Obstetrics And Gynecology Research Paper

Indeed, it is claimed that American obstetricians possess the highest professional recognition due to their profound competencies and knowledge. Thus, the specialists are trained not only in the patients care and medical operations, but on the cross-cultural understanding techniques, as well as in-process support, and post-mentoring (Doctors without borders,

Johnson et al. emphasize lower cesarean section rates of physician-mothers under physician-induced demand (2). One reason concerns higher reimbursement of surgical births rather than vaginal deliveries, which functions as a non-medical factor. Financial incentives are imposed on uninformed patients so that cesarean deliveries become more frequent in the health environment. Despite the non-medical factors applying cesarean sections should be regarded in terms of maternal mortality and morbidity. In addition, performing the vaginal delivery safely could involve more resources and treatment of any arising complications during the birth. Patients’ knowledge about interventions could achieve larger cuts in cesarean section

Pregnant mothers are viewed as a business made for doctors and hospitals as insurances typically cover infant birth and hospital bills. As Patricia Burkhardt, Clinical Associate Professor, NYU Midwifery Program could not speak the truth any better, she states, “Hospitals are a business. They want those beds filled and emptied. They don’t want women hanging around the labor room.”

Although nurse midwives do complete the task of aiding in the delivery of newborns, “they also provide health care and wellness care to women, which may include family planning, gynecological checkups, and prenatal care” (nurse.org). Nurse midwives also assist along with physicians during c-sectional births. Certified Nurse Midwives or CNMs are advanced nurse practitioners; however, nurse midwives must earn an advanced degree, a special certification, and training in order to practice midwife duties. CNMs offer similar care to that of an OB/GYN doctor; therefore they make different financial earnings. “Nursing Economics, found that when midwives work in collaboration with physicians, the birth is less likely to end in a C-section” (nurse.org). If less c- sections are performed in hospitals, it could help lower the medical costs due to paying for medication during the labor and delivery, of a natural vaginal birth. To illustrate, nurse midwives should be more prevalent in hospitals, in order to lower the financial status of medical

Medical malpractice claims have risen dramatically over the past 40 years alongside the financial claim awards (Kessler, 2011). Currently, America’s medical tort system is regulated and enforced primarily by the states (“Medical Tort System,” 2016). The main focus of tort law is to preserve the peace between two parties, to determine fault and discourage wrong doing (Pozgar, 2016). Most physicians today carry medical malpractice insurance to protect themselves from the high defense costs of claims and potential financial awards (Kessler, 2011). As the number of medical claims increase and jury awarded punitive damage skyrocket, medical malpractice insurance premiums have also risen dramatically (Kessler, 2011). Malpractice insurance

Early mornings at the East Los Angeles Planned Parenthood clinic are whirling with patients standing by closed doors to get their gynecologic needs covered by professional clinicians. Business simmers down after the rush hour of the early mornings and the afternoons. At the end of school, later in the afternoon, the clinic would become hectic with high-energy hormone-filled teenagers asking all kinds of intriguing questions. Saturdays were always a little slower than weekdays, the usual day when people would have a little too much fun under the bed sheets before realizing the wreck they had caused once the weekdays rolled around the corner.

As an adult student I have learned to appreciate the peaceful, yet exhilarating moment when my mind engages with an author 's thoughts on a page. To say the least, Born in the USA has been life changing. I treasured the information it provided, the optimism for my choice in profession, and the desire to push our current birthing environments further towards a safe and respectful place. To begin with, I am disheartened by the purposeful rebellion doctors in America possess toward Midwives and informed birth. I have experienced their contempt firsthand and it just strengthens my stance on maternal rights. Page 19 of “Born in the USA” states, “The Reciprocal Natural Childbirth Index” exemplifying the patronizing attitude toward self-education. If the leaders of the American healthcare system are not encouraging education, then what hope is there for anyone to make knowledgeable choices? As Marsden Wagner said, “I also learned much about the profession, including the fact that in every other highly industrialized country, midwives are highly valued health care professionals.” This makes me wonder what are we gaining stifling midwifery care?

Student’s Role in Project: I was engaged in this project from the very inception and was involved in developing the project. In the developing phase of this project, patient needs, utilization, and costs were evaluated and two major priority needs areas were identified: non-emergent utilization of emergency department (ED) care and incomplete post-partum services, including well-baby visits. This project would help the discharge navigators connect with the frequent ED-utilizing and post-partum patients with a PCP and follow-up appointments. The goals of these discharge services are: (1) to minimize non-emergent use of ED services, thereby reducing cost and improving continuity of care with PCPs; (2) to ensure that pregnant patients schedule

A common concern in healthcare today is the lack of quality care and the rising costs of services. The low quality care brings forth medical errors, administrative fees, overtreatment as well as under treatment. All of which lead to higher costs. Patients are left dissatisfied and physicians, frustrated. With these two forces aggravated with a system where they both see no benefit, lawsuits are foreseeable. However, attorneys repeatedly argue that the looming threat of lawsuits creates incentives for healthcare providers to administer careful and quality care. Yet, lawsuits have proven to only further harm the already flawed system. Lawsuits encourage all parties to participate in a practice known as defensive

Over time, there has been trends seen in particular fields of medicine with regards to gender. According to Lyndra Vassar’s article, there are fields that are made up of majority of women including OB/GYN, family medicine, psychiatry, and pediatrics. This was seen in a fairly recent study in 2013-2014 from the Association of American Medical Colleges (1). However, over a decade ago, according to a New York Times article, the OB/GYN field was not always dominated by women. The 2001 article mentions how 64 percent of doctors in the field were male, but most of the doctors in training were women (2). This field, along with most other medical ones, were mainly dominated by males, as history proves. Historically, males were seen as dominant in our society, however, with time, that view is changing and women and men are starting to be seen as equal. More women are joining the medical community and going into fields such as OB/GYN.

Unfortunately, this system of disease management includes obstetrics and thus often pregnant women are treated as if they have a disease, not that they are experiencing a normal process. Women are often not satisfied with the care that they receive within the healthcare system because they feel as if they have little to no control of their body, are essentially forced into giving birth in a specific way (convenient for the doctors, but not as pleasant for women), or their opinions are not considered. Therefore, as an individual aspiring to enter into a field that often limits a woman’s choice, it will be imperative for me to attempt to overcome such practices and provide care that is highly accessible for all patients that offers a wide range of services such as birthing classes, referral to other alternative medicine practitioners, and coordinates the care of the patients. I must also provide care and services that ensures that the macro and micro factors that may threaten my patients’ health are minimized. Additionally, it will be imperative for me to have measures in place, such as patient and staff review to ensure that I am delivering effective quality care to the women that come to my practice. In the future, I aspire to run a successful practice, within a community that already has one OB-GYN practice that has a monopoly on the discipline currently. Therefore, I will have significant competition, but If I ensure that I place the patient first, a factor that Don Berwick cites as being vital to help our system, then I will be able to run a successful practice that maximizes patient satisfaction and helps provide obstetric and gynecological services back to the community that raised me (Conaboy). At the end of the day, under the current system and how many practices are

Women make up just slightly over half the U.S population (US Census Bureau, 2010) and should not be even considered a part of a minority group. The female population should acquire the same equal research attention as men do, especially when it comes to health issues. The unavoidable, yet quite simple realities of breastfeeding, menstruation, menopause, along with pregnancy require special scrutiny from medical experts. Those medical specialties are generally referred as gynecologists or obstetrics, who focus on the exclusive needs of a female’s reproductive health throughout their lifespan. Historically, the health needs of women have been disregarded as well as their fundamental rights. However, over the past few decades, it has grabbed the media and the government’s attention causing some major changes in support of women’s rights and health care.

You did a good job with your analysis and explanation of your strip. I agree with your post and also got rate 70bmp, conduction ratio 4: 1. Since the rhythm is Atrial Flutter, there is no PR interval (Moseley, Klein & Sole, 2013, p. 118). In addition, the patient is usually asymptomatic, as a nurse I will assess patient for tolerance of the rhythm. Furthermore, I will check blood pressure, assess for any chest pain, shortness of breath, fluttering feeling, dizziness, and if possible contact physician based on my assessment findings (Moore, 2016).

With the fastest growing population in Canada, Alberta is facing increased pressure on its healthcare system, especially in maternal health services. This is illustrated by the over 50,000 babies born annually and the strain placed on the system which is only compounded by a shortage of physicians (Alberta Health Services, 2014). As a result, the province is seeking ways to improve access for families to primary care providers for maternal health services. This policy analysis will explore the current state of midwifery, the key barriers that have prevented its acceptance and growth and provide recommendations towards a sustainable system for maternal services in Alberta.

Who wouldn’t want to bring joy to families and couples awaiting the arrival of their newest bundle of joy? I know personally I couldn't pass up the a job that let me do that. Becoming an Ob gyn takes a lot of schooling, internships, and long hours. The outcome is steeped with thrill and joy. The job of an Ob gyn suites me and my personality to a point. My background is replete with experience caring for the welfare of young children. I have cared for children as young as two months to above five years. Also my maturity level has always been greater than everyone my age. I have always been given the group leader's job. In addition to my experience and maturity level, I also have a lot of education. Most of my education has been focused in Math, Science, and medical classes.