physician
Klein, M.C.
2006

Early labor assessment and support at home versus telephone triage: A randomized controlled trial
Obstetrics and Gynecology
Janssen, P.A. and Still, D.K. and Klein, M.C. and Singer, J. and Carty, E.A. and Liston, R.M. and Zupancic, J.A.
DOI: 10.1097/01.AOG.0000247644.64154.bb
2006

Pushing in the wrong direction
Birth
Klein, M.C.
DOI: 10.1111/j.1523-536X.2006.00111.x
2006

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
2006

Why do women go along with this stuff?
Birth
Klein, M.C. and Sakala, C. and Simkin, P. and Davis-Floyd, R. and Rooks, J.P. and Pincus, J.
DOI: 10.1111/j.1523-536X.2006.00110.x
2006

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

Early epidurals increase caesarean rate, meta-analysis shows.
BMJ : British Medical Journal
DOI: 10.1136/bmj.330.7494.790-b
04/2005

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

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

Intrathecal analgesia and the cesarean rate [2]
Journal of Family Practice
Klein, M.C.
2005

Cesarean section on Demand: Is it ethical?
Canadian Journal of Diagnosis
2005

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
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
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
2005

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
2005

Maternity Care by Family Physicians: Characteristics of Successful and Sustainable Models
Journal of Obstetrics and Gynaecology Canada
Price, D.J. and Lane, C. and Klein, M.C.
DOI: 10.1016/S1701-2163(16)30528-X
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
2005

Clinical guidelines for vaginal birth after previous caesarean birth,Directive clinique sur l'accouchement vaginal chez les patientes ayant déjà subi une césarienne
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
2005

Guidelines for Vaginal Birth After Previous Caesarean Birth
Journal of Obstetrics and Gynaecology Canada
Martel, M-J. and MacKinnon, C.J. and Arsenault, M-Y. and Bartellas, E. and Cargill, Y.M. and Oaniels, S. and Gleason, T. and Iglesias, S. and Klein, M.C. and Roggensack, A. and Wilson, A.K. and Oavies, G.A.
DOI: 10.1016/S1701-2163(16)30188-8
2005

A Comparison of Urinary and Sexual Outcomes in Women Experiencing Vaginal and Caesarean Births
Journal of Obstetrics and Gynaecology Canada
Klein, M.C. and Kaczorowski, J. and Firoz, T. and Hubinette, M. and Jorgensen, S. and Gauthier, R.
DOI: 10.1016/S1701-2163(16)30459-5
2005

Maternal transport policy,Politique quant au transport de la mére
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
2005

Early epidurals increase caesarean rate, meta-analysis shows [4]
British Medical Journal
Klein, M.C.
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 médecine rurale : le journal officiel de la Société de médecine rurale du Canada
Thommasen, H.V. and Klein, M.C. and Mackenzie, T. and Grzybowski, S.
2005

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 médecine rurale : le journal officiel de la Société de médecine rurale du Canada
Thommasen, H.V. and Klein, M.C. and Mackenzie, T. and Lynch, N. and Reyes, R. and Grzybowski, S.
2005

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

Guidelines for Vaginal Birth after Previous Caesarean Birth
Journal of Obstetrics and Gynaecology Canada
DOI: 10.1016/s1701-2163(16)30614-4
07/2004

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

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

Outcomes after vacuum-assisted deliveries. Births attended by community family practitioners
Canadian Family Physician
Yarrow, C. and Benoit, A.G. and Klein, M.C.
2004

Conception, Pregnancy and Childbirth
Oxford Textbook of Primary Medical Care
2004

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
2004

Single Room Maternity Care: Perinatal Outcomes, Economic Costs, and Physician Preferences
Journal of Obstetrics and Gynaecology Canada
Harris, S.J. and Farren, M.D. and Janssen, P.A. and Klein, M.C. and Lee, S.K.
DOI: 10.1016/S1701-2163(16)30610-7
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
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
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
Klein, M.C. and Kelly, A. and Kaczorowski, J. and Grzybowski, S.
DOI: 10.1016/S1701-2163(16)30611-9
2004

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 Déjà Subi Une Césarienne. Cette directive clinique a été rédigée et examinée
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
2004

Guidelines for operative vaginal birth,Directive clinique sur l'accouchement vaginal opératoire
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
2004

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.
2004

Improving competence in maternity care. Women's Advanced Maternity Fellowship for Rural Practitioners.
Canadian family physician Medecin de famille canadien
PubMed: 14526868
09/2003

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

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.
2003

Exercise in pregnancy and the postpartum period.
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie 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
2003

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.
2003

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.
2003

Improving competence in maternity care. Women's advanced maternity fellowship for rural practitioners
Canadian Family Physician
Harris, S.J. and Klein, M.C.
2003

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

In for the long haul. Which family physicians plan to continue delivering babies?
Canadian family physician Medecin de famille canadien
PubMed: 12166012
07/2002

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

In for the long haul. Which family physicians plan to continue delivering babies?
Canadian Family Physician
Klein, M.C. and Kelly, A. and Spence, A. and Kaczorowski, J. and Grzybowski, S.
2002

Does delivery volume of family physicians predict maternal and newborn outcome?
CMAJ. Canadian Medical Association Journal
Klein, M.C. and Spence, A. and Kaczorowski, J. and Kelly, A. and Grzybowski, S.
PubMed: 12041842
2002

In for the long haul. Which family physicians plan to continue delivering babies?
Canadian Family Physician
Klein, M.C. and Kelly, A. and Spence, A. and Kaczorowski, J. and Grzybowski, S.
PubMed: 12166012
2002

Hemorrhagic shock.
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC
Martel, M.J. and MacKinnon, K.J. and Arsenault, M.Y. and Bartellas, E. and Klein, M.C. and Lane, C.A. and Sprague, A.E. and Wilson, A.K.
DOI: 10.1016/s1701-2163(16)31098-2
PubMed: 12196857
2002

Use of episiotomy in the United States [1] (multiple letters)
Birth
Klein, M.C. and Kozak, L.J. and Weeks, J.D.
DOI: 10.1046/j.1523-536X.2002.0163a.x
2002

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.
2002

She laughed
Canadian Family Physician
Klein, M.C. and Kelly, A. and Spence, A. and Kaczorowski, J. and Grzybowski, S.
2002

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.
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.
2002

Does delivery volume of family physicians predict maternal and newborn outcome?
CMAJ. Canadian Medical Association Journal
Klein, M.C. and Spence, A. and Kaczorowski, J. and Kelly, A. and Grzybowski, S.
2002

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

Striae gravidarum as a predictor of vaginal lacerations at delivery.
Southern medical journal
PubMed: 11592761
09/2001

Differences in institutional cesarean delivery rates-the role of pain management.
The Journal of family practice
PubMed: 11252209
03/2001

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.
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
2001

Epidural analgesia use as a marker for physician approach to birth: Implications for maternal and newborn outcomes
Birth
Klein, M.C. and Grzybowski, S. and Harris, S. and Liston, R. and Spence, A. and Le, G. and Brummendorf, D. and Kim, S. and Kaczorowski, J.
DOI: 10.1046/j.1523-536X.2001.00243.x
2001

Privileging and consultation in maternity and newborn care
Canadian Family Physician
09/2000

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.
2000

The Quebec midwifery experiment: lessons for Canada.
Canadian journal of public health = Revue canadienne de sante publique
PubMed: 10765572
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
2000

Single room maternity care and client satisfaction
Birth
Janssen, P.A. and Klein, M.C. and Harris, S.J. and Soolsma, J. and Seymour, L.C.
DOI: 10.1046/j.1523-536X.2000.00235.x
2000

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
2000

Managing hyperbilirubinemia in term newborn infants.
Canadian family physician Medecin de famille canadien
PubMed: 10587756
11/1999

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

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

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

Walking in labor [3]
Journal of Family Practice
Klein, M.C.
1999

You Be the Husband and Let Me Be the Doctor
Patients and Doctors: Life changing stories from primary care
1999

Managing hyperbilirubinemia in term newborn infants.
Canadian Family Physician
Klein, M.C.
1999

Launch of a rural advanced maternity care curriculum.
Canadian family physician Médecin de famille canadien
Klein, M.C.
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.
1999

Practice tips. A method for presenting maternal serum screening. Promoting choice and saving time.
Canadian family physician Médecin de famille canadien
Klein, M.C.
1999

Advanced Life Support in Obstetrics: Practical approaches to obstetric emergencies
Canadian Family Physician
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

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

Teenage Pregnancy and Adolescent Sexuality: Present Status, Practice Issues, Effective Strategies
BC Medical Journal
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 Médecin de famille canadien
Etches, D. and Klein, M. and Handfield-Jones, R.
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 Médecin de famille canadien
Iglesias, S. and Grzybowski, S. and Klein, M.C. and Gagn{\'e}, G.P. and Lalonde, A.
1998

Providing high-quality maternity care.
Canadian family physician Medecin de famille canadien
06/1997

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

Attitudes toward obstetrics training. Residents surveyed at McGill University and University of Montreal.
Canadian family physician Medecin de famille canadien
PubMed: 9040911
02/1997

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

A new role model for maternity care.
Canadian family physician Medecin de famille canadien
PubMed: 9626413
01/1997

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

How can second-stage management prevent perineal trauma? Critical review.
Canadian family physician Medecin de famille canadien
PubMed: 9626426
01/1997

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.
1997

CFPC-SRPC: hot-wired at last
Canadian Journal of Rural Medicine
1997

One-to-one Nurse Support in Labor
Birth
Michael C. Klein and Mayri Sagady
DOI: 10.1111/j.1523-536x.1997.tb00606.x
1997

A new role model for maternity care.
Canadian family physician Médecin de famille canadien
Klein, M.C.
PubMed: 9626413
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
Klein, M.C.
1997

Determinants of vaginal-perineal integrity and pelvic floor functioning in childbirth
American Journal of Obstetrics and Gynecology
Klein, M.C. and Janssen, P.A. and MacWilliam, L. and Kaczorowski, J. and Johnson, B.
DOI: 10.1016/S0002-9378(97)70506-4
1997

One-to-one nurse support in labor.
Birth (Berkeley, Calif.)
Klein, M.C.
DOI: 10.1111/j.1523-536X.1997.tb00606.x
1997

A randomized trial of a program of early postpartum discharge with nurse visitation
American Journal of Obstetrics and Gynecology
Gagnon, A.J. and Edgar, L. and Kramer, M.S. and Papageorgiou, A. and Waghorn, K. and Klein, M.C.
DOI: 10.1016/S0002-9378(97)80037-3
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.
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
Klein, M.C.
1997

Too close for comfort? A family physician questions whether medical professionals should be excluded from their loved ones' care
Hong Kong Practitioner
Klein, M.C.
1997

A new role model for maternity care.
Canadian family physician Médecin de famille canadien
Klein, M.C.
1997

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.
1996

Controversies surrounding the administration of vitamin K to newborns: A review
CMAJ. Canadian Medical Association Journal
Brousson, M.A. and Klein, M.C.
1996

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
04/1995

Episiotomy results stand despite lack of compliance.
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
Klein, M.C.
1995

Episiotomy results stand despite lack of compliance.
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
Klein, M.C.
PubMed: 8529183
1995

Family physician maternity care.
Canadian Family Physician
Klein, M.
1995

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.
1995

Studying episiotomy: When beliefs conflict with science
Journal of Family Practice
Klein, M.C.
1995

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

The midwife dossier: cooperation or competition?
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
PubMed: 8313284
03/1994

The midwife dossier: cooperation or competition?
CMAJ : Canadian Medical Association journal = journal de l"Association medicale canadienne
Klein, M.C.
1994

Does episiotomy prevent perineal trauma and pelvic floor relaxation?
Obstetrical and Gynecological Survey
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. and Guralnick, M.S. and Luskey, G.W. and Joshi, A.K.
DOI: 10.1097/00006254-199404000-00008
1994

Primary Care: The Effectiveness of Family Practice Maternity Care: a cross cultural and environmental view
Primary care obstetrics
09/1993

The Active Management of labor: Whose Agenda?
Birth
Michael Klein
DOI: 10.1111/j.1523-536x.1993.tb00425.x
06/1993

Episiotomy as a Preventive Strategy: Does it work?
Journal of the Society of Obstetricians and Gynaecologists of Canada
06/1993

Does episiotomy prevent perineal trauma and pelvic floor relaxation?,Förebygger episiotomi perineal trauma och försvagning av bäckenbotten?
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.
1993

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)
1993

The Active Management of labor: Whose Agenda?
Birth
Klein, M.
DOI: 10.1111/j.1523-536X.1993.tb00425.x
1993

Firearms control [1]
CMAJ
Ackermann, M.J. and Dworkind, M. and Levitt, C. and Klein, M.
1993

The effectiveness of family practice maternity care: A cross-cultural and environmental view
Primary Care - Clinics in Office Practice
Klein, M.
1993

Does episiotomy prevent perineal trauma and pelvic floor relaxation?
The Online journal of current clinical trials
PubMed: 1343606
07/1992

Do women under the care of family physicians have fewer cesarean sections?
The Family practice research journal
Klein, M.
1992

Vitamin D Deficiency Rickets is still with us: a case report
Canadian Family Physician
1992

Do Women Under the Care of Family Physicians Have Fewer Cesarean Sections?
Family Practice Research
1992

Does episiotomy prevent perineal trauma and pelvic floor relaxation?
The Online journal of current clinical trials
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.
1992

Commentary: 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.
1991

Structure of Practice and Obstetrical Research
Family Medicine Research Update
1991

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
1991

The Influence of Birth Setting on the Father's Behavior Toward His Partner and Infant
Birth
Westreich, R. and Spector?Dunsky, L. and Klein, M. and Papageorgiou, A. and Kramer, M. and Gelfand, M.
DOI: 10.1111/j.1523-536X.1991.tb00102.x
1991

Commentary: Midwifery—A Family Doctor's View from Quebec
Birth
Klein, M.
DOI: 10.1111/j.1523-536X.1991.tb00069.x
1991

Influence of Perinatal Asphyxia on Neurologic Outcome: consequences for family practice accoucheurs
Canadian Family Physician
PubMed: 21233995
10/1990

Do family physicians 'prevent' cesarean sections? A Canadian exploration
Family Medicine
Klein, M.
1988

Maternal and Neonatal Outcome in Pregnancies with No Risk Factors
Canadian Medical Association Journal
1988

Miscarriage: Etiology, Treatment and Practical Considerations
Canadian Family Physician
1988

"Obstetrics is too important to be left to the obstetricians".
Family medicine
Klein, M.
1987

Is maternity care different in family practice? A pilot matched pair study
The Journal of family practice
Rosenberg, EE and Klein, M
1987

Perinatal Care in Europe: Lessons to be learned
Canadian Family Physician
1987

Is maternity care different in family practice? A pilot matched pair study
Journal of Family Practice
Rosenberg, E.E. and Klein, M.
1987

The Canadian Family Practice Accoucheur
Canadian Family Physician
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.
1985

Canadian departments of pediatrics and family medicine: In need of family therapy?
Canadian Medical Association Journal
Klein, M.
1985

Emergency Gyn/OB: Title's A Misnomer.
Canadian family physician Medecin de famille canadien
05/1984

Birth Rooms - are they an answer to consumer dissatisfaction with maternity care
Maternal and Child Health
03/1984

Outcomes of Birthing Rooms
Journal of Family Practice
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.
1984

Who Should Provide Primary Health Care to Children: Pediatricians or Family Medicine Physicians?
Pediatrics
1984

Outcomes of birthing rooms.
Journal of Family Practice
Klein, M.
1984

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

Contracting for Trust in Family Practice Obstetrics
Canadian Family Physician
PubMed: PMC2154275
1983

[Satisfaction of couples towards birth when using a birthing room or the traditional delivery room.].
Sante mentale au Quebec
PubMed: 17093783
1983

Birth Room Transfer and Procedure Rates – What Do They Tell About the Setting?
Birth
Klein, M. and Westreich, R.
DOI: 10.1111/j.1523-536X.1983.tb01407.x
1983

Teaching the Behavioral Sciences in Family Medicine
Canadian Family Physician
PubMed: PMC2305985
05/1981

What Do Family Practice Residents Do in Prevention and Counselling?
Canadian Family Physician
04/1981

Low Birth Weight and the Battered Child Syndrome
Traumatic Abuse and Neglect of Children at Home
DOI: 10.1001/archpedi.1971.02110010051005
1980

Teaching Through One Way Glass
Canadian Family Physician
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
12/1977

Can perinatal regionalization be reconciled with family-centered maternal care?
Journal of Family Practice
Klein, M.C. and Papageorgiou, A.N.
1977

On obstetrics in family practice.
Journal of Family Practice
Klein, M.
1977

Can perinatal regionalization be reconciled with family-centered maternal care?
Journal of Family Practice
Klein, M.C. and Papageorgiou, A.N.
PubMed: 591888
1977

Non-treatment of screened children with intermediate blood lead levels.
Pediatrics
PubMed: 1161378
08/1975

The Impact of the Rochester Neighbourhood Health Center on the Hospitalization of Children
Haggerty, R.J. et al. Ed. Child Health and the Community
1975

Hyperglycemia and Sickness
Paediatrics
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
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

Lead Release from Earthenware
New England Journal of Medicine
DOI: 10.1056/nejm197012032832322
1970

Urine Screening for Disorders of Mucopolysaccharide Metabolism
Paediatrics
1969

Aminoaciduria of Vitamin D Deficiency Rickets in Ethiopian Infants
The Ethiopian Medical Journal
1967

Vitamin D, Resistant Rickets with Aminoaciduria A study of an Ethiopian family
The Ethiopian Medical Journal
1965

Research

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 ."