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Communication among Perinatal Team

Anup C Katheria, Samuel R Sorkhi, Kasim Hassen, Arij Faksh, Zahra Ghorishi, Debra Poeltler
Background: While delayed umbilical cord clamping in preterm infants has shown to improve long-term neurological outcomes, infants who are thought to need resuscitation do not receive delayed cord clamping even though they may benefit the most. A mobile resuscitation platform allows infants to be resuscitated at the mother's bedside with the cord intact. The newborn is supplied with placental blood during the resuscitation in view of the mother. The objective of the study is to assess the usability and acceptability of mobile resuscitation platform, LifeStart trolley, among the infants' parents and perinatal providers...
2018: Frontiers in Pediatrics
Mrinalini Balki, David Hoppe, David Monks, Mary Ellen Cooke, Lynn Sharples, Rory Windrim
OBJECTIVE: The objective of this study was to develop a new interdisciplinary teamwork scale, the Perinatal Emergency: Team Response Assessment (PETRA), for the management of obstetric crises, through consensus agreement of obstetric caregivers. METHODS: This prospective study was performed using expert consensus, based on a Delphi method. The study investigators developed a new PETRA tool, specifically related to obstetric crisis management, based on the existing literature and discussions among themselves...
June 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Mary Ellen Acree
Remarkable advances have been made in the treatment of HIV. Despite progress in reducing perinatal HIV transmission, there is a growing number of adolescents and emerging adults with HIV who will require transfer of care from pediatric to adult providers. Adolescents with HIV have poorer retention in care and viral suppression compared to other age groups with HIV. Barriers to successful care of youth with HIV include mental health disorders, poor medication adherence, socioeconomic instability, and HIV-related stigma...
May 1, 2017: Pediatric Annals
Loraine J Bacchus, Linda Bullock, Phyllis Sharps, Camille Burnett, Donna L Schminkey, Ana Maria Buller, Jacquelyn Campbell
BACKGROUND: Intimate partner violence (IPV) is common during pregnancy and the postpartum. Perinatal home visitation provides favorable conditions in which to identify and support women affected by IPV. However, the use of mHealth for delivering IPV interventions in perinatal home visiting has not been explored. OBJECTIVE: Our objective was to conduct a nested qualitative interpretive study to explore perinatal home visitors' and women's perceptions and experiences of the Domestic Violence Enhanced Home Visitation Program (DOVE) using mHealth technology (ie, a computer tablet) or a home visitor-administered, paper-based method...
November 17, 2016: Journal of Medical Internet Research
Emily C Atwood, Grace Sollender, Erica Hsu, Christine Arsnow, Victoria Flanagan, Joanna Celenza, Bonny Whalen, Alison V Holmes
BACKGROUND AND OBJECTIVES: Although the incidence of neonatal abstinence syndrome (NAS) in the United States quintupled between 2000 and 2012, little is known about the family perspective of the hospital stay. We interviewed families to understand their experiences during the newborn hospitalization for NAS and to improve family-centered care. METHODS: A multidisciplinary team from 3 hospital units composed open-ended interview questions based on a literature review, clinical experience, and an internal iterative process...
October 2016: Hospital Pediatrics
Nadia L'Espérance, Karine Bertrand, Michel Perreault
Some authors have called attention to the lack of service integration related to evaluation and treatment of parental substance abuse, an ongoing challenge for service providers. A cross-training project involving exchanges (immersion sessions) among clinical teams was established to improve the integration, effectiveness and coherence of interventions for pregnant women and mothers with problematic substance use, and to prevent negative impacts of substance abuse on parenting skills and on foetal and child development...
March 2017: Health & Social Care in the Community
Sara Gordon, Joan Aydam, Kenna Hamm, Morgan Rocha, Andrea Northcut, Becky Roberson, Marilyn Shook
Pregnant women with complex medical problems require comprehensive communication among members of their healthcare team. Using the Magnet Hospital model, our Patient and Perinatal Interprofessional Team at Seton Medical Center Austin focused on improving communication and patient satisfaction by initiating Perinatal Patient Care Conferences. Pregnant women with medical or obstetric complications and their families became a part of care plan development prior to admission to promote consistent communication and excellent care...
May 2015: MCN. the American Journal of Maternal Child Nursing
Kate LaMancuso, Roberta E Goldman, Melissa Nothnagle
This study characterized the perspectives of Karen refugee women in Buffalo, NY, their medical providers, and Karen interpreters/doulas on perinatal care for Karen women in resettlement. In-depth qualitative interviews with Karen women (14), Karen doulas/interpreters and key informants (8), and medical providers (6) were informed by the social contextual model and focused on women's questions about and opinions of perinatal care in Buffalo and on providers' experiences caring for Karen patients. Karen women expressed gratitude for and understanding of perinatal care in Buffalo, and providers described Karen patients as agreeable but shy...
April 2016: Journal of Immigrant and Minority Health
Saraswathi Vedam, Kathrin Stoll, Laura Schummers, Nichole Fairbrother, Michael C Klein, Dana Thordarson, Jude Kornelsen, Shafik Dharamsi, Judy Rogers, Robert Liston, Janusz Kaczorowski
BACKGROUND: Available birth settings have diversified in Canada since the integration of regulated midwifery. Midwives are required to offer eligible women choice of birth place; and 25-30% of midwifery clients plan home births. Canadian provincial health ministries have instituted reimbursement schema and regulatory guidelines to ensure access to midwives in all settings. Evidence from well-designed Canadian cohort studies demonstrate the safety and efficacy of midwife-attended home birth...
October 28, 2014: BMC Pregnancy and Childbirth
Barthélémy Tosello, Lionel Dany, Catherine Gire, Pierre Bétrémieux, Marie-Emilie Vriet-Ndour, Pierre Le Coz, Claude D'Ercole, Umberto Siméoni, Marie-Ange Einaudi
BACKGROUND: After prenatal diagnosis of lethal fetal abnormality (LFA), some couples choose to continue the pregnancy rather than opt for termination of the pregnancy. This may result in the requirement for neonatal palliative care, which in France is prescribed by the Leonetti Law. These rare situations raise various questions about when and how palliative care is provided in cases of LFA. OBJECTIVE: The main goal of the study was to clarify the place given to the concept of perinatal palliative care within the antenatal information provided by perinatal professionals...
August 2014: Journal of Palliative Medicine
Rita Dadiz, Joanne Weinschreider, Jan Schriefer, Christine Arnold, Cole D Greves, Erin C Crosby, Hongyue Wang, Eva K Pressman, Ronnie Guillet
INTRODUCTION: Poor communication among obstetric and pediatric professionals is associated with adverse perinatal events leading to severe disability and neonatal mortality. This study evaluated the effectiveness of an interdisciplinary simulation-based training (SBT) program to improve delivery room communication between obstetric and pediatric teams. METHODS: Obstetric and pediatric teams participated in an SBT annually during 3 academic years, 2008-2011 (Y1-Y3), in a prospective, observational study...
October 2013: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Henry Chong Lee, Sarah Martin-Anderson, Audrey Lyndon, R Adams Dudley
OBJECTIVE: This study investigated clinicians' perspectives during a quality improvement project to promote breastmilk feedings in premature infants. STUDY DESIGN: From 2009 to 2010, 11 hospitals in the California Perinatal Quality Care Collaborative participated in a project to promote breastmilk feedings in premature infants. Audio recordings of monthly meetings held to encourage sharing of ideas were analyzed using qualitative methods to identify common themes related to barriers and solutions to breastmilk feeding promotion...
April 2013: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Brian Wagner, Natalie Meirowitz, Jalpa Shah, Deepak Nanda, Lori Reggio, Phyllis Cohen, Karen Britt, Leah Kaufman, Rajni Walia, Corinne Bacote, Martin L Lesser, Renee Pekmezaris, Adiel Fleischer, Kenneth J Abrams
A comprehensive perinatal safety initiative (PSI) was incrementally introduced from August 2007 to July 2009 at a large tertiary medical center to reduce adverse obstetrical outcomes. The PSI introduced: (1) evidence-based protocols, (2) formalized team training with emphasis on communication, (3) standardization of electronic fetal monitoring with required documentation of competence, (4) a high-risk obstetrical emergency simulation program, and (5) dissemination of an integrated educational program among all healthcare providers...
January 2012: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
Nguyet-Cam Vu Lam, Patricia B Gotsch, Robert C Langan
Family physicians encounter diagnostic and treatment issues when caring for pregnant women with hepatitis B or C and their newborns. When hepatitis B virus is perinatally acquired, an infant has approximately a 90 percent chance of becoming a chronic carrier and, when chronically infected, has a 15 to 25 percent risk of dying in adulthood from cirrhosis or liver cancer. However, early identification and prophylaxis is 85 to 95 percent effective in reducing the acquisition of perinatal infection. Communication among members of the health care team is important to ensure proper preventive techniques are implemented, and standing hospital orders for hepatitis B testing and prophylaxis can reduce missed opportunities for prevention...
November 15, 2010: American Family Physician
R Alcalay
The present case study 1) identified and evaluated perinatal care needs among Hispanics in Albuquerque, New Mexico, as perceived by a sample of perinatal care providers and receivers in the community, and 2) compared those needs with needs previously identified by a national team of Hispanic health experts and political and academic leaders.Results showed that while Hispanic experts emphasized technical needs, the community emphasized humanistic and communication needs in perinatal care services. Within the community, there were also differences between providers' and receivers' identification of barriers...
January 1, 1981: International Quarterly of Community Health Education
Laura R Mahlmeister
Perinatal nurses work with intricate systems requiring frequent interface with complex technology. This interplay is strongly influenced by the work environment and systems operations. The interplay among worker, technology, and the environment increases the risk of medical error, adverse patient outcomes, and in some instances, healthcare team member injury. Human factors engineering is an applied science that provides the study of the interface between people and machines. Human factors engineers design operations and systems that recognize the capacities and limitations of human beings and make it difficult for errors to occur...
January 2010: Journal of Perinatal & Neonatal Nursing
Dawn E Collins
In recent years, reports of the increasing number of preventable medical errors have stimulated the healthcare delivery system to develop and implement programs to improve patient safety. Many of these medical errors become the impetus for malpractice lawsuits brought against healthcare givers. In light of the large number of cases that involve electronic fetal monitoring issues, this article reviews many of the claims involved in those malpractice cases and some of the pitfalls encountered in defense of those claims...
April 2008: Journal of Perinatal & Neonatal Nursing
Frank Mazza, Judy Kitchens, Sue Kerr, Anita Markovich, Melody Best, Lora P Sparkman
BACKGROUND: Ascension Health identified perinatal safety as one of eight priorities for action in a systemwide effort to achieve zero preventable injuries and deaths by July 2008. IMPLEMENTATION: Three alpha sites developed and implemented transformational practices aimed at eliminating preventable birth trauma. Standardized order sets linked to all major areas of obstetrical care were either updated or developed and then tested and incorporated into the work flow of the labor and delivery units...
January 2007: Joint Commission Journal on Quality and Patient Safety
M L Jones, S Day, J Creely, M B Woodland, J B Gerdes
This article describes the design, implementation, and evaluation of an interdisciplinary clinical pathway system for maternal newborn care in a perinatal regional referral institution. Core issues in the design of this system are addressed to promote outcomes management and ongoing performance improvement. A discussion of the implementation follows, illustrating the lessons learned, changes made, and associated evaluation. This clinical pathway system has improved communication and collaboration among all disciplines, enhanced the discharge coordination process, and established protocols available to all members of the health care team...
December 1999: Journal of Perinatal & Neonatal Nursing
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