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Seminars in Perinatology Jun 2020Triage in healthcare is sorting patients by acuity to prioritize them for full evaluation. Standardizing this process with the use of triage acuity classification tools... (Review)
Review
Triage in healthcare is sorting patients by acuity to prioritize them for full evaluation. Standardizing this process with the use of triage acuity classification tools has been shown to improve patient flow and quality of care in the emergency department. The American College of Obstetricians and Gynecologists recommends that pregnant women be triaged based on acuity, rather than time of arrival, and that obstetric triage acuity scales can serve as templates for use at the facility level. Three obstetric triage acuity scales developed in North America are reviewed and the implementation of one in a system with 40 birth hospitals is described. Use of obstetric triage acuity scales resulted in timelier initial assessment and decreased wait times. Acuity, volume, and trends data helped improve nurse and provider staffing in triage units. These findings support the promise of obstetric triage acuity scales to promote efficient care.
Topics: Advanced Practice Nursing; Algorithms; Female; Humans; Implementation Science; Multi-Institutional Systems; Nurses; Obstetric Labor Complications; Obstetric Nursing; Obstetrics; Patient Acuity; Patient Transfer; Pregnancy; Pregnancy Complications; Quality Improvement; Time Factors; Triage; Vital Signs
PubMed: 32279833
DOI: 10.1016/j.semperi.2020.151240 -
Midwifery Today With International... 2015
Topics: Anecdotes as Topic; Baths; Delivery, Obstetric; Female; Global Health; Home Childbirth; Humans; Infant, Newborn; Labor Stage, Second; Midwifery; Natural Childbirth; Obstetric Labor Complications; Pregnancy; Pregnancy Outcome
PubMed: 26591406
DOI: No ID Found -
MCN. the American Journal of Maternal... 2021
Topics: Female; Humans; Obstetric Nursing; Patient Acuity; Patient Transfer; Pregnancy
PubMed: 33284248
DOI: 10.1097/NMC.0000000000000682 -
MCN. the American Journal of Maternal... 2014
Topics: Education, Nursing, Continuing; Emergency Service, Hospital; Female; Humans; Obstetric Nursing; Pregnancy; Triage
PubMed: 25137075
DOI: 10.1097/NMC.0000000000000071 -
Journal of Midwifery & Women's Health Mar 2020Although the safety of water immersion during labor is largely supported by evidence from research, the risks to women and neonates during waterbirth are not well...
INTRODUCTION
Although the safety of water immersion during labor is largely supported by evidence from research, the risks to women and neonates during waterbirth are not well established. The purpose of this study was to generate evidence regarding maternal and neonatal outcomes related to water immersion in labor and during birth.
METHODS
A retrospective cohort study included a convenience sample of women receiving prenatal care at a nurse-midwifery practice. Participants were categorized into 3 groups: 1) waterbirth, 2) water labor, or 3) neither. Participant characteristics, maternal outcomes, and newborn outcomes were collected at time of birth and health record abstraction. At the 6-week postpartum visit, another maternal outcome, satisfaction with birth, was measured using the Care in Obstetrics: Measure for Testing Satisfaction (COMFORTS) scale. Analysis included effect size, descriptive statistics (sample characteristics), and maternal and neonatal group differences (analysis of variance and chi-square) with a significance level of P < .05.
RESULTS
Women in the waterbirth (n = 58), water labor (n = 61), and neither (n = 111) groups were primarily white, married, and college educated and did not differ by age or education. Women in the waterbirth group were more likely to be multiparous. Nulliparous women who had a waterbirth had a significantly shorter second stage of labor than nulliparous women who did not have a waterbirth (P = .03). The most commonly cited reasons for discontinuation of hydrotherapy were maternal choice (42.6%) and need for pain medication (29.5%). Significantly more women in the waterbirth group experienced a postpartum hemorrhage, compared with water labor or neither (n = 5, n = 3, n = 1, respectively; P = .045); there was no difference in related clinical measures. Neonatal outcomes were not significantly different. Maternal satisfaction was high across all groups.
DISCUSSION
The results of this study suggest that waterbirth, attended by qualified intrapartum care providers in hospital settings in the United States, is a reasonable option for low-risk women and their neonates.
Topics: Adult; Choice Behavior; Decision Making; Delivery, Obstetric; Female; Humans; Immersion; Infant, Newborn; Midwifery; Natural Childbirth; Pregnancy; Prenatal Care; Retrospective Studies
PubMed: 31489975
DOI: 10.1111/jmwh.13033 -
The Practising Midwife Nov 2014
Topics: Delivery, Obstetric; Humans; Maternal Health Services; Midwifery; Nurse's Role; Professional Autonomy
PubMed: 25581995
DOI: No ID Found -
Revista Latino-americana de Enfermagem Nov 2021
Topics: Brazil; Female; Humans; Obstetric Nursing; Pregnancy
PubMed: 34816879
DOI: 10.1590/1518-8345.0000.3510 -
Journal of Obstetric, Gynecologic, and... Jan 2024to follow.
to follow.
Topics: Infant, Newborn; Pregnancy; Female; Humans; Gynecology; Neonatal Nursing; Obstetric Nursing
PubMed: 37984492
DOI: 10.1016/j.jogn.2023.10.003 -
Revista Da Escola de Enfermagem Da U S P 2020To characterize ethnographic research in the area of obstetric nursing regarding its theoretical, methodological and analytical aspects. (Review)
Review
OBJECTIVE
To characterize ethnographic research in the area of obstetric nursing regarding its theoretical, methodological and analytical aspects.
METHOD
An integrative review performed in the MEDLINE®, LILACS, BDENF and CINAHL databases, as well as the SciELO virtual library.
RESULTS
Thirty (30) articles formed the analytical corpus after screening and reading the primary references in full. The most used methods were ethno-nursing, ethnography and institutional ethnography; the immersion time in the field ranged from 12 visits to 48 months occurring in institutional contexts. The main data collection techniques were observation, individual interviews and training guides for ethno-nursing. The data were organized as themes and subthemes, analyzed through the ethno-nursing analysis guide, implementing the Theory of Diversity and Universality of Cultural Care as theoretical reference.
CONCLUSION
Ethnographic studies in the area of obstetric nursing are within the scope of microethnographies and are operationalized based on theoretical-methodological nursing references, being useful to analyze the complexity of phenomena involving obstetric nursing care, and focusing on the etic (professional) and emic (women) perspectives.
Topics: Anthropology, Cultural; Female; Humans; Nursing Research; Obstetric Nursing; Pregnancy; Research Design
PubMed: 32236347
DOI: 10.1590/S1980-220X2018034203547 -
Midwifery Today With International... 2015
Topics: Delivery, Obstetric; Female; Humans; Labor Presentation; Maternal Behavior; Mothers; Natural Childbirth; Nurse-Patient Relations; Posture; Pregnancy; Pregnancy Complications; Pregnancy Trimester, Third; Prenatal Care
PubMed: 26281517
DOI: No ID Found