Background: Delivery rates and maternal postpartum outcomes comparing obstetrician-gynecologists (OB/GYNs) and family physicians practicing obstetrics have been studied for the last four decades. Family physicians who practice obstetrics and perform cesarean sections have lower rates of cesarean section, use of forceps, and labor inductions in low risk pregnancies. Family physicians have higher rates of spontaneous vaginal delivery, vaginal birth after cesarean section (VBAC), and vacuum-assisted delivery. There is very little information in the literature regarding maternal outcomes and mode of delivery of patients under the care of family  physicians when high-risk pregnancies are included.