Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

4.4K
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.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.4K
Regression Toward the Mean01:52

Regression Toward the Mean

7.2K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
7.2K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

980
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
980
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

4.2K
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...
4.2K
Types of Reports I: Hands-off Report01:25

Types of Reports I: Hands-off Report

1.6K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.6K
Current Trends in Nursing II01:30

Current Trends in Nursing II

3.6K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.6K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Obstetric management for stillbirth complicated by a prior cesarean delivery: a cost-effectiveness analysis.

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·2020
Same author

In Reply.

Obstetrics and gynecology·2020
Same author

The Cost of a Fall Among Older Adults Requiring Emergency Services.

Journal of the American Geriatrics Society·2020
Same author

Predicting vaginal birth after previous cesarean: Using machine-learning models and a population-based cohort in Sweden.

Acta obstetricia et gynecologica Scandinavica·2020
Same author

Extending the second stage of labor in nulliparous women with epidural analgesia: a cost-effectiveness analysis.

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·2020
Same author

In Reply.

Obstetrics and gynecology·2020
Same journal

The Political Determinants of Obstetric Prescribing.

Obstetrics and gynecology·2026
Same journal

Glucagon-Like Peptide-1 Receptor Agonists and Risk of Adverse Maternal Pregnancy Outcomes: A Systematic Review and Meta-analysis.

Obstetrics and gynecology·2026
Same journal

Milestones in Motion: Vaginal Birth After Cesarean.

Obstetrics and gynecology·2026
Same journal

Ebola Virus in Pregnancy.

Obstetrics and gynecology·2026
Same journal

A Quality-Improvement Study Evaluating Three Postpartum Prophylactic Oxytocin Rates and Blood Loss After Vaginal Birth.

Obstetrics and gynecology·2026
Same journal

The Effects of Climate Change on Obstetric and Gynecologic Health.

Obstetrics and gynecology·2026
See all related articles

Related Experiment Video

Updated: Feb 26, 2026

Author Spotlight: Advancing Labor Management Through Electromyometrial Imaging for Understanding Uterine Contractions
08:07

Author Spotlight: Advancing Labor Management Through Electromyometrial Imaging for Understanding Uterine Contractions

Published on: May 26, 2023

1.9K

Relationship Between Labor and Delivery Unit Management Practices and Maternal Outcomes.

Avery C Plough1, Grace Galvin, Zhonghe Li

  • 1Ariadne Labs at Brigham and Women's Hospital and the Harvard T. H. Chan School of Public Health, the Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, and the Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts; the Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Harvard Medical School, Boston, Massachusetts; the Health Ratings Center, Consumer Reports, Yonkers, New York; the Technology and Operations Management Unit, Harvard Business School, Boston, Massachusetts; the National Perinatal Information Center, Providence, Rhode Island; the Institute for Perinatal Quality Improvement, Silver Spring, Maryland; the University of Maryland School of Nursing, Baltimore, Maryland; the Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon; and the Department of Community Health Sciences, Boston University School of Public Health, and the Department of Obstetrics & Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Obstetrics and Gynecology
|July 12, 2017
PubMed
Summary
This summary is machine-generated.

Proactive management in labor and delivery units shows mixed results, increasing risks for cesarean delivery and maternal morbidity but decreasing prolonged hospital stays. This highlights opportunities for improving unit efficiency.

More Related Videos

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

15.9K
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

22.1K

Related Experiment Videos

Last Updated: Feb 26, 2026

Author Spotlight: Advancing Labor Management Through Electromyometrial Imaging for Understanding Uterine Contractions
08:07

Author Spotlight: Advancing Labor Management Through Electromyometrial Imaging for Understanding Uterine Contractions

Published on: May 26, 2023

1.9K
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

15.9K
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

22.1K

Area of Science:

  • Healthcare Management
  • Maternal Health
  • Obstetrics

Background:

  • Labor and delivery unit management practices vary significantly across U.S. hospitals.
  • Understanding the impact of these management styles on maternal outcomes is crucial for improving care.
  • Key competencies in managing labor and delivery units require definition and measurement.

Purpose of the Study:

  • To define, measure, and characterize management competencies in U.S. labor and delivery units.
  • To assess the associations between unit management styles and maternal outcomes.
  • To identify how different management approaches influence patient safety and care efficiency.

Main Methods:

  • A management measurement instrument was developed and administered via telephone interviews to nurse and physician managers at 53 U.S. hospitals.
  • Interviews were scored based on a scale from reactive to proactive management practices.
  • Factor analysis identified three management competency themes: unit culture, patient flow, and nursing; patient-level regressions assessed associations with maternal outcomes.

Main Results:

  • Proactive management of unit culture and nursing was linked to higher risks of primary cesarean delivery and maternal morbidity (e.g., postpartum hemorrhage, blood transfusion).
  • Proactive management of unit culture also correlated with a higher risk of prolonged length of stay.
  • Conversely, proactive management of patient flow and nursing was associated with a significantly lower risk of prolonged length of stay.

Conclusions:

  • Labor and delivery unit management in the U.S. exhibits considerable variation.
  • Certain proactive management strategies may inadvertently increase risks for primary cesarean delivery and maternal morbidity.
  • Other proactive management approaches show potential for reducing prolonged hospital stays, offering avenues for enhancing unit efficiency and patient safety.