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Ob Hospitalist Group’s (OBHG) mission is to elevate the standard and quality of women’s healthcare. Our programs do just that by making a positive impact across many significant areas of hospital medicine. This blog series: OBHG Impact Series will cover key areas where OBHG makes a difference.
This initial post will review the impact an OBHG program can deliver to partner hospitals by improving throughput in the main Emergency Department (ED) thereby increasing Patient Safety, not just for those patients presenting to Labor and Delivery (L&D) but all patients with emergent care needs. Future posts will address Patient Experience, Risk Reduction, Physician Satisfaction and Nursing Staff Satisfaction and Retention.
When midwives and laborists work in conjunction with an obstetrician, there can be a substantial decrease in the rate of cesarean delivery, according to a study from one large community hospital.
"The change from a private practice to a hospitalist model was associated with dramatic decreases in nulliparous term singleton vertex cesarean delivery rates, and almost a doubling of the rates of vaginal birth after cesarean, said Melissa Rosenstein, MD, from the University of California, San Francisco School of Medicine.
Every day over 300 Ob Hospitalist Group (OBHG) hospitalists embrace our core value of delivering excellence. Their skill, experience, compassion and dedication to elevating the standard of women’s healthcare save and change the lives of the patients we serve. We are proud to recognize these individuals and share their inspirational stories of excellence in action.
Recently a grandmother of a newborn visited an Ob Hospitalist Group (OBHG) partner hospital. She was there to visit her new grandson but also sought out hospital administration to share her appreciation for the presence of an OB/GYN hospitalist program and to share the difference they made in her life.
In this video, Abuid Rivera shares the story of a normal day taking a tragic turn. He describes how the presence of an Ob Hospitalist Group (OBHG) OB/GYN hospitalist at Halifax Health made the difference between possibly losing his wife and newborn daughter and sharing this Christmas with his miracle family.
After an ordinary day, Rivera’s pregnant wife awoke at 2:00 AM, within moments he realized something wasn’t quite right. She was cold and clammy and her lips were white. He called his wife’s OB/GYN, Dr. Pamela Carbiener who instructed him to take his wife directly to Halifax Health Medical Center in Daytona Beach, Florida. Dr. Carbiener left immediately to meet her patient there.
In the video below, Abuid Rivera shares the true story of a normal day taking a tragic turn. He describes how mere seconds made the difference between possibly losing his wife and newborn daughter and having a miracle family. Please click here or on the image below to watch the video and read the full news release here.
“Teaching pregnant women the signs and symptoms of preterm labor can greatly reduce the number of preterm births and lifelong complications associated with premature deliveries. It is also essential to educate Obstetricians about proper screening for preterm labor using appropriate testing such as Fetal Fibronectin or Transvaginal ultrasound, or an algorithm such as the March of Dimes Preterm Labor Assessment Toolkit, as well as the treatment of preterm labor with appropriate tocolytics and medications to improve baby's outcome. Having OB hospitalists on the front lines in the battle against preterm labor ensures that patients are consistently and rapidly screened and treated by the most current guidelines whether it is Tuesday at 10 am or Saturday at 1 am.” — Dr. Rakhi Dimino, OBHG hospitalist and Board Certified OB/GYN
Every November is National Prematurity Awareness Month. At this time many health organizations launch campaigns to increase the awarenss of this life-threatening complication that is far too prevalent globally as well as locally. While the complications and conditions that cause premature deliveries are myriad, the one thing all health officials agree upon is that knowledge is power. Educating patients and practitioners as to the causes and symptoms of premature labor is vital in decreasing its incidence.
In recent weeks hospitals across the country have rushed to prepare their facilities and train staff to screen and isolate a patient who may potentially have Ebola so that their hospital will not suffer the same outcome as Texas Presbyterian. Many of us have been very focused on protecting ourselves, our staff and our patients from the deadly virus. So far worldwide, the virus has claimed more than 5,000 men, women and children by ravaging every system in their previously healthy bodies until their bodies can take no more.
The months have passed and the epidemic continues on despite millions of dollars spent and the thousands of aid workers and military servicemen who have risked their own lives to help. A glimmer of hope has just begun to shine. So far, in the United States, of the ten people that have sought treatment for the disease, eight have survived. That is an astonishing increase in the previously reported survival rate of 50 percent to 80 percent. The characteristics that the survivors have in common are essential to keep in mind. They have all had access to the most modern medical care very early on in the disease process. Most have also received experimental medications and/or an experimental plasma transfusions. The two who lost their lives, Mr. Duncan and most recently Dr. Salia, did not have access to the most modern medical care available until they were in very late stages of the disease. Potentially, therefore, if we are able to initiate treatment early in the disease process, we can save many more lives.
November is Premature Awareness Month and as such, a good time to discuss the importance of education and prenatal care in preventing the nearly 450,000 premature births in the US every year. Premature births not only lead to many health impairments for the child but negatively impact the nation’s healthcare system for years to come as well. Many premature or preterm births can be prevented. Educating expectant mothers and their families is key to ensuring there is a continued downward trend in the number of births that aren’t full term. Preterm is considered deliveries from 24 to 37 weeks.
First and foremost, I am mom to two great kids; a daughter, 5 and a 3 year old son. They are 18 months apart so I've been pretty busy the last few years. My daughter was IUGR (Intrauterine Growth Restriction) and required an emergent c-section. I was thankful the hospital in which I delivered had doctors on-site at all times. She spent a few days in the NICU so I can relate to patients who have that experience. I was grateful she was in good hands, but upset she wasn't in my arms at all times. I am thankful I found a career niche where I can provide excellent patient care for women and newborns while spending time with my husband and kids.
Although an Ebola outbreak is unlikely in the US, it is reasonable to think a virus with an asymptomatic incubation period of 21 days combined with the ease of 21st century airline travel may put our Labor and Delivery (L&D) units at risk. The majority of people with the Ebola virus, (60 to 75%) have been women. Perhaps gender roles play a major role in West Africa, where women generally take care of the sick, prepare bodies for burial, and act as nurses in clinical setting. In addition, pregnant women might be at particular risk for contracting the virus because, as suggested by the World Health Organization (WHO), pregnancy slightly impairs the immune system.