Base de dados : MEDLINE
Pesquisa : N02.278.216.500.968.495 [Categoria DeCS]
Referências encontradas : 2541 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 255 ir para página                         

  1 / 2541 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28891878
[Au] Autor:Jacobs PJ
[Ad] Endereço:Peggy J. Jacobs, DNP, RNC-OB, CNM, APN, is Instructional Support and Outcomes Coordinator, School of Nursing, Illinois Wesleyan University, Bloomington.
[Ti] Título:Using High-Fidelity Simulation and Video-Assisted Debriefing to Enhance Obstetrical Hemorrhage Mock Code Training.
[So] Source:J Nurses Prof Dev;33(5):234-239, 2017 Sep/Oct.
[Is] ISSN:2169-981X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this descriptive, one-group posttest study was to explore the nursing staff's perception of the benefits of using high-fidelity simulation during mandated obstetrical hemorrhage mock code training. In addition, the use of video-assisted debriefing was used to enhance the nursing staff's evaluation of their communication and teamwork processes during a simulated obstetrical crisis. The convenience sample of 84 members of the nursing staff consented to completing data collection forms and being videotaped during the simulation. Quantitative results for the postsimulation survey showed that 93% of participants agreed or totally agreed that the use of SimMan made the simulation more realistic and enhanced learning and that debriefing and the use of videotaped playback improved their evaluation of team communication. Participants derived greatest benefit from reviewing their performance on videotape and discussing it during postsimulation debriefing. Simulation with video-assisted debriefing offers hospital educators the ability to evaluate team processes and offer support to improve teamwork with the ultimate goal of improving patient outcomes during obstetrical hemorrhage.
[Mh] Termos MeSH primário: Competência Clínica
Treinamento com Simulação de Alta Fidelidade
Hemorragia Pós-Parto/terapia
Gravação em Vídeo/métodos
[Mh] Termos MeSH secundário: Adulto
Comunicação
Feminino
Seres Humanos
Masculino
Meia-Idade
Pesquisa em Educação de Enfermagem
Unidade Hospitalar de Ginecologia e Obstetrícia
Equipe de Assistência ao Paciente
Desenvolvimento de Pessoal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170912
[St] Status:MEDLINE
[do] DOI:10.1097/NND.0000000000000387


  2 / 2541 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28441941
[Au] Autor:Yasobant S; Shewade HD; Vora KS; Annerstedt KS; Isaakidis P; Dholakia NB; Mavalankar DV
[Ad] Endereço:Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India. dryasobant@gmail.com.
[Ti] Título:Effect of previous utilization and out-of-pocket expenditure on subsequent utilization of a state led public-private partnership scheme "Chiranjeevi Yojana" to promote facility births in Gujarat, India.
[So] Source:BMC Health Serv Res;17(1):302, 2017 Apr 25.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In Gujarat, India, a state led public private partnership scheme to promote facility birth named Chiranjeevi Yojana (CY) was implemented in 2005. Institutional birth is provided free of cost at accredited private health facilities to women from socially disadvantaged groups (eligible women). CY has contributed in increasing facility birth and providing substantially subsidized (but not totally free) birth care; however, the retention of mothers in this scheme in subsequent child birth is unknown. Therefore, we conducted a study aimed to determine the effect of previous utilization of the scheme and previous out of pocket expenditure on subsequent child birth among multiparous eligible women in Gujarat. METHODS: This was a retrospective cohort study of multiparous eligible women (after excluding abortions and births at public facility). A structured questionnaire was administered by trained research assistant to those with recent delivery between Jan and Jul 2013. Outcome of interest was CY utilization in subsequent child birth (Jan-Jul 2013). Explanatory variables included socio-demographic characteristics (including category of eligibility), pregnancy related characteristics in previous child birth, before Jan 2013, (including CY utilization, out of pocket expenditure) and type of child birth in subsequent birth. A poisson regression model was used to assess the association of factors with CY utilization in subsequent child birth. RESULTS: Of 997 multiparous eligible women, 289 (29%) utilized and 708 (71%) did not utilize CY in their previous child birth. Of those who utilized CY (n = 289), 182 (63%) subsequently utilized CY and 33 (11%) gave birth at home; whereas those who did not utilize CY (n = 708) had four times higher risk (40% vs. 11%) of subsequent child birth at home. In multivariable models, previous utilization of the scheme was significantly associated with subsequent utilization (adjusted Relative Risk (aRR): 2.7; 95% CI: 2.2-3.3), however previous out of pocket expenditure was not found to be associated with retention in the CY scheme. CONCLUSION: Women with previous CY utilization were largely retained; therefore, steps to increase uptake of CY are expected to increase retention of mothers within CY in their subsequent child birth. To understand the reasons for subsequent child birth at home despite previous CY utilization and previous zero/minimal out of pocket expenditure, future research in the form of systematic qualitative enquiry is recommended.
[Mh] Termos MeSH primário: Parto Obstétrico/utilização
Gastos em Saúde/estatística & dados numéricos
Serviços de Saúde Materna/utilização
Parcerias Público-Privadas/utilização
[Mh] Termos MeSH secundário: Adulto
Parto Obstétrico/economia
Feminino
Instalações de Saúde/utilização
Acesso aos Serviços de Saúde/economia
Acesso aos Serviços de Saúde/estatística & dados numéricos
Parto Domiciliar/economia
Parto Domiciliar/utilização
Seres Humanos
Índia
Serviços de Saúde Materna/economia
Mães/estatística & dados numéricos
Unidade Hospitalar de Ginecologia e Obstetrícia/economia
Unidade Hospitalar de Ginecologia e Obstetrícia/utilização
Gravidez
Parcerias Público-Privadas/economia
Estudos Retrospectivos
Populações Vulneráveis/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170427
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2256-6


  3 / 2541 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28383384
[Au] Autor:Butler T; Hasley S; Currigan SM; Levy BS
[Ad] Endereço:Wake Forest Baptist Health, Winston Salem, North Carolina; and the American College of Obstetricians and Gynecologists, Washington, DC.
[Ti] Título:The Maternal Quality Improvement Program: A Clinical Data-Driven National Registry for Maternity Care.
[So] Source:Obstet Gynecol;129(5):934-938, 2017 May.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Advancing the quality and safety of maternity care should be data-driven. Defining a standard set of clinical data elements, across electronic health record platforms and facilities, could accelerate performance measurement, benchmarking, and identification of better practices. In 2014, the American College of Obstetricians and Gynecologists and the American Society of Anesthesiologists launched the Maternal Quality Improvement Program, a data-driven national clinical registry for maternity care. Having an agreed-on set of discrete data elements related to labor and delivery will set the stage for analysis of this care. Through the use of clinical performance measures and data quality metrics, the Maternal Quality Improvement Program will provide an opportunity for health care providers to better understand the overall quality and safety of the maternity care provided within their institution.
[Mh] Termos MeSH primário: Serviços de Saúde Materna/normas
Tocologia/organização & administração
Unidade Hospitalar de Ginecologia e Obstetrícia/organização & administração
Cuidado Pré-Natal/normas
Sistema de Registros
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Gravidez
Resultado da Gravidez
Melhoria de Qualidade
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170407
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000001986


  4 / 2541 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28379803
[Au] Autor:Mann S; McKay K; Brown H
[Ad] Endereço:From the Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston (S.M.); the Obstetric Service Line, Avera Health, Sioux Falls, SD (K.M.); the American College of Obstetrics and Gynecology, Washington, DC (H.B.); and the Duke University School of Medicine, Durham, NC (H.B.).
[Ti] Título:The Maternal Health Compact.
[So] Source:N Engl J Med;376(14):1304-1305, 2017 Apr 06.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Hospitais Rurais/organização & administração
Serviços de Saúde Materna/organização & administração
Obstetrícia/recursos humanos
Telemedicina
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Serviços de Saúde Materna/recursos humanos
Obstetrícia/normas
Unidade Hospitalar de Ginecologia e Obstetrícia
Gravidez
Serviços de Saúde Rural/organização & administração
Centros de Atenção Terciária
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170427
[Lr] Data última revisão:
170427
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMp1700485


  5 / 2541 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28346519
[Au] Autor:Okonofua F; Randawa A; Ogu R; Agholor K; Okike O; Abdus-Salam RA; Gana M; Abe E; Durodola A; Galadanci H; WHARC WHO FMOH MNCH Implementation Research Study Team
[Ad] Endereço:Women's Health and Action Research Centre, Benin City, Edo State, Nigeria.
[Ti] Título:Views of senior health personnel about quality of emergency obstetric care: A qualitative study in Nigeria.
[So] Source:PLoS One;12(3):e0173414, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Late arrival in hospital by women experiencing pregnancy complications is an important background factor leading to maternal mortality in Nigeria. The use of effective and timely emergency obstetric care determines whether women survive or die, or become near-miss cases. Healthcare managers have the responsibility to deploy resources for implementing emergency obstetric care. OBJECTIVES: To determine the nature of institutional policies and frameworks for managing obstetric complications and reducing maternal deaths in Nigeria. METHODS: Thirty-six hospital managers, heads of obstetrics department and senior midwives were interviewed about hospital infrastructure, resources, policies and processes relating to emergency obstetric care, whilst allowing informants to discuss their thoughts and feelings. The interviews were audiotaped, transcribed and analyzed using Atlas ti 6.2software. RESULTS: Hospital managers are aware of the seriousness of maternal mortality and the steps to improve maternal healthcare. Many reported the lack of policies and specific action-plans for maternal mortality prevention, and many did not purposely disburse budgets or resources to address the problem. Although some reported that maternal/perinatal audit take place in their hospitals, there was no substantive evidence and no records of maternal/perinatal audits were made available. Respondents decried the lack of appropriate data collection system in the hospitals for accurate monitoring of maternal mortality and identification of appropriate remediating actions. CONCLUSION: Healthcare managers are handicapped to properly manage the healthcare system for maternal mortality prevention. Relevant training of healthcare managers would be crucial to enable the development of strategic implementation plans for the prevention of maternal mortality.
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/organização & administração
Serviços de Saúde Materna/organização & administração
Complicações do Trabalho de Parto/epidemiologia
Unidade Hospitalar de Ginecologia e Obstetrícia/organização & administração
[Mh] Termos MeSH secundário: Tratamento de Emergência
Feminino
Seres Humanos
Recém-Nascido
Mortalidade Materna
Tocologia
Nigéria/epidemiologia
Mortalidade Perinatal
Médicos
Gravidez
Qualidade da Assistência à Saúde/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170328
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0173414


  6 / 2541 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28244949
[Au] Autor:Chau A; Vijjeswarapu MA; Hickey M; Acker D; Huang CC; Tsen LC
[Ad] Endereço:From the Departments of *Anesthesiology, Perioperative, and Pain Medicine; §Nursing; ‖Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts; †Harvard Medical School, Boston, Massachusetts; and ‡Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada.
[Ti] Título:Cross-Disciplinary Perceptions of Structured Interprofessional Rounds in Promoting Teamwork Within an Academic Tertiary Care Obstetric Unit.
[So] Source:Anesth Analg;124(6):1968-1977, 2017 Jun.
[Is] ISSN:1526-7598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In 2005, physician and nursing leaders at Brigham and Women's Hospital initiated structured interprofessional rounds (SIPRs) on the labor and delivery (L&D) suite to improve team communication. We performed a cross-sectional analysis of providers' perceptions of SIPRs and their effectiveness in improving teamwork. We hypothesized that on average, providers would perceive SIPRs as being effective in promoting teamwork, but ratings would differ among professional groups. METHODS: After a factor analysis and internal consistency assessment, a 19-item paper-based questionnaire was used to evaluate providers' perceptions using a 5-point Likert scale. Respondents included L&D nurses, midwives, obstetricians, and anesthesiologists who participate in SIPRs. The primary aim was to evaluate the providers' perceptions of SIPRs and their association with professional roles. The outcome was total response score for each provider, ranging from 19 to 95; perception of SIPRs as being effective in promoting teamwork was defined as having a total response score of >66.5 (mean score, >3.5 per question). A univariable linear regression model was performed, followed by a multivariable analysis adjusting for predictors that modified the outcome; predictors included years of professional practice, years of experience on the L&D suite, number of clinical work hours worked weekly, and principal shift assignment among nurses. The associations between these predictors and providers' perceptions were assessed as a secondary aim. RESULTS: A total of 234 practitioners responded (100% response rate). The mean total response score (SD) for all providers was 73.3 (9.5). After multivariable adjustment, the mean total response scores were significantly higher for obstetric providers than for anesthesia (Δ mean, 6.5, 95% CI, 0.3, 12.7 P = .036) and midwifery (Δ mean, 12.5, 95% CI, 2.0, 23.0, P = .009) providers. Providers scored significantly lower if they worked >60 clinical hours per week compared with ≤20 (Δ mean, -13.7, 95% CI, -25.3, -2.1, P = .009), 21-40 (Δ mean, -8.0, 95% CI, -15.8, -0.09, P = .049), or 41-60 hours (Δ mean, -8.1, 95% CI, -14.5, -1.7, P = .004). Duration of practice in professional role and experience on the L&D suite were not predictive of SIPRs ratings. CONCLUSIONS: On average, providers on the L&D suite perceive SIPRs as being effective in promoting teamwork. Perception ratings were significantly influenced by professional role and number of clinical hours worked weekly, suggesting that these factors should be explored in future research to minimize perception gaps and support a dynamic culture of interprofessional collaboration.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Conhecimentos, Atitudes e Prática em Saúde
Comunicação Interdisciplinar
Corpo Clínico Hospitalar/psicologia
Recursos Humanos de Enfermagem no Hospital/psicologia
Unidade Hospitalar de Ginecologia e Obstetrícia
Equipe de Assistência ao Paciente
Percepção
Visitas com Preceptor
Centros de Atenção Terciária
[Mh] Termos MeSH secundário: Boston
Comportamento Cooperativo
Estudos Transversais
Seres Humanos
Modelos Lineares
Análise Multivariada
Papel do Profissional de Enfermagem
Admissão e Escalonamento de Pessoal
Papel do Médico
Estudos Prospectivos
Inquéritos e Questionários
Carga de Trabalho
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170301
[St] Status:MEDLINE
[do] DOI:10.1213/ANE.0000000000001890


  7 / 2541 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27887961
[Au] Autor:Gandhi M; Louis FS; Wilson SH; Clark SL
[Ad] Endereço:Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
[Ti] Título:Clinical perspective: creating an effective practice peer review process-a primer.
[So] Source:Am J Obstet Gynecol;216(3):244-249, 2017 Mar.
[Is] ISSN:1097-6868
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Peer review serves as an important adjunct to other hospital quality and safety programs. Despite its importance, the available literature contains virtually no guidance regarding the structure and function of effective peer review committees. This Clinical Perspective provides a summary of the purposes, structure, and functioning of effective peer review committees. We also discuss important legal considerations that are a necessary component of such processes. This discussion includes useful templates for case selection and review. Proper committee structure, membership, work flow, and leadership as well as close cooperation with the hospital medical executive committee and legal representatives are essential to any effective peer review process. A thoughtful, fair, systematic, and organized approach to creating a peer review process will lead to confidence in the committee by providers, hospital leadership, and patients. If properly constructed, such committees may also assist in monitoring and enforcing compliance with departmental protocols, thus reducing harm and promoting high-quality practice.
[Mh] Termos MeSH primário: Ginecologia
Obstetrícia
Revisão por Pares
Comitê de Profissionais/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Unidade Hospitalar de Ginecologia e Obstetrícia
Registros como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170607
[Lr] Data última revisão:
170607
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161127
[St] Status:MEDLINE


  8 / 2541 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27875777
[Au] Autor:Neels H; De Wachter S; Wyndaele JJ; Wyndaele M; Vermandel A
[Ad] Endereço:Department Rehabilitation Sciences and Physiotherapy, University of Antwerp, Wilrijk, Belgium; Department of Urology, Antwerp University Hospital, Edegem, Belgium. Electronic address: hedwig.neels@uantwerpen.be.
[Ti] Título:Does pelvic floor muscle contraction early after delivery cause perineal pain in postpartum women?
[So] Source:Eur J Obstet Gynecol Reprod Biol;208:1-5, 2017 Jan.
[Is] ISSN:1872-7654
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Pelvic floor muscle training is effective and necessary in the prevention and treatment of pelvic floor dysfunction during pregnancy and after childbirth. But because of the high prevalence of perineal pain observed in women after childbirth, many women and caregivers fear to start pelvic floor muscle training immediately after childbirth. However, it is unknown whether pelvic floor muscle contractions (PFMC) provoke perineal pain in women shortly after childbirth. Therefore, the main objective is to study whether PFMC performed immediately after childbirth is painful or not. STUDY DESIGN: Observational longitudinal study. Perineal pain was assessed (1-6 days and 9 weeks postpartum) using a visual analogue scale (VAS 0-10) during PFMC and during several activities of daily living (ADL), during micturition and defecation. Descriptive statistics, Wilcoxon and McNemar tests were used. RESULTS: A total of 233 women participated (148 primiparous and 85 multiparous). Immediately postpartum the prevalence and intensity of pain during ADL (73%; VAS 4.9 (±2.3)), micturition (47%; VAS 3.4 (±1.7)) and defecation (19%; VAS 3.6 (±2.2)) were significantly higher (all p<0.000) than during PFMC (8%; VAS 2.2 (±0.9)). At 9 weeks postpartum, 30% experienced perineal pain during sexual intercourse (VAS 4.6 +/- 2.3) and 18% during defecation (VAS 4.7 +/- 2.3), but none during PFMC. CONCLUSION: Perineal pain is highly prevalent immediately after childbirth during ADL, micturition and defecation, but not during PFMC (only 8%). In case perineal pain occurs during PFMC, the intensity of pain is low (VAS 2). These results show that fear of perineal pain should not discourage women to start pelvic floor muscle training shortly after childbirth.
[Mh] Termos MeSH primário: Terapia por Exercício/efeitos adversos
Contração Muscular
Neuralgia/etiologia
Distúrbios do Assoalho Pélvico/prevenção & controle
Diafragma da Pelve/fisiopatologia
Cuidado Pós-Natal
[Mh] Termos MeSH secundário: Atividades Cotidianas
Adulto
Bélgica/epidemiologia
Defecação
Dispareunia/epidemiologia
Dispareunia/etiologia
Disuria/epidemiologia
Disuria/etiologia
Feminino
Hospitais Universitários
Seres Humanos
Estudos Longitudinais
Neuralgia/epidemiologia
Unidade Hospitalar de Ginecologia e Obstetrícia
Medição da Dor
Distúrbios do Assoalho Pélvico/epidemiologia
Distúrbios do Assoalho Pélvico/fisiopatologia
Períneo
Prevalência
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170419
[Lr] Data última revisão:
170419
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161123
[St] Status:MEDLINE


  9 / 2541 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26868529
[Au] Autor:Jürges H
[Ad] Endereço:Schumpeter School of Business and Economics, University of Wuppertal, Rainer-Gruenter-Str. 21 (FN), 42119, Wuppertal, Germany. juerges@wiwi.uni-wuppertal.de.
[Ti] Título:Financial incentives, timing of births, and infant health: a closer look into the delivery room.
[So] Source:Eur J Health Econ;18(2):195-208, 2017 Mar.
[Is] ISSN:1618-7601
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:As a result of strong financial incentives created by the German parental leave reform on January 1, 2007, some 1000 births have been shifted from the last days of 2006 to the first days of 2007, especially by working mothers. This fact is already described in the literature, yet there is no evidence as to the mechanisms and only scarce evidence regarding the effects on newborn health. I use new data to study the timing of C-sections and the induction of births around the day the reform took effect. I estimate that postponed C-sections and inductions account for nearly 80 % of the pre-reform shortfall and nearly 90 % of the post-reform excess number of births. Despite concerns voiced by doctors before the reform, hardly any evidence can be found for detrimental health effects of those shifts, as measured by changes in gestational age, birth weight, APGAR scores, neonatal mortality, or hospitalization.
[Mh] Termos MeSH primário: Cesárea/estatística & dados numéricos
Salas de Parto/estatística & dados numéricos
Trabalho de Parto Induzido/estatística & dados numéricos
Licença Parental/legislação & jurisprudência
Resultado da Gravidez/epidemiologia
[Mh] Termos MeSH secundário: Feminino
Alemanha/epidemiologia
Seres Humanos
Motivação
Unidade Hospitalar de Ginecologia e Obstetrícia/estatística & dados numéricos
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171014
[Lr] Data última revisão:
171014
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160213
[St] Status:MEDLINE
[do] DOI:10.1007/s10198-016-0766-5


  10 / 2541 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27832670
[Au] Autor:Dudenhausen JW; Richter R; Vogel M
[Ad] Endereço:Klinik für Geburtsmedizin, Charité-Universitätsmedizin Berlin, Berlin.
[Ti] Título:[Stillbirths in the Obstetrical Departments of Berlin from 2013 to 2014].
[Ti] Título:Totgeburten der Jahre 2013 und 2014 in den Berliner Kliniken..
[So] Source:Z Geburtshilfe Neonatol;220(6):257-261, 2016 Dec.
[Is] ISSN:1439-1651
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Review of anonymous data of all stillbirths in all 19 obstetrical departments in Berlin from 2013-2014 with the goal to develop strategies for prevention of stillbirths (≥500 g birth weight). There were a total of 401 stillbirths,178 after fetocide or pregnancy termination and 223 were spontaneous stillbirths. Of this group an anatomical diagnosis from the autopsy was documented in 21 cases. When compared to live births, spontaneous stillbirths were significantly more likely to have intrauterine growth restriction (birth weight under the 10 percentile), a mother≥35 years of age, and a mother from a foreign country. In order to establish efficient strategies of stillbirth prevention, it is important to develop a uniform methodology for collecting stillbirth data on the mother, baby and placenta, and to develop a local or national registry of these data.
[Mh] Termos MeSH primário: Aborto Induzido/estatística & dados numéricos
Aborto Espontâneo/epidemiologia
Retardo do Crescimento Fetal/mortalidade
Idade Materna
Unidade Hospitalar de Ginecologia e Obstetrícia/estatística & dados numéricos
Natimorto/epidemiologia
Migrantes/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Berlim/epidemiologia
Comorbidade
Feminino
Seres Humanos
Masculino
Gravidez
Prevalência
Fatores de Risco
Análise de Sobrevida
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161111
[St] Status:MEDLINE
[do] DOI:10.1055/s-0042-118094



página 1 de 255 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde