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Related Concept Videos

Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

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Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
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Comparing the Survival Analysis of Two or More Groups01:20

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Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Standards of Care II01:19

Standards of Care II

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Nurses bear specific legal responsibilities under several federal statutes, including:
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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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.
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Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Updated: Feb 20, 2026

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

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Analysis of high caesarean section rates: the second step after audits using the Ten Group Classification System

Malik Goonewardene1, M Peiris, S Kariyawasam

  • 1Department of Obstetrics and Gynaecology, International Medical University, Clinical Campus, Seremban, Malaysia. IndraMalikRodrigo@imu.edu.my

The Ceylon Medical Journal
|October 28, 2017
PubMed
Summary

Reducing high caesarean section rates requires focusing on specific patient groups and indications. Avoiding unnecessary procedures for maternal age and subfertility can improve outcomes.

Related Experiment Videos

Last Updated: Feb 20, 2026

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Public Health

Background:

  • High caesarean section rates pose significant public health challenges globally.
  • Tertiary care hospitals often experience elevated rates due to complex cases.
  • Identifying specific contributing factors is crucial for targeted interventions.

Purpose of the Study:

  • To identify methods for reducing high caesarean section rates in a tertiary care hospital.
  • To analyze factors contributing to caesarean sections using a modified Robson’s classification.

Main Methods:

  • Analysis of birth weight, maternal age, and caesarean section indications.
  • Utilized a modified Robson’s 10 Group Classification of caesarean section (TGCS).
  • Data collected from 2010-2014 at a tertiary care hospital in Sri Lanka.

Main Results:

  • Nulliparous (NTSV) and multiparous (MTSV) women with neonates weighing 2500-2999g comprised significant portions of caesarean sections.
  • Indications included fetal distress, subfertility, advanced maternal age, and cephalopelvic disproportion.
  • Women over 35 years had a higher risk of caesarean section, regardless of parity or previous caesarean history.

Conclusions:

  • Consider reducing caesarean section rates in NTSV, MTSV, and women with one previous caesarean section, particularly those with fetuses weighing 2500-2999g.
  • Advanced maternal age and subfertility alone should not be routine indications for caesarean section.
  • Improvement in the diagnosis of fetal distress is recommended, and caesarean sections for vaginal varices and cephalopelvic disproportion should be avoided.