The document discusses several current trends in obstetrics and gynecology (OBG), including: 1) increased family-centered care and participation in childbirth; 2) cost containment measures to reduce health care costs; and 3) expanded nursing roles such as nurse midwives. Other trends addressed are improved access to health care, shortened hospital stays, community-centered care, managed care models, increased use of alternative therapies, telehealth, and evidence-based midwifery practice.
The document discusses several current trends in obstetrics and gynecology (OBG), including: 1) increased family-centered care and participation in childbirth; 2) cost containment measures to reduce health care costs; and 3) expanded nursing roles such as nurse midwives. Other trends addressed are improved access to health care, shortened hospital stays, community-centered care, managed care models, increased use of alternative therapies, telehealth, and evidence-based midwifery practice.
The document discusses several current trends in obstetrics and gynecology (OBG), including: 1) increased family-centered care and participation in childbirth; 2) cost containment measures to reduce health care costs; and 3) expanded nursing roles such as nurse midwives. Other trends addressed are improved access to health care, shortened hospital stays, community-centered care, managed care models, increased use of alternative therapies, telehealth, and evidence-based midwifery practice.
The document discusses several current trends in obstetrics and gynecology (OBG), including: 1) increased family-centered care and participation in childbirth; 2) cost containment measures to reduce health care costs; and 3) expanded nursing roles such as nurse midwives. Other trends addressed are improved access to health care, shortened hospital stays, community-centered care, managed care models, increased use of alternative therapies, telehealth, and evidence-based midwifery practice.
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CURRENT TRENDS IN
OBG
FAMILY CENTERED CARE
More natural childbirth environment where partners,
family
members
environment,
and
may
remain
participate
in in
homelike
the
childbirth
experience
By adopting a view of pregnancy, childbirth as a family
event, nurses can be instrumental in including family members in care and consult family members about a plan of care and provide clear health teaching so that family members can monitor their own care
COST CONTAINMENT
Cost containment refers to systems of health care
delivery that focus on reducing the cost of health care by closely monitoring the cost of personnel, use and brands of supplies, length of hospital stays, number of procedures carried out, and number of referrals requested.
EXPANDED ROLES FOR NURSES
Increasing nursing responsibility for assessment
and
professional
judgment
and
providing
expanded roles for nurse practitioners, such as
the nurse-midwife
ACCESS TO HEALTH CARE
Strong predictors of access to quality health care
include having health insurance, a higher income level, and a regular primary care provider or other source of ongoing health care.
Use of clinical preventive services, such as early
prenatal care, can serve as indicators of access to quality health care services.
SHORTENINGHOSPITALSTAYS
Women who have begun preterm labor stay in the
hospital while labor is halted and then are allowed to return home on medication with continued monitoring.
Routine hospital stay for mothers and newborns
after an uncomplicated birth is now 2 days or less.
Short-term hospital stays require intensive health
teaching by the nursing staff and follow-up by home care or community health nurses
COMMUNITY CENTRED CARE
Enable better family interaction in the birth
process because of convenience
1.First referrel unit
2.ASHA-link between health care facilities and villagers 1 ASHA= 1000 population
MANAGED CARE
Health insurance companies also examined the
cost of health care and instituted a health care delivery system
Health maintaince organisations(HMO)
point of service plans(POSS)
preferred provider organization(PPO)
CAPITATED CARE
the payer of the health insurance pay a set
amount of money each year to a network of primary care providers
Disadv: consumers -lose their freedom of choice
regarding their helth care providers
PCP-lose their money if they refer somany
specialist &diagnostic test
CASE MANAGEMENT
systematic approach to identify specific clients
and to provide quality care to ensure optimal outcome through access to the best available resources
CONT..
Increased use of technology
Artificial reproductive technologies
INCREASED USE OF ALTERNATIVE TREATMENT MODALITIES
There
is
growing
tendency
to
consult
alternative forms of therapy, such as acupuncture
or therapeutic touch, in addition to, or instead of, traditional health care providers.
Nurses have an increasing obligation to be aware
of complementary or alternative therapies.
TELEHEALTH
Telehealthis the delivery of health-related
services and information via telecommunications technologies.
Effectiveness of Planned Teaching Program On Knowledge of Immediate Postpartum Intrauterine Contraceptive Devices PPIUCD Among Antenatal Mothers in Selected Community Areas, Dehradun
A Descriptive Study On The Knowledge Regarding Breast-Feeding Problems and Its Management Among Post Natal Mothers in Selected Hospital, Dehradun, Uttarakhand
Effectiveness of Planned Teaching Program On Knowledge of Immediate Postpartum Intrauterine Contraceptive Devices PPIUCD Among Antenatal Mothers in Selected Community Areas, Dehradun
A Descriptive Study On The Knowledge Regarding Breast-Feeding Problems and Its Management Among Post Natal Mothers in Selected Hospital, Dehradun, Uttarakhand
