December 21st, 2010 by Michael Sevilla, M.D. in News, Opinion
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Every once I awhile a story catches my eye as I scan the news websites. There was one this morning on CNN with this catchy title: “Mom Defies Doctor, Has Baby Her Way.” The article describes a story where a mother was going to have her fourth baby. Her previous three were born via C-section. Mom did not want another C-section done, and “defied” her doctor’s order for the procedure. “You’re being irresponsible,” the patient was told.
The middle of the article talks about the current thinking and statement of the American College of Obstetrics and Gynecology saying that “it’s reasonable to consider allowing women who’ve had two C-sections to try to have a vaginal delivery.” Of course, there’s risks with proceeding with a vaginal delivery and risks of another C-section.
What’s always interesting to me are the comments following the article. I applaud the physicians who are fighting back the anti-physician sentiment and those who are pushing (no pun intended) the only home birth agenda.
In the article, this person is being held up as a hero — as someone who defied the paternalistic medical establishment and did it her way. Good for her — or is it? What if that 0.4-0.9 percent possibility of severe complication occurred and there was a problem with mom and/or the baby? What would happen then? Read more »
*This blog post was originally published at Doctor Anonymous*
December 17th, 2010 by RyanDuBosar in Better Health Network, Research
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Six of the nation’s leading healthcare systems will collaborate on outcomes, quality, and costs across eight common conditions or procedures in an effort to share best practices and reduce costs with the entire healthcare system.
Cleveland Clinic, Dartmouth-Hitchcock, Denver Health, Geisinger Health System, Intermountain Healthcare, and Mayo Clinic will to share data among their 10 million patients with The Dartmouth Institute, which will analyze the data and report back to the collaborative and the rest of the country, according to a press release.
The collaborative will focus on eight conditions and treatments for which costs have been increasing rapidly and for which there are wide variations in quality and outcomes across the country. The first three conditions to be studies are knee replacement, diabetes, and heart failure. They will be followed by asthma, weight loss surgery, labor and delivery, spine surgery, and depression.
*This blog post was originally published at ACP Internist*
December 10th, 2010 by Medgadget in Better Health Network, News, Research
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At the Charité Hospital in Berlin, researchers have built a specialty MRI machine with enough space to fit a woman undergoing labor. The Local, a German newspaper in the English language, is reporting that the first images of a baby moving through the birth canal have been captured, and that the mother and child are doing just fine. The clinicians involved in the project hope to be able to study why some women end up requiring a Caesarian section, while others do not.
More at The Local: MRI scans live birth…
*This blog post was originally published at Medgadget*
August 4th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Health Policy, News, Opinion
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Recently I ran into the office manager for one of Houston’s largest pediatric practices. New patient visits are way down and their doctors are looking for ways to keep business rolling. The same day I picked up this piece in the Wall Street Journal which shows declining admissions and doctor visits as a national trend. This is bad news and shows how our faltering economy is finally working its way more visibly into healthcare.
And apparently we’re making fewer babies –- admissions to neonatal intensive care units are down. This is a problem. For large tertiary medical centers and hospitals specializing in maternal-child health, babies are the critical customers of a healthy operation.
A few thoughts on what to look for (or dare I say, what to “expect”) with fewer babies:
Pipelines. Look for tighter referral relationships between large tertiary centers and the smaller community hospitals that deliver babies in need of specialized care. Centers already aligned with ready-made networks should be well-positioned for the downturn. Read more »
*This blog post was originally published at 33 Charts*
July 25th, 2010 by GarySchwitzer in Better Health Network, Health Policy, News, Opinion
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Here’s the Minneapolis Star Tribune headline: “Buffalo birthing center has the latest amenities.” An excerpt:
Starting in August, new mothers will have a chance to multi-task in style in Buffalo, Minn.
The local hospital is unveiling its new birth center, where every patient room will be equipped with an iPod docking station, a flat-screen TV and DVD player, a soaking tub, rocking chair and refrigerator — oh, and a place for the baby to sleep, too.
Buffalo Hospital has spent $7.1 million to turn its old labor and delivery unit into a state-of-the-art facility to appeal to a new generation of patients.
At maternity wards around the country, that increasingly means catering to patients and families as if they’re at “a luxury hotel,” as the Buffalo Hospital website puts it.
And some smart readers have reacted. Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
