Background: Delivery-related complications and maternal postpartum outcomes of family physicians practicing obstetrics and obstetrician-gynecologists have been studied for four decades. Previous studies have shown no difference in the outcomes of family physicians practicing obstetrics compared to obstetrician-gynecologists in low-risk pregnancies. However, there is very little information in the literature regarding maternal outcomes under the care of family physicians when high-risk pregnancies are considered. This study compares the delivery-related complications among family physicians practicing obstetrics and obstetrician-gynecologists when high-risk pregnancies are included without any risk adjustment.