introduction: regarding to the recent advances in assisted reproductive techniques (art), twin and multiple pregnancies have increased during past years. objective: this study was performed to compare obstetrics and perinatal outcomes of dichorionic twin pregnancy following art with spontaneous pregnancy. materials and methods: in this cross-sectional study which was performed in ghaem hospital...

The necessity for critical care support and admission to an intensive care unit (ICU) is a relatively infrequent occurrence during pregnancy and the postpartum period. The exact incidence is unclear because of the variety of reporting methods and definitions, with estimates that range from 0.17% to 1.1% of pregnant patients. All of the published series to date are small; the largest series incl...

Hospitals are under significant pressure from payers to reduce costs. The single largest fixed cost for a hospital is inpatient beds, yet there is significant variation in hospital capacity utilization. We study bed capacity in New York City hospital obstetrics units and find that while many hospitals have an insufficient number of beds to provide timely access to care, overall there is signifi...

BACKGROUND AND METHODS To guide achievement of the Millennium Development Goals, we used the Lives Saved Tool to provide a novel simulation of potential maternal, fetal, and newborn lives and costs saved by scaling up midwifery and obstetrics services, including family planning, in 58 low- and middle-income countries. Typical midwifery and obstetrics interventions were scaled to either 60% of t...

background: in the process of cancer treatment, mothers of children with cancer experience burden of care as a result of these conditions. early detection of burden of care has an important role in promoting health care. the aim of this study was to evaluate burden of care in mothers of children with a malignancy. materials and methods: this cross sectional study was done on 70 mothers of child...

OBJECTIVE To determine the level of near-miss maternal mortality and morbidity due to severe obstetrical complications or maternal disease in a tertiary maternity hospital. DESIGN Retrospective review. SETTING A free-standing maternity hospital delivering 5500 infants per year. METHODS The information coded in the perinatal database concerning women who had required transfer for critical ...

Invited Commentary Ensuring a Diverse PhysicianWorkforce: Progress butMore to BeDone In their study of the diversity of graduate medical education in theUnited States, Deville and colleagues1 call attention yet again to thecontinuedunderrepresentationofwomenandminority groups in medicine compared with the population as a whole. Among the many interesting findings, Iwasmoststruckthatamongall spe...

OBJECTIVE To audit appropriate use of blood products in adult patients. DESIGN A cross-sectional study with pre-set criteria. SETTING Ciudad Hospitalaria 'Dr. Enrique Tejera', the main public tertiary-care hospital in Valencia, Venezuela. STUDY PARTICIPANTS We studied 700 adult patients from the Medicine, Surgery, Emergency and Obstetrics departments. MAIN OUTCOME MEASURE Appropriate us...

By Steven R. Shaw & Joseph D'Intino Evidence-based practice (EBP) is the norm and expectation for providing interventions in school psychology. Moreover, EBP is considered as best practice by the American Psychological Association, American Academy of Pediatricians, American Speech and Hearing Association, and several other professional associations directly related to care of children, and it ...