CURRENT TRENDS IN

OBG

FAMILY CENTERED CARE

More natural childbirth environment where partners,

family

members

environment,

and

may

remain

participate

in
in

homelike

the

childbirth

experience

By adopting a view of pregnancy, childbirth as a family

event, nurses can be instrumental in including family
members in care and consult family members about a
plan of care and provide clear health teaching so that
family members can monitor their own care

COST CONTAINMENT

Cost containment refers to systems of health care

delivery that focus on reducing the cost of health
care by closely monitoring the cost of personnel,
use and brands of supplies, length of hospital
stays, number of procedures carried out, and
number of referrals requested.

EXPANDED ROLES FOR NURSES

Increasing nursing responsibility for assessment

and

professional

judgment

and

providing

expanded roles for nurse practitioners, such as

the nurse-midwife

ACCESS TO HEALTH CARE

Strong predictors of access to quality health care

include having health insurance, a higher income
level, and a regular primary care provider or
other source of ongoing health care.

Use of clinical preventive services, such as early

prenatal care, can serve as indicators of access to
quality health care services.

SHORTENINGHOSPITALSTAYS

Women who have begun preterm labor stay in the

hospital while labor is halted and then are allowed
to return home on medication with continued
monitoring.

Routine hospital stay for mothers and newborns

after an uncomplicated birth is now 2 days or less.

Short-term hospital stays require intensive health

teaching by the nursing staff and follow-up by home
care or community health nurses

COMMUNITY CENTRED CARE

Enable better family interaction in the birth

process because of convenience

1.First referrel unit

2.ASHA-link between health care facilities and
villagers
1 ASHA= 1000 population

MANAGED CARE

Health insurance companies also examined the

cost of health care and instituted a health care
delivery system

Health maintaince organisations(HMO)

point of service plans(POSS)

preferred provider organization(PPO)

CAPITATED CARE

the payer of the health insurance pay a set

amount of money each year to a network of
primary care providers

Disadv: consumers -lose their freedom of choice

regarding their helth care providers

PCP-lose their money if they refer somany

specialist &diagnostic test

CASE MANAGEMENT

systematic approach to identify specific clients

and to provide quality care to ensure optimal
outcome through access to the best available
resources

CONT..

Increased use of technology

Artificial reproductive technologies

INCREASED USE OF
ALTERNATIVE TREATMENT
MODALITIES

There

is

growing

tendency

to

consult

alternative forms of therapy, such as acupuncture

or therapeutic touch, in addition to, or instead of,
traditional health care providers.

Nurses have an increasing obligation to be aware

of complementary or alternative therapies.

TELEHEALTH

Telehealthis the delivery of health-related

services and information via telecommunications
technologies.

EVIDENCE BASED MIDWIFERY

PRACTICE

Use of research evidence in clinical practice

HEALTH CARE CONSUMERISM & E

HEALTH

Health consumerismis a movement which

advocates

patients'

involvement

ownhealth caredecisions

in

their

OPERATIVE GYNECOLOGY