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maternity , gynecology, nursing, policy

Sogand Tourani, Mohammad Zarezadeh, Mehdi Raadabadi, Fatemeh Pourshariati
BACKGROUND: Equity in distribution of resources is considered as an important priority in health care systems. Equitable distribution of obstetrics and gynecology (Ob/Gyn) services in the country level is critical in maternal and neonatal health for qualitative promotion of maternal care in pregnancy, delivery, and post-delivery periods. OBJECTIVE: The present study aimed at determining regional disparity of obstetrics and gynecology services and its association with children and infants mortality rates...
March 2017: International Journal of Reproductive Biomedicine (Yazd, Iran)
Jenna Shaw-Battista, Nichole Young-Lin, Sage Bearman, Kim Dau, Juan Vargas
Ultrasound is an important aid in the clinical diagnosis and management of normal and complicated pregnancy and childbirth. The technology is widely applied to maternity care in the United States, where comprehensive standard ultrasound examinations are routine. Targeted scans are common and used for an increasing number of clinical indications due to emerging research and a greater availability of equipment with better image resolution at lower cost. These factors contribute to an increased demand for obstetric ultrasound education among students and providers of maternity care, despite a paucity of data to inform education program design and evaluation...
November 2015: Journal of Midwifery & Women's Health
Katy Backes Kozhimannil, Melissa D Avery, Carrie Ann Terrell
INTRODUCTION: Health care needs of pregnant women are met by a variety of clinicians in a changing policy and practice environment. This study documents recent trends in types of clinicians providing care to pregnant women in the United States. METHODS: We used a repeat cross-sectional design and data from the Integrated Health Interview Series (2000-2009), a nationally representative data set, for respondents who reported being pregnant at the time of the survey (N = 3204)...
September 2012: Journal of Midwifery & Women's Health
Yan Qiong Ouyang, Qing Zhang
BACKGROUND: Medical staff, especially those working in the Department of Gynecology and Obstetrics, have been considered to mostly influence pregnant women on the decision making of delivery mode. OBJECTIVE: To investigate mode of delivery among Chinese female obstetrician-gynecologists, midwives and nurses and to explore reasons why they choose cesarean section (CS) for themselves and their advice on mode of delivery. METHODS: Questionnaires including demographic characteristics, their mode of delivery and the reason as well as their suggestion when consulted by pregnant women were administered to 293 participants...
January 2013: Archives of Gynecology and Obstetrics
Ashley Shepherd, Helen Cheyne
OBJECTIVE: Vaginal examinations (VEs) in labour are a routine part of intrapartum care. Current U.K. guidelines recommend that VEs are offered to women at regular intervals of not less than 4h and only performed when justifiably necessary. However, justification may be interpreted differently by different midwives. This study aimed to investigate (i) the number of VEs performed in relation to length of labour and (ii) the reasons given by midwives for performing the VE. METHODS: This study recruited a group of women (n=144) admitted in either spontaneous labour or for induction of labour from one NHS hospital in Scotland...
March 2013: Women and Birth: Journal of the Australian College of Midwives
Meredith McIntyre, Karen Francis, Ysanne Chapman
BACKGROUND: the maternity services reforms announced by the Australian government herald a process of major change. The primary maternity care reforms requires maternity care professionals to work collaboratively as equals in contrast to the current system which is characterised by unequal relationships. AIM: critical discourse analysis (CDA) using neoliberalism as an interpretive lens was employed to determine the positions of the respective maternity care professionals on the proposed reform and what purpose was served by their representations to the national review of maternity services...
June 2012: Midwifery
Margaret S Hutchison, Linda Ennis, Jenna Shaw-Battista, Ana Delgado, Kara Myers, Leslie Cragin, Rebecca A Jackson
For more than 30 years the collaboration between obstetrician-gynecologists and certified nurse-midwives at San Francisco General Hospital has led to the provision of high-quality care to women and families. This enduring partnership has been sustained by shared goals and values, most notably a commitment to excellence in both providing care to the underserved and training the next generation of physicians and nurse-midwives. Success has also depended on a mutual respect for differences that has enabled the collaborative to capitalize on the distinct expertise of each partner...
September 2011: Obstetrics and Gynecology
F Gary Cunningham, Shrikant I Bangdiwala, Sarah S Brown, Thomas Michael Dean, Marilynn Frederiksen, Carol J Rowland Hogue, Tekoa King, Emily Spencer Lukacz, Laurence B McCullough, Wanda Nicholson, Nancy Frances Petit, Jeffrey Lynn Probstfield, Adele C Viguera, Cynthia A Wong, Sheila Cohen Zimmet
OBJECTIVE: To provide health care providers, patients, and the general public with a responsible assessment of currently available data on vaginal birth after cesarean (VBAC). PARTICIPANTS: A non-DHHS, nonadvocate 15-member panel representing the fields of obstetrics and gynecology, urogynecology, maternal and fetal medicine, pediatrics, midwifery, clinical pharmacology, medical ethics, internal medicine, family medicine, perinatal and reproductive psychiatry, anesthesiology, nursing, biostatistics, epidemiology, health care regulation, risk management, and a public representative, and a public representative...
March 10, 2010: NIH Consensus and State-of-the-science Statements
Linda Elgart, Alison Gaffney
The department of Women's and Children's Services at the Hospital of Saint Raphael (HSR) in New Haven, CT, has initiated several different and successful approaches to reducing patient risk within the department. The department purchased a computerized fetal monitoring and documentation program that has improved the ability to provide high-level antepartal care for mothers and fetuses with automatic patient data management and continuous fetal heart rate surveillance. A Risk Reduction Grant offered through the hospital malpractice insurance program provided the financial assistance for all medical providers to become certified in electronic fetal monitoring...
September 2009: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
Heather Brown, G Justus Hofmeyr, V Cheryl Nikodem, Helen Smith, Paul Garner
BACKGROUND: Most women delivering in South African State Maternity Hospitals do not have a childbirth companion; in addition, the quality of care could be better, and at times women are treated inhumanely. We piloted a multi-faceted intervention to encourage uptake of childbirth companions in state hospitals, and hypothesised that lay carers would improve the behaviour of health professionals. METHODS: We conducted a pilot randomised controlled trial of an intervention to promote childbirth companions in hospital deliveries...
2007: BMC Medicine
(no author information available yet)
OBJECTIVE: To provide health care providers, patients, and the general public with a responsible assessment of currently available data on cesarean delivery on maternal request. PARTICIPANTS: A non-DHHS, nonadvocate 18-member panel representing the fields of obstetrics and gynecology, preventive medicine, biometrics, family planning and reproductive physiology, nurse midwifery, anesthesiology, patient safety, epidemiology, pediatrics, perinatal medicine, urology, urogynecology, general nursing, inner city public health sciences, law, psychiatry, and health services research...
March 27, 2006: NIH Consensus and State-of-the-science Statements
Della A Forster, Helen L McLachlan, Jane Yelland, Jo Rayner, Judith Lumley, Mary-Ann Davey
BACKGROUND: State-wide surveys of recent mothers conducted over the past decade in Victoria, one state of Australia, have identified that women are consistently less satisfied with the care they received in hospital following birth compared with other aspects of maternity care. Little is known of caregivers' perspectives on the provision ofhospital postnatal care: how care is organised and provided in different hospitals; what constrains the provision of postnatal care (apart from funding) and what initiatives are being undertaken to improve service delivery...
2006: BMC Health Services Research
(no author information available yet)
OBJECTIVE: To provide health care providers, patients, and the general public with a responsible assessment of currently available data on cesarean delivery on maternal request. PARTICIPANTS: A non-U.S. Department of Health and Human Services, nonadvocate 18-member panel representing the fields of obstetrics and gynecology, preventive medicine, biometrics, family planning and reproductive physiology, nurse midwifery, anesthesiology, patient safety, epidemiology, pediatrics, perinatal medicine, urology, urogynecology, general nursing, inner-city public health sciences, law, psychiatry, and health services research...
June 2006: Obstetrics and Gynecology
Hora Soltani, Fiona Dickinson, Judith Tanner
Southern Derbyshire Acute Hospitals NHS Trust has a policy of open visiting for people who wish to visit ward-based patients. The maternity unit, however, has adopted a slightly different approach, in which the visiting policy loosely consists of set hours with a degree of flexibility for mothers and visitors who wish to have extended visiting or want visitors outside the set hours. This article describes research undertaken to formulate a policy within the trust.
October 2004: Practising Midwife
José Mendes Ribeiro, Nílson do Rosário Costa, Luiz Felipe da Silva Pinto, Pedro Luiz Barros Silva
This was a comparative cross-sectional study among public prenatal care users in conventional outpatient health services and family health services, aimed at assessing perception and quality differences between the two models of health services organization according to Ministry of Health guidelines. A total of 203 pregnant women from 22 municipalities in five regions of the country were interviewed while waiting for prenatal consultation. Besides soliciting the women's opinions, we checked for possible advantages in innovative family care services in issues like access and commitment...
March 2004: Cadernos de Saúde Pública
R Douglas Wilson, Gregory Davies, Valérie Désilets, Gregory J Reid, Anne Summers, Philip Wyatt, David Young
OBJECTIVE: To provide information regarding the use of folic acid for the prevention of neural tube defects (NTDs) and other congenital anomalies, in order that physicians, midwives, nurses, and other health-care workers can assist in the education of women in the preconception phase of their health care. OPTION: Folic acid supplementation is problematic, since 50% of pregnancies are unplanned and the health status of women may not be optimal. OUTCOMES: Folic acid supplementation has been proven to decrease or minimize specific birth defects...
November 2003: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Richard L Kravitz, David Krackhardt, Joy Melnikow, Carol E Franz, William M Gilbert, Andra Zach, Debora A Paterniti, Patrick S Romano
The objective was to determine whether obstetric opinion leaders can be identified and to characterize them in terms of their demographic and professional characteristics and their attitudes toward caesarean delivery. In late 1998, we surveyed 527 obstetricians, 138 family physicians, and 80 certified nurse midwives (overall response rate, 57.8%) practicing in a stratified random sample of California hospitals with at least 1000 annual deliveries (n=52). Participants reported on demographic and professional characteristics and attitudes towards caesarean delivery; they also checked off those hospital colleagues from whom they had sought or would seek advice on labour and delivery...
December 2003: Social Science & Medicine
Jeanne M Madden, Stephen B Soumerai, Tracy A Lieu, Kenneth D Mandl, Fang Zhang, Dennis Ross-Degnan
OBJECTIVE: The purpose of this study was to evaluate the effects on breastfeeding rates of a private-sector early discharge program and a subsequent government mandate guaranteeing 48 hours of hospital coverage. METHODS: Interrupted time-series analyses were conducted on retrospective data from the automated medical records of a large health maintenance organization in eastern Massachusetts. A population of 20 366 mother-infant pairs with normal vaginal deliveries between October 1990 and March 1998 was identified...
March 2003: Pediatrics
R Khayat, O Campbell
This study was conducted in Lebanon with the main objectives of acquiring baseline data on practices and routines applied in the obstetrics ward for women having normal delivery; estimating the frequency of certain practices; and assessing whether women are given choice in these practices. A national sample of 39 hospitals was selected. The director, head midwife, or head nurse of the obstetrics department was interviewed using a semi-structured questionnaire. The hospitals studied are largely equipped to cope with emergencies and services are available 24 hours a day...
September 2000: Health Policy and Planning
(no author information available yet)
PROJECT: Improve staffing policies and procedures on the Maternity unit to reduce the chronic practice of exceeding the budget for nursing hours per patient day (NHPPD). Principals: Maternity Service nursing staff and unit secretary. Process Improvement Method: Plan-Do-Check-Act. Timeline: Begun: March 1991. RESULTS reported here: FY 1992 (October 1, 1991-September 30, 1992). KEY FINDINGS: Patient census fluctuated dramatically from shift to shift. To staff the unit during peak times, nurses from other units were floated in, but many lacked sufficient obstetrics training...
February 1993: Quality Letter for Healthcare Leaders
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