Obstetric Analgesia and Anesthesia
|
|
- Warren Mills
- 5 years ago
- Views:
Transcription
1 Obstetric Analgesia and Anesthesia A Manual for Physicians, Nurses and Other Health Personne4 Prepared for the World Federation of Societies of Anaesthesiologists Edited by John J. Bonica With 24 Figures Springer-Verlag Berlin Heidelberg New York 1972
2 JOHN J. BONICA, M. D. University of Washington, School of Medicine, Department of Anesthesiology and Anesthesia Research Center, Seattle/USA Chairman, Ad Hoc Committee for Obstetric Anesthesia, and Scientific Advisory Committee WFSA ISBN ISBN (ebook) DOl / The use of general descriptive names, trade marks, etc. in this publication, even if the former are not especially identified, is not to be taken as a, sign that such names, as understood by the Trade Marks and Merchandise Marks Act, may accordingly be used freely by anyone. This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying, machine or similar means, and storage in data banks. Under 54 of the German Copyright Law where copies are made for other than private use, a fee is payable to the publisher, the amount of the fee to be determined by agreement with the publisher. by Springer-Verlag Berlin. Heidelberg Library of Congress Catalog Card Number
3 Introduction The provision of the best possible anesthetic care to the-greatest number of patients all over the world has always been the main goal of the World Federation of Societies of Anaesthesiologists. In addition to the establishment of Regional Anesthesiology Training Centers and the organization of Regional and World Congresses, the distribution of practical monographs on some important aspects of anesthesiology were considered important for the attainment of this objective. In 1968, on the occasion of the Fourth World Congress of Anesthesiology, held in London, a monograph on "Emergency Resuscitation", compiled by the Committee on Cardiopulmonary Resuscitation, chaired by Professor HENNING POULSEN, was made available to our membership. Subsequently, this excellent monograph was translated into Spanish, Russian, German and French and to this date over 100,000 copies of it have been distributed to anesthesiologists and other interested physicians the world over. When looking for a suitable topic for a second monograph to commemorate the 1972 World Congress of Anesthesiology to be held in Kyoto this September, the subject of Obstetric Analgesia and Anesthesia was the first choice of almost everyone consulted. For reasons that are hard to condone, obstetric analgesia and anesthesia has often been the stepchild among the anesthetic subspecialties. Considering that one fourth to one third of all anesthesias administered are for the relief of childbirth, that obstetric anesthesia is in many cases "emergency" anesthesia, and that not one but two lives are at stake, it is difficult to acquiesce in the fact that in many communities this important function, deserving the skill and devotion of the best specialists, is often relegated to poorly trained medical and paramedical personnel. In an attempt to alleviate this deplorable situation, an Ad Hoc Committee for Obstetric Anesthesia was appointed and charged with the task of compiling a brief, but comprehensive, practical monograph on obstetric pain relief and infant resuscitation. This monograph is the result of many hours of hard work contributed by the members of this committee, ably directed by Professor John Bonica. It is our hope that this concise volume will accomplish two objectives: It will arouse a world wide interest in the sadly neglected field of obstetric anesthesia and will serve as a practical guide for those planning to devote more III
4 time, energy and sophistication to the relief of the suffering of parturients and the improvement of chances of the newborn for a healthier and thereby happier life. FRANCIS F. FOLDES, M. D. President World Federation of Societies of Anaesthesiologists IV
5 Preface In recent years there has been an impressive surge of interest in obstetric analgesia and anesthesia. This trend is exerting social and professional pressures on physicians to provide parturients with better and more widespread pain relief during childbirth. Of the many factors for this trend for greater demand for, and use of, anesthesia for childbirth, one of the most important: has been the expectation of parturients. Today, gravidas in many countries, having been made aware of the benefits of good obstetric analgesia by magazine articles, books, television and other news media, have come to expect it just as they expect painless surgery and painless dentistry. Thisincreased demand by patients and the realization that lack of anesthesia or poorly administered anesthesia in themselves cause maternal and perinatal mortality and morbidity have prompted obstetricians in many parts of the world to demand better services by anesthesiologists. This expectation is strongly supported by statistics from those medical centers where obstetric anesthesia is provided by competent personnel. These data show that optimal pain relief not only does not contribute to, but actually reduces maternal and perinatal mortality and morbidity by permitting better obstetric care. In response to this, more and more physician-anesthetists are devoting some of their professional time to obstetric anesthesia and some have become "obstetric anesthesiologists," physicians with special training who are devoting all of their efforts to this field. This booklet is intended to provide guidelines to people who have the serious responsibility of administering obstetric analgesia-anesthesia, whether they be physicians, nurses or midwives. The importance of fundamental knowledge in managing parturients cannot be overemphasized, and is attested by the rather large amount of space devoted to Chapter 1. Since normal vaginal delivery occurs in over three-fourths of births, a commensurate amount of space is devoted to this aspect of obstetrics. The sections on operative and complicated deliveries consider only the most common problems. The scope of the brochure and space limitations preclude discussion of every drug and technique used throughout the world or detailed review of the literature of the methods mentioned. The reference list at the end of the brochure should be consulted for comprehensive reviews. v
6 I wish to thank the members of the Ad Hoc Committee, but especially Doctors Gertie Marx and Sol Shnider, for their cooperation and help in the development of this brochure. The Committee hopes that it will encourage better anesthetic care for mothers and their offspring everywhere. Seattle, June 1972 JOHN J. BONICA, M. D. Chairman, Ad Hoc Committee for Obstetric Anesthesia, and Scientific Advisory Committee WFSA VI
7 Table of Contents Part A. Fundamental Considerations Chapter 1. Physiologic and Pharmacologic Considerations 1 Maternal Physiology and Psychology 1 Physiology and Pharmacology of the Placenta and Fetus Physiology of the Forces of Labor Pharmacology of Obstetric Analgesics, Anesthetics and Related Drugs Part B. Analgesia-Anesthesia for Normal Labor and Vaginal Delivery Chapter 2. General Considerations 29 Basic Principles 29 Antepartal Preparation 30 Preanesthetic Care 34 Intraanesthetic Care 35 Postanesthetic Care 35 Chapter 3. Non-Pharmacologic Methods of Obstetric AnalgeSIa Psychologic Analgesia Acupuncture Analgesia Chapter 4. Simple Methods of Obstetric Analgesia 43 Management During Latent Phase. 43 Analgesia During the Active Phase of Labor 45 Chapter 5. Regional Analgesia-Anesthesia 48 Basic Considerations 49 Paracervical Block ' Pudendal Block Subarachnoid (Spinal) Anesthesia 58 Spinal Epidural Block Caudal Block Cqp1plications of Regional Anesthesia 70 Chapter 6. General Analgesia-Anesthesia 75 Basic Considerations 75 Inhalation Analgesia 77 General Anesthesia. 82 VII
8 Part C. Analgesia-Anesthesia for Complicated Obstetrics Chapter 7. Chapter 8. Chapter 9. Chapter 10. References.. Anesthesia for Operative Vaginal Delivery Forceps Delivery Breech Delivery.... Multiple Delivery.... Other Operative Obstetric Procedures Anesthesia for Cesarean Section Elective Cesarean Section.... Emergency Cesarean Section Anesthesia in the Presence of Complications Toxemia of Pregnancy Heart Disease Diabetes Mellitus Prematurity Fetal Distress.. Management of Newborn Basic Considerations General Management Resuscitation of the Depressed Newborn VIII
CA-2 Curriculum for Obstetric Anesthesia Department of Anesthesiology
CA-2 Curriculum for Obstetric Anesthesia Department of Anesthesiology Description of Rotation or Educational Experience The goal of the CA-2 rotation in obstetric anesthesia is to enhance the knowledge
More informationOBSTETRICAL ANESTHESIA
DEPARTMENT OF ANESTHESIA RESIDENCY TRAINING PROGRAM UNIVERSITY OF MANITOBA OBSTETRICAL ANESTHESIA INTRODUCTION Residents will have the opportunity to gain experience in Obstetrical anesthesia in the course
More informationGoals and Objectives. Assessment Methods/Tools
CA-2 OBSTETRIC ANESTHESIA ROTATION FAIRVIEW RIVERSIDE Medical Center - Fairview Rotation Site Director: Dr. Susanne Rupert Rotation Duration: 4 weeks Introduction: Building on the knowledge, skills and
More informationWithin the Scope of Practice/Role of X APRN X RN LPN CNA ADVISORY OPINION MANAGEMENT OF ANALGESIA BY CATHETER IN THE PREGNANT CLIENT
Wyoming State Board of Nursing 130 Hobbs Avenue, Suite B Cheyenne, WY 82002 Phone (307) 777-7601 Fax (307) 777-3519 E-Mail: wsbn-info-licensing@wyo.gov Home Page: https://nursing-online.state.wy.us/ OPINION:
More informationStandards for competence for registered midwives
Standards for competence for registered midwives The Nursing and Midwifery Council (NMC) is the nursing and midwifery regulator for England, Wales, Scotland and Northern Ireland. We exist to protect the
More information1. Introduction. 1 CMS section
1. Introduction Anesthesiology is the practice of medicine including, but not limited to, preoperative patient evaluation, anesthetic planning, intraoperative and postoperative care and the management
More informationGENERAL PROGRAM GOALS AND OBJECTIVES
BENJAMIN ATWATER RESIDENCY TRAINING PROGRAM DIRECTOR UCSD MEDICAL CENTER DEPARTMENT OF ANESTHESIOLOGY 200 WEST ARBOR DRIVE SAN DIEGO, CA 92103-8770 PHONE: (619) 543-5297 FAX: (619) 543-6476 Resident Orientation
More informationObstetric Anesthesia Rotations Director: H Jane Huffnagle, DO
Obstetric Anesthesia Rotations Director: H Jane Huffnagle, DO Goals CA 1 residents are assigned to the labor floor for 1 month and will: 1. Learn to perform a routine anesthetic evaluation of patients
More information!!!!!! MAXIMIZING MIDWIFERY. to Achieve High-Value Maternity Care in New York CHOICES IN CHILDBIRTH + EVERY MOTHER COUNTS
MAXIMIZING MIDWIFERY to Achieve High-Value Maternity Care in New York CHOICES IN CHILDBIRTH + EVERY MOTHER COUNTS Nan Strauss January 2018 EXECUTIVE SUMMARY In the parts of Europe that have the very best
More informationVanderbilt University Medical Center Policy Manual
AS xx-xx.xx Chapter: Add appropriate chapter name here Supersedes Key Words: For search purposes, add appropriate key words nitrous, analgesia, intrapartum Applicable to VUH Children s VMG VMG Off-site
More informationPLANNED OUT-OF-HOSPITAL BIRTH TRANSPORT GUIDELINE
PLANNED OUT-OF-HOSPITAL BIRTH TRANSPORT GUIDELINE Updated February 2011 PREPARED BY THE MAWS TRANSPORT GUIDELINE COMMITTEE WITH THE AD HOC PHYSICIAN LICENSED MIDWIFE WORKGROUP OF THE STATE PERINATAL ADVISORY
More informationHong Kong College of Midwives
Hong Kong College of Midwives Curriculum and Syllabus for Membership Training of Advanced Practice Midwives Approved by Education Committee: 22 nd January 2016 Endorsed by Council of HKCMW: 17 th February
More informationMidwife / Physician Agreement
Midwife / Physician Agreement This agreement between (the midwife) and (Affiliated Physician) executed this date sets forth the agreement between the parties, patterns of care between the parties and patterns
More informationMODULE 4 Obstetric Anaesthesia and Analgesia
MODULE 4 Obstetric Anaesthesia and Analgesia Duration required: A minimum 50 sessions (½ days) of clinical experience is required TE10 (2003) Recommendations for Vocational Training Programs Trainee s
More informationHaving Your Baby. at Brigham and Women s Hospital MARY HORRIGAN CONNORS CENTER FOR WOMEN S HEALTH
Having Your Baby at Brigham and Women s Hospital MARY HORRIGAN CONNORS CENTER FOR WOMEN S HEALTH Welcome to Brigham and Women s Hospital Thank you for choosing Brigham and Women s Hospital. The Center
More informationDRAFT. Program Requirements for Fellowship (CA-4) Education in Obstetric Anesthesiology
DRAFT Program Requirements for Fellowship (CA-4) Education in Obstetric Anesthesiology In addition to complying with the Program Requirements for Fellowship Education in the Subspecialties of Anesthesiology,
More informationAnesthesia Services INDIANA HEALTH COVERAGE PROGRAMS. Copyright 2017 DXC Technology Company. All rights reserved.
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Anesthesia Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 1 9 P U B L I S H E D : D E C E M B E R 1 2, 2 0 1 7 P O
More informationTHE INTRAPARTUM NURSE S BELIEFS RELATED TO BIRTH PRACTICE
THE INTRAPARTUM NURSE S BELIEFS RELATED TO BIRTH PRACTICE Ellise D. Adams PhD, CNM All Rights Reserved Contact author for permission to use The Intrapartum Nurse s Beliefs Related to Birth Practice (IPNBBP)
More informationPart I. New York State Laws and Regulations PRENATAL CARE ASSISTANCE PROGRAM (i.e., implementing regs on newborn testing program)
Part I. New York State Laws and Regulations PRENATAL CARE ASSISTANCE PROGRAM (i.e., implementing regs on newborn testing program) (SEE NY Public Health Law 2500f for HIV testing of newborns FOR STATUTE)
More informationAnesthesia Elective Curriculum Outline
Department of Internal Medicine Texas Tech University Health Sciences Center Odessa, Texas Anesthesia Elective Curriculum Outline Revision Date: July 10, 2006 Approved by Curriculum Meeting September 19,
More informationWelcome to the 2010 Sol Shnider, M.D. Obstetric Anesthesia Meeting. Program Committee and Faculty
Welcome to the 2010 Sol Shnider, M.D. Obstetric Anesthesia Meeting Program Committee and Faculty We are pleased to announce the return of the Sol Shnider, M.D. Obstetric Anesthesia Meeting, which was established
More informationThe ASA defines anesthesiology as the practice of medicine dealing with but not limited to:
1570 Midway Pl. Menasha, WI 54952 920-720-1300 Procedure 1205- Anesthesia Lines of Business: All Purpose: This guideline describes Network Health s reimbursement of anesthesia services. Procedure: Anesthesia
More informationPROVIDENCE Holy Cross Medical Center
PROVIDENCE Holy Cross Medical Center Department ofobstetrics & Gynecology Rules and Regulations I. NAME AND PURPOSE: The Name of this Department shall be the Department of Obstetrics and Gynecology of
More informationCochrane Review of Alternative versus Conventional Institutional Settings for Birth. E Hodnett, S Downe, D Walsh, 2012
Cochrane Review of Alternative versus Conventional Institutional Settings for Birth E Hodnett, S Downe, D Walsh, 2012 Why Study Types of Clinical Birth Settings? Concerns about the technological focus
More informationUniCare Professional Reimbursement Policy
UniCare Professional Reimbursement Policy Subject: Anesthesia Services Policy #: UniCare 0020 Adopted: 02/03/2009 Effective: 02/07/2017 Coverage is subject to the terms, conditions, and limitations of
More informationUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES CA-2/CA-3 REQUIRED ROTATIONS IN PEDIATRIC ANESTHESIOLOGY The Department of Anesthesiology has established
More informationNitrous Oxide for Labor Analgesia
Provider order required? [ X ] Yes [ ] No TITLE: STATEMENT: Nitrous Oxide for Labor Analgesia Nitrous Oxide May be used safely for analgesia during labor. It may be initiated by anesthesia, self-delivered
More informationJOHNS HOPKINS HEALTHCARE Physician Guidelines
Page 1 of 7 ACTION New Procedure Amending Procedure Number: Superseding Procedure Number: Repealing Procedure Number: REFERENCES: AMPT Committee ASA Guidelines CMS Guidelines I. GENERAL ANESTHESIA PROCEDURE:
More informationPostoperative Critical Care for Cardiac Surgical Patients
Postoperative Critical Care for Cardiac Surgical Patients Ali Dabbagh Fardad Esmailian Sary F. Aranki Editors Postoperative Critical Care for Cardiac Surgical Patients Editors Ali Dabbagh, MD Department
More informationCAYUGA COMMUNITY COLLEGE DEPARTMENT OF NURSING COURSE SYLLABUS NURSING Credit Hours. 10 hrs/wk x 7½ wks hrs...
CAYUGA COMMUNITY COLLEGE DEPARTMENT OF NURSING COURSE SYLLABUS NURSING 216 4 Credit Hours COURSE TITLE: CLASSROOM TIME: Family/Community Nursing II 4 hrs/wk x 7½ wks.... 30 hrs..... 2 credit hrs CLINICAL
More informationAnthem Blue Cross and Blue Shield Professional Reimbursement Policy
Subject: Anesthesia CT Policy: 0020 Effective: 08/01/2014 01/31/2015 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria listed
More informationAPPENDIX I QUESTIONNAIRE FOR INTERVIEWING THE ANAESTHESIA PROVIDER
APPENDIX I QUESTIONNAIRE FOR INTERVIEWING THE ANAESTHESIA PROVIDER We are carrying out a survey to establish the quality of anaesthesia care provided to Obstetric patients in East Africa. We therefore
More informationHighmark Reimbursement Policy Bulletin
Highmark Reimbursement Policy Bulletin Bulletin Number: Subject: RP-033 Anesthesia Services Effective Date: March 12, 2018 End Date: Issue Date: June 11, 2018 Source: Reimbursement Policy Applicable Commercial
More informationTranscultural Experience to England
Transcultural Experience to England Student Journals by: McKenna Moffatt Gracie McDonagh Day 1 The first day in Brighton was spent at the New Sussex Hospital. Gracie and I were oriented on the unit. I
More informationUniversity of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES
University of Minnesota Anesthesiology Residency Program PEDIATRIC ANESTHESIA ROTATION GOALS AND OBJECTIVES Goals: The overall goal of the rotation is to provide an introduction and understanding of the
More informationIMPORTANT NOTICE REGARDING NEW ANESTHESIA BILLING GUIDELINES AND REIMBURSEMENT PROCEDURES November 2008
IMPORTANT NOTICE REGARDING NEW ANESTHESIA BILLING GUIDELINES AND REIMBURSEMENT PROCEDURES November 2008 This notice will serve as an update to the August 2007Anesthesia Billing Guidelines and Reimbursement
More informationCRNAs Value for Your Team and Bottom Line
CRNAs Value for Your Team and Bottom Line Sarah Chacko, JD Assistant Director of State Government Affairs and Legal Lynn Reede, CRNA, DNP, MBA Senior Director, Professional Practice Becker s 13th Annual
More informationTimeline for Applications to Reducing Primary Cesareans Collaborative 2019
Reducing Primary Cesareans Application Checklist Below is a list of the items needed to complete the application for the American College of Nurse-Midwives, Healthy Birth Initiative: Reducing Primary Cesareans
More informationA Clinical Evaluation of Evidence-Based Maternity Care Using the Optimality Index Lisa Kane Low and Janis Miller
CLINICAL ISSUES A Clinical Evaluation of Evidence-Based Maternity Care Using the Optimality Index Lisa Kane Low and Janis Miller The Optimality Index-US ( OI-US ) reflects the use of evidence-based practices
More informationSHADY GROVE ADVENTIST HOSPITAL DEPARTMENT OF OBSTETRICS AND GYNECOLOGY RULES AND REGULATIONS
RULES AND REGULATIONS I. PURPOSE The Department of Obstetrics and Gynecology is organized for the purpose of securing the highest standards of medical care for patients hospitalized in the Shady Grove
More informationIMPORTANT NOTICE REGARDING NEW ANESTHESIA BILLING GUIDELINES AND REIMBURSEMENT PROCEDURES AUGUST 2007
IMPORTANT NOTICE REGARDING NEW ANESTHESIA BILLING GUIDELINES AND REIMBURSEMENT PROCEDURES AUGUST 2007 This notice will serve as an update to the August 2005 Anesthesia Billing Guidelines and Reimbursement
More informationAssessment of Midwives Knowledge Regarding Childbirth Classes in Baghdad City
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 5, Issue 1 Ver. I (Jan. - Feb. 2016), PP 72-77 www.iosrjournals.org Assessment of Midwives Knowledge Regarding
More informationStandards. Birth Centers. for. Revised 2017
Standards for Birth Centers Revised 2017 The Standards for Birth Centers were approved by the Board of Directors of the American Association of Birth Centers on March 30, 1985. Revisions recommended by
More informationBasic Standards for Residency Training in Anesthesiology
Basic Standards for Residency Training in Anesthesiology American Osteopathic Association and American Osteopathic College of Anesthesiologists Adopted BOT 7/2011, Effective 7/2012 Revised, BOT 6/2012,
More informationSUTTER MEDICAL CENTER, SACRAMENTO RULES AND REGULATIONS DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
I. MEMBERSHIP SUTTER MEDICAL CENTER, SACRAMENTO RULES AND REGULATIONS DEPARTMENT OF OBSTETRICS AND GYNECOLOGY SCHEDULED REVIEW: 10/2015 The Department of Obstetrics and Gynecology will consist of those
More informationSCOPE OF PRACTICE PGY-4 PGY-6
Description/Goals: The training program in neonatal-perinatal medicine at the Medical University of South Carolina is a three-year program during which the subspecialty resident will gain competency in
More informationState of New Jersey Board of Medical Examiners Midwifery Regulations Published May 19, 2003
State of New Jersey Board of Medical Examiners Midwifery Regulations Published May 19, 2003 TITLE 13. LAW AND PUBLIC SAFETY CHAPTER 35. BOARD OF MEDICAL EXAMINERS SUBCHAPTER 2A. LIMITED LICENSES: MIDWIFERY
More informationAnesthesia Services Clinical Coverage Policy No.: 1L-1 Amended Date: October 1, Table of Contents
Table of Contents 1.0 Description of the Procedure, Product, or Service... 1 1.1 Definitions... 1 2.0 Eligibility Requirements... 2 2.1 Provisions... 2 2.1.1 General... 2 2.1.2 Specific... 2 2.2 Special
More informationLocation, Location, Location! Labor and Delivery
Location, Location, Location! Labor and Delivery Jeanne S. Sheffield, MD Director of the Division of Maternal-Fetal Medicine Professor of Gynecology and Obstetrics The Johns Hopkins Hospital Disclosures
More informationDepartment of Anesthesiology Anesthesia Curriculum Clinical Base Year
Anesthesia Curriculum Clinical Base Year Description of Rotation The goal of this month long rotation is to teach the basic skills of anesthesia and to provide a foundation on which to build the initial
More informationCare of Patients Receiving Analgesia by Catheter Techniques Position Statement and Policy Considerations
Care of Patients Receiving Analgesia by Catheter Techniques Position Statement and Policy Considerations Position Statement Registered nurses (RNs) are valuable members of the patient care team who are
More informationA29/B29: Maternity Care: Emerging Models to Support Health Case Study Session
This presenter has nothing to disclose. A29/B29: Maternity Care: Emerging Models to Support Health Case Study Session Sue Leavitt Gullo, RN, BSN, MS Wednesday, December 9, 2015 Objectives Describe the
More informationSTATEMENT ON THE ANESTHESIA CARE TEAM
Committee of Origin: Anesthesia Care Team (Approved by the ASA House of Delegates on October 18, 2006, and last amended on October 21, 2009) Anesthesiology is the practice of medicine including, but not
More informationSyllabus. Note: This syllabus is subject to change during the semester. Please check this syllabus on a regular basis for any updates.
Syllabus Note: This syllabus is subject to change during the semester. Please check this syllabus on a regular basis for any updates. Course Number: VNSG 1406 Course Title: Introductory Maternity/Newborn
More informationWhere will my baby be born?
Where will my baby be born? A Parent Information Leaflet Where will will I have I have my my baby? baby? From the moment you find out that you are pregnant, you are faced with having to make many decisions
More information2013 Mommy Steps. Program Description. Our mission is to improve the health and quality of life of our members
2013 Mommy Steps Program Description Our mission is to improve the health and quality of life of our members I. Purpose Passport Health Plan (PHP) has developed approaches to the management of members
More informationClinical Privileges Profile Family Medicine. Kettering Medical Center System
Clinical Privileges Profile Kettering Medical Center Sycamore Medical Center Kettering Medical Center System Applicant: Check off the Requested box for each privilege requested. Applicants have the burden
More informationUnique Business Opportunity for Midwives. Set up your own Private Practice
Unique Business Opportunity for Midwives Set up your own Private Practice Copyright Expectancy Ltd 2018 Calling all midwives with a sense of adventure Are you a midwife who s keen to establish your own
More informationCore Partners. Associate Partners
Core Partners American College of Nurse-Midwives (ACNM) American College of Obstetricians and Gynecologists (ACOG) Association of Maternal and Child Health Programs (AMCHP) Association of State and Territorial
More informationPerinatal Designation Matrix 3/21/07
Codes: N = Neonatal Criteria M= Maternal Criteria P= Perinatal Criteria (both N & P) Perinatal Designation Matrix 3/21/07 Service/ 1. (N) Minimum NICU bed capacity Minimum of 10 NICU beds. Minimum of 15
More informationAnesthesia s Role in Safe Obstetrics 25th Anniversary Symposium of Dutch Obstetric Anesthesia
Facilitating Collaboration, Improving Care: Anesthesia s Role in Safe Obstetrics 25th Anniversary Symposium of Dutch Obstetric Anesthesia Centered around Lieve Blancquaert s intriguing photographs on how
More informationBeaumont Health System
CONTENT Prerequisites Completion in ACGME-accredited residency programs, or in Royal College of Physicians and Surgeons of Canada (RCPSC)-accredited or College of Family Physicians of Canada (CFPC)-accredited
More informationIN-TRAINING ASSESSMENT REPORT (ITAR)
Trainee Name: Rotation: Obstetrics (3 rd Month) Trainee Level: Start Date: End Date: Block(s): Goals & Objectives: Considering the present level of training and, on review of training milestones, assess
More informationCURRICULUM VITAE (2/2007 Abbreviated) Bernard Wittels M.D. Ph.D. Associate Professor. Department of Anesthesiology, Rush University Medical Center
CURRICULUM VITAE (2/2007 Abbreviated) Bernard Wittels M.D. Ph.D. Associate Professor Department of Anesthesiology, Rush University Medical Center Education: A.B. (biochemistry), Dartmouth College 1976
More informationIdaho Perinatal Project Newsletter
Idaho Perinatal Project Newsletter In This Issue Meet the Advisory Board January 2013 2013 Idaho Perinatal Project Winter Conference Birth Defects Prevention Month AWHONN Pledge to Support Spontaneous
More informationCurriculum Vitae. Cherylann Sarton, PhD, CNM. School of Nursing 12 High Street Suite 200. Portland, Maine Office: (207)
Curriculum Vitae Cherylann Sarton, PhD, CNM University of Southern Maine Central Maine Medical Center OBGYN School of Nursing 12 High Street Suite 200 P.O. Box 9300 Lewiston, Me Portland, Maine 04039-9300
More informationOld Problems New Solutions?» 29 th Myron B. Laver International Postgraduate Course. «Obstetric Anesthesia Practice:
«Obstetric Anesthesia Practice: Old Problems New Solutions?» 29 th Myron B. Laver International Postgraduate Course Basel, Switzerland February 6 7, 2009 Department of Anesthesia University Hospital Basel
More informationFACULTY OF HEALTH SCHOOL OF NURSING AND MIDWIFERY
FACULTY OF HEALTH SCHOOL OF NURSING AND MIDWIFERY Graduate Diploma of Midwifery: Course Summary Melbourne Burwood Campus July 2015 Graduate Diploma of Midwifery The Graduate Diploma of Midwifery is designed
More informationSample plans for each core certification can be found within this guide
N A T I O N A L C E R T I F I C A T I O N C O R P O R A T I O N NCC Core Maintenance Program Education Plan Examples Continuing Competency Assessment Sample plans for each core certification can be found
More informationRecommendations to the IHS from the Rural Maternal Safety Meeting
THE AMERICAN COLLEGE OF OBSTETRICIANS & GYNECOLOGISTS Committee on American Indian/Alaska Native Women s Health Recommendations to the IHS from the Rural Maternal Safety Meeting The multidisciplinary Rural
More informationComprehensive Pain Care, P.C. Patient Handbook. 840 Church Street Suite D Marietta, GA (770)
Comprehensive Pain Care, P.C. Patient Handbook 840 Church Street Suite D Marietta, GA 30060 (770) 421-8080 1 Welcome Welcome to Comprehensive Pain Care, P.C. Our staff is dedicated to providing pain relief
More informationClient Alert. CMS Clarifies Interpretive Guidelines for Hospitals Providing Anesthesia Services
Contact Attorneys Regarding This Matter: Mark A. Guza 404.873.8796 - direct 404.873.8797 - fax mark.guza@agg.com Diana Rusk Cohen 404.873.8108 - direct 404.873.8109 - fax diana.cohen@agg.com Client Alert
More informationGlobal Health Curriculum: Learning Objectives
OVERARCHING GOALS FOR RESIDENCY EDUCATION IN GLOBAL HEALTH These overarching goals describe the knowledge, skills and attitudes we consider necessary for consultant-level practice applied in various clinical
More informationGOVERNMENT GAZETTE REPUBLIC OF NAMIBIA
GOVERNMENT GAZETTE OF THE REPUBLIC OF NAMIBIA N$6.00 WINDHOEK - 18 July 2017 No. 6361 CONTENTS Page GOVERNMENT NOTICE No. 182 Regulations relating to approval of minimum requirements for education and
More informationMapping maternity services in Australia: location, classification and services
Accessory publication Mapping maternity services in Australia: location, classification and services Caroline S. E. Homer 1,4 RM, MMedSci(ClinEpi), PhD, Professor of Midwifery Janice Biggs 2 BA(Hons),
More informationJOB DESCRIPTION. Maternity Unit BGH & Community. To provide midwifery care to women and their babies during pregnancy and childbirth.
JOB DESCRIPTION 1 Job Identification Job Title: Job Reference: Department & Base: Rotational NM1860 Women s / Integrated ry Services Maternity Unit BGH & Community Hours of Work: 29.25 Pay Band: BAND 6
More informationIndian Council of Medical Research
Indian Council of Medical Research Call for Letters of Intent Grants Programme for Implementation Research on Maternal and Child Health Deadline: 31 May 2017 India has made significant progress in reducing
More informationThe Birth Center Experience Kitty Ernst, FACNM, MPH, DSc (hon) and Kate Bauer, MBA
The Birth Center Experience Kitty Ernst, FACNM, MPH, DSc (hon) and Kate Bauer, MBA Few innovations in health service promote lower cost, greater availability, and a high degree of satisfaction with a comparable
More informationStandards for Nurse Anesthesia Practice
100 l lj I I The American Association of Nurse Anest hetists Suite 929 111 East Wacker Drive Chicago, Illinois 60601 312 I 644-3093 Standards for Nurse Anesthesia Practice I 1 Standards for Nurse Anesthesia
More informationRegions Hospital Delineation of Privileges Nurse Practitioner
Regions Hospital Delineation of Privileges Nurse Practitioner Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic
More informationCURRICULUM: BACHELOR OF MIDWIFERY (B.M) Table of Contents
CURRICULUM: BACHELOR OF MIDWIFERY (B.M) January 2009 Table of Contents Preamble 1: Aims of the degree programme in Midwifery 2: A profile of the degree programme in Midwifery 2.1 The professional activity
More informationWELCOME TO THE BEAUTIFUL BEGINNINGS FAMILY BIRTHING SUITES AT WEST KENDALL BAPTIST HOSPITAL
BELIEVE BELIEVE IN IN MAKING MAKING MOTHERHOOD MOTHERHOOD A JOY A JOY WELCOME TO THE BEAUTIFUL BEGINNINGS FAMILY BIRTHING SUITES AT WEST KENDALL BAPTIST HOSPITAL The birth of a baby is an exciting time
More informationWhere to be born? Birth Place Choices Project. Your choice, naturally
Where to be born? Birth Place Choices Project Your choice, naturally Choosing where to have your baby In this area women have a number of different birthplaces to choose from. When the time comes for you
More informationEmpire BlueCross BlueShield Professional Reimbursement Policy
Subject: Anesthesia Services NY Policy: 0020 Effective: 01/01/2015 11/30/2015 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria
More informationJOB DESCRIPTION. Community Midwife/Caseload Holder. Knoll Health Centre
JOB DESCRIPTION 1 Job Identification Job Title: Job Reference: Department & Base: Community Midwife/Caseload Holder PCS1273 Women s/integrated Midwifery Services Knoll Health Centre 2 Job Purpose To provide
More informationAnesthesia Services Policy
Anesthesia Services Policy Policy Number Annual Approval Date 3/14/2018 Approved By Oversight Committee IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY This policy is applicable to UnitedHealthcare Medicare
More informationNursing Act 8 of 2004 section 59 read with section 18(1)
MADE IN TERMS OF section 59 read with section 18(1) Regulations relating to Approval of Minimum Requirements for Education and Training leading to Bachelors Degree in Nursing and Midwifery Science for
More informationSUTTER MEDICAL CENTER, SACRAMENTO Department of Family Medicine Delineation of Privileges
To request Privileges, please place an X in the request column. In box, indicate the number of identified procedures performed in previous 24 months from any Request Privilege Appointment [ ] Admit [ ]
More informationHENDRICKS REGIONAL HEALTH EMERGENCY MEDICINE RULES AND REGULATIONS
I. Scope of Service HENDRICKS REGIONAL HEALTH EMERGENCY MEDICINE RULES AND REGULATIONS The Emergency Department offers emergency care twenty-four hours a day with at least one physician experienced in
More informationObjectives. How do we support spontaneous labor and birth? Disclosures: I have no conflicts of interest. Care for women in spontaneous labor:
Disclosures: I have no conflicts of interest Care for women in spontaneous labor: Evidence-based management Holly Powell Kennedy, PhD, FACNM, FAAN Helen Varney Professor of Midwifery Acknowledgements:
More informationAPPENDIX D INSTRUCTIONS FOR COMPLETION OF CERTIFICATE OF NEED APPLICATION FOR DESIGNATION AS A PERINATAL FACILITY SECTION I. GENERAL REQUIREMENTS
APPENDIX D INSTRUCTIONS FOR COMPLETION OF CERTIFICATE OF NEED APPLICATION FOR DESIGNATION AS A PERINATAL FACILITY SECTION I. GENERAL REQUIREMENTS 1. CERTIFICATE OF NEED A. PRE-SUBMISSION Prior to the preparation
More informationApril 23, 2014 Ohio Department of Health Regulations and Noncompliance Findings
April 23, 2014 Ohio Department of Health Regulations and Noncompliance Findings Shannon Richey, R.N. Assistant Bureau Chief Bureau of Community Health Care Facilities and Services Ohio Department of Health
More informationWhat Makes MFM Associates Unique? Privademics - A New Method of Delivering Expert Care
We appreciate the confidence you have entrusted in us by choosing to become one of our patients. While we continue to keep pace with the latest advancements in health care, we never forget that each patient
More informationFamily Birthplace. Childbirth. Education. Franciscan Healthcare
Family Birthplace Childbirth Education 2018 Franciscan Healthcare Precious is the Miracle of Birth Preparing for your little miracle begins months before you arrive at the hospital for your baby s birth.
More informationDisclosures. Updates: Psychological Support for Families in the NICU NPA Interdisciplinary Recommendations
Disclosures Updates: Psychological Support for Families in the NICU NPA Interdisciplinary Recommendations Janet N. Press, C.N.S.,M.S.N.,C.T.,R.N. C. Perinatal/ Obstetrical Coordinator Central New York
More informationVictorian Labor election platform 2014
Victorian Labor election platform 2014 July 2014 1. Background The Victorian Labor Party election platform provides positions on key elements of State Government policy. The platform offers a broad insight
More informationSmooth Transitions: Enhancing the Safety of Hospital Transfers from Planned Community-Based Births. West Virginia Perinatal Summit November 14, 2016
Smooth Transitions: Enhancing the Safety of Hospital Transfers from Planned Community-Based Births West Virginia Perinatal Summit November 14, 2016 Presented by Melissa Denmark, LM CPM and Bob Palmer,
More informationI. NUR 106 D Maternal Nursing. 3 credit hours. Total contact hours 4
JEFFERSON STATE COMMUNITY COLLEGE DIVISION OF HEALTH AND BIOLOGICAL SCIENCES NURSING EDUCATION PROGRAM I. Maternal Nursing Theory 2 credit hours Lab 0 credit hour Clinical 0.6 credit hour Total 3 credit
More informationTable of Contents. Provisions and Standards of Nursing Care
Provisions and Standards of Nursing Care Unit: Women s Health Services Aurora BayCare Medical Center Nursing Foundational Documents 2016 Table of Contents A) Professional Nursing Practice Regulation (Structure
More informationDEMOGRAPHIC SUICIDE IN SPAIN: THE ROLE AND RESPONSIBILITIES OF NURSES AND MIDWIVES.
DEMOGRAPHIC SUICIDE IN SPAIN: THE ROLE AND RESPONSIBILITIES OF NURSES AND MIDWIVES. Protecting Family Life: Regional Perspectives Europe Carmen Romero Grimaldi Pharmacology teacher of Salus Infirmorum
More information