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Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Esophageal Varices-II: Clinical Features and Management

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Related Experiment Video

Updated: May 17, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

Managing the primary cesarean delivery rate.

David Ware Branch1, Robert M Silver

  • 1Intermountain Healthcare and the University of Utah Health Sciences Center, Salt Lake City, UT, USA. ware.branch@hsc.utah.edu

Clinical Obstetrics and Gynecology
|October 24, 2012
PubMed
Summary

Cesarean delivery rates in the US are too high, driven by rising primary cesarean rates. Facility-level interventions like aligning provider incentives and improving labor management can help lower these rates.

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An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
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An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)

Published on: January 27, 2010

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Last Updated: May 17, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

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Published on: June 6, 2020

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)

Published on: January 27, 2010

Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Public Health

Background:

  • Cesarean delivery rates in the United States exceed expert recommendations, with approximately one-third of all births occurring via cesarean.
  • A significant driver of the high cesarean rate is the increasing trend in primary cesarean deliveries.

Purpose of the Study:

  • To review interventions aimed at reducing the primary cesarean delivery rate.
  • To focus on facility-level strategies with potential for immediate impact.

Main Methods:

  • Review of proposed interventions for lowering primary cesarean rates.
  • Focus on strategies implementable at the healthcare facility level.

Main Results:

  • Identified key interventions including aligning provider incentives for vaginal birth.
  • Highlighted the importance of limiting elective labor induction.
  • Emphasized improved labor management for dystocia and abnormal fetal heart rate tracings.

Conclusions:

  • Facility-level interventions can effectively address the rising primary cesarean rate.
  • Strategies focusing on provider incentives, labor induction policies, and labor management are crucial for reducing cesarean deliveries.