The legislation requires medical facilities with obstetrical programs to implement comprehensive
obstetric patient safety programs similar to a program implemented in 2003 at New York - Presbyterian Hospital / Weill Cornell Medical Center.
For a full Pregnant Patient and
Obstetric Patient Bill of Rights, I am going to refer you to a link on Doris Haire's Alliance for the Improvement of Maternity Services (AIMS):
Currently I'm the one providing continuity of care to most of
our obstetric patients, and, as a GP, they can come and see me as often as they like, not just the fixed routine antenatal appointment schedule.
Not exact matches
The large number of
obstetric malpractice suits, and particularly the large number of suits without merit, are a direct expression of
patient expectations.
C. L. Roberts et al., «Rates for
Obstetric Intervention Among Private and Public
Patients in Australia: Population Based Descriptive Study,» Br Med J 321, no. 7254 (2000): 137 — 141.
All maternity
patients have access to monitors, medication,
obstetric specialists, pediatric specialists and surgical procedures as needed.
For the purposes of this economic evaluation, the forms were initially used in a related study funded by the National Institute of Health Research (NIHR) research for
patient benefit programme «assessing the impact of a new birth centre on choice and outcome of maternity care in an inner city area,» which will be reported in full elsewhere, comparing the costs of care in a free standing midwifery unit with care in an
obstetric unit in the same trust.16 The data collected included details of staffing levels, treatments, surgeries, diagnostic imaging tests, scans, drugs, and other resource inputs associated with each stage of the pathway through intrapartum and after birth care.
Obstetric care provider offices and hospitals can set an example through supportive policies for lactating staff, accommodations for nursing
patients, awareness and educational materials, and staff training (10, 30).
This article discusses these effects and makes recommendations for gynecologic and
obstetric care of
patients with epilepsy, with particular focus on pregnancy.
Obstetrician — gynecologists and other
obstetric care providers should be in the forefront of policy efforts to enable women to breastfeed, whether through individual
patient education, change in hospital practices, community efforts, or supportive legislation.
Obstetrician — gynecologist and other
obstetric care providers should engage the
patient's partner and other family members in discussions about infant feeding and address any questions and concerns.
A study published in the current issue of the Journal of
Obstetric, Gynecologic, & Neonatal Nursing shows that depression symptoms worsen in PPD
patients when their quality of sleep declines.
Once labor has begun, a
patient attempting TOLAC should be evaluated by an obstetrician or other
obstetric care provider.
For example, if a
patient who may not otherwise be a candidate for TOLAC presents in advanced labor, the
patient and her obstetrician or other
obstetric care provider may judge it best to proceed with TOLAC.
Referral may be appropriate if, after discussion, obstetricians or other
obstetric care providers find themselves in disagreement with the choice the
patient has made.
Good candidates for planned TOLAC are those women in whom the balance of risks (as low as possible) and chances of success (as high as possible) are acceptable to the
patient and obstetrician or other
obstetric care provider.
Nonetheless, it remains appropriate for the obstetricians or other
obstetric care providers and
patients to consider past birth weights and current estimated fetal weight when making decisions regarding TOLAC.
Data comparing the rates of VBAC, as well as maternal and neonatal outcomes, after TOLAC to those after planned repeat cesarean delivery can help guide obstetricians or other
obstetric care providers and
patients when deciding how to approach delivery in women with a prior cesarean delivery.
After counseling, the ultimate decision to undergo TOLAC or a repeat cesarean delivery should be made by the
patient in consultation with her obstetrician or
obstetric care provider.
This timing places a responsibility on
patients and obstetricians and other
obstetric care providers to begin relevant conversations early in the course of prenatal care.
The decision to offer and pursue TOLAC in a setting in which the option of emergency cesarean delivery is limited should be carefully considered by
patients and their obstetricians or other
obstetric care providers.
When resources for emergency cesarean delivery are not available, ACOG recommends that obstetricians or other
obstetric care providers and
patients considering TOLAC discuss the hospital's resources and availability of
obstetric, pediatric, anesthesiology, and operating room staffs.
Recognizing the limitations of available data, the obstetrician or other
obstetric care provider and
patient may choose to proceed with TOLAC in the presence of a documented prior low - vertical uterine incision.
Such trials should be conducted in varied populations and settings and include longer periods of restricted exposure to pacifiers than have been examined thus far.13 Until such studies can be completed, it is important that breastfeeding support and education be incorporated into prenatal
obstetric and early pediatric
patient encounters.
Breastfeeding Expert Work Group Mission Statement: ACOG's Breastfeeding Expert Work Group will assist ACOG, specifically the Committee on
Obstetric Practice and other committees as appropriate, by providing expertise in breastfeeding medicine and use that expertise to develop and promote breastfeeding tools and initiatives for providers and
patients at all levels of the community.
Several perinatal collaborative quality initiatives have developed valuable resources for health care providers and
patients to optimize the diagnosis and treatment of neonatal abstinence syndrome and promote collaboration between
obstetric and neonatal care providers (www.opqc.net/
patients-providers/%20NAS; https://public.vtoxford.org/quality-education/nas-universal-training-program/)(86).
While this report underscores the need for anticipatory guidance regarding opiate effects in all
patients, obstetrician - gynecologists and other
obstetric providers should ensure that application of this guidance does not interfere with pain control in non-pregnant breastfeeding women or disrupt breastfeeding.
Each session begins with socializing opportunities, self - data collection, and a brief one - on - one interaction with the obstetrician — gynecologist or other
obstetric care provider for individual assessment and solicitation of
patient concerns.
1 exp Pregnancy / 2 exp Prenatal Care / 3 exp Intrapartum Care / 4 exp
Obstetric Care / 5 exp Postnatal Care / 6 exp Midwifery / 7 exp Midwifery Service / 8 exp
Obstetric Service / 9 exp Home Childbirth / 10 exp Alternative Birth Centers / 11 or / 1 -10 12 exp Continuity of
Patient Care / 13 exp Nursing Care Delivery Systems / 14 (midwif $ adj2 team $).
Because of heterogeneity in the primary studies, neither the meta - analyses nor the comprehensive review assessed
patient and obstetrician or
obstetric care provider satisfaction and improved knowledge of childbirth, family planning, postpartum depression, or early child rearing.
«These new data are an important first step in determining the amount of weight gain (or loss) that is appropriate for women who enter pregnancy with obesity — data which are sorely needed by
obstetric providers to better serve their
patients,» says Sharon Herring, MD, MPH, an expert in this area who is a member of The Obesity Society and Assistant Professor at Temple University.
The authors discuss the concept of health care justice in professional
obstetric ethics and explain how it originates in the ethical concepts of medicine as a profession and of being a
patient.
Sister Genoveva told us quite freely that the few glass syringes were reused for every
patient; every morning, she told us, they were quickly (and far too summarily) boiled, like the
obstetric instruments employed in the maternity room.
The
Obstetric Technician (OB) Technician is responsible for collaborating with the Registered Nurse as a partner in care, treatment and education of
patients
Nurse midwife are employed by various medical organizations for providing
obstetric care to the
patients.
¥ Solid understanding of
obstetric and gynecological care ¥ Sound knowledge of
patient care procedures ¥ Substantial familiarity with
patient privacy guidelines ¥ Strong decision making abilities especially in fast - paced environments ¥ Profound experience working in team settings ¥ Great ability to prioritize
Cared for both
obstetric and gynecologic
patients.
Professional Duties & Responsibilities Licensed practical nurse with experience in varied medical specialties Training in geriatric, surgical, psychiatric, pediatric, and
obstetric nursing Carried out physician orders in accordance with treatment plan Monitored, recorded, and reported
patient condition to physicians and senior nursing staff Administered medications and dietary supplements, inserted tube feeds, and monitored vitals Performed wound care in stage 1 and 2 ulcers and assisted team with more serious stages Assisted with oxygen setup and tracheostomy care Oversaw blood glucose testing and reported abnormal values to medical team Maintained up to date knowledge of medical and surgical standards of care Demonstrated the clinical knowledge and judgment necessary for high quality
patient care Provided administrative support to physicians, residents, and nursing staff as needed Managed medical supplies and equipment ensuring adequate and functioning materials Performed all duties in a positive, professional, and timely manner
Professional Duties & Responsibilities Nursing student with more than 1,300 hours of experience in varied clinical areas Significant work in surgical, psychiatric, pediatric,
obstetric, and critical care nursing Monitored, recorded, and reported
patient condition to physicians and senior nursing staff Administered medications, inserted IV and Foley, changed dressings, and monitored vitals Carried out physician orders in accordance with treatment plan Maintained up to date knowledge of medical, surgical, and sub-specialty standards of care Demonstrated clinical knowledge and judgment necessary for high quality
patient care Provided administrative support to physicians, residents, and nursing staff as needed Managed medical supplies and equipment ensuring adequate and functioning materials
Dr Stephen Cole, specialist in maternal — fetal medicine at the Melbourne
Obstetric Group, said while the advances in non-invasive prenatal testing (NIPT) were revolutionary, the new technology was «a double - edged sword» for
patients who were faced with difficult decisions.
Patient Safety, Adverse Healthcare Events and Near - Misses in
Obstetric Care — A Systematic Literature Review
The bill also requires insurers to provide
obstetric providers psychiatric tele - consults so they can manage
patients who may need and desire medication for depression or anxiety.