Obstetrics and gynecology clinics of North America
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Obstet. Gynecol. Clin. North Am. · Sep 2012
ReviewInterprofessional collaborative practice in obstetrics and midwifery.
As the health care system transforms to accommodate an increased need for primary care services and more patients, new models of health care delivery are needed that can provide quality health care services efficiently. An integrated collaborative practice of certified nurse-midwives, obstetrician-gynecologists, and perinatologists is best suited to meet the rapidly changing needs of the maternity health care delivery system. This article reviews the literature on interprofessional collaborative practice and describes the structure, function, and essential elements of successful collaboration in health care.
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Obstet. Gynecol. Clin. North Am. · Sep 2012
Historical ArticleDescription of a successful collaborative birth center practice among midwives and an obstetrician.
Collaboration among professional groups is essential for safe and efficient health care. Midwifery care is optimized when allowed to function independently within an integrated health care system of support to address complications should they arise. A formal process for collaboration facilitates a smooth, expedient flow of information and decision making in a time of need, maximizing safety and efficiency. This article describes a successful collaborative model among four midwives and one obstetrician that addresses the impending maternity health care provider shortage, the needs of vulnerable populations, and cost-efficiency through appropriate use of technology and choice of health care provider.
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Obstet. Gynecol. Clin. North Am. · Sep 2012
Historical ArticleCollaborative maternity care: three decades of success at Dartmouth-Hitchcock Medical Center.
This article describes the development of our collaborative practice, discusses the barriers and challenges presented by the current health care environment, and identifies factors that would encourage the initiation and strengthening of a successful collaborative model in similar settings. Successful collaborative practice is more than just a practice model, or a set of items that, once checked off, will guarantee success. It is a process that is inextricably linked to the focus and dedication of all our clinicians to provide the best care possible for women.
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Obstet. Gynecol. Clin. North Am. · Sep 2012
Collaborative practice model: Madigan Army Medical Center.
In 2007, Madigan Army Medical Center implemented a new maternity care delivery model, integrating obstetricians and certified nurse-midwives (CNMs) in a collaborative practice. The change was driven by multiple factors, including patient preference, changes in the resident workweek, and low provider satisfaction. This article describes the elements of successful collaboration, including the structure, effective teamwork principles, role of the CNM in resident education, and preliminary data on mode of delivery, the number of CNM-supervised resident births, and procedures, such as episiotomy and epidural use.
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Obstet. Gynecol. Clin. North Am. · Sep 2012
Collaboration in maternity care: possibilities and challenges.
The United States is about to face a maternity workforce crisis in the next decade because the number of medical students choosing obstetrics and gynecology is stagnant, the number of patients requiring care is increasing and many in the current workforce of obstetricians/gynecologists and midwives are ready to retire. There are not enough maternity providers to meet the future needs of women. ⋯ Collaborative practice among different types of maternity providers requires commitment, interpersonal skills, and teamwork. This article explores these issues and provides practical tips and a case study of the process in action between the American College of Obstetricians and Gynecologists and the American College of Nurse-Midwives.