Background: This cross-sectional study was designed to explore the impact of the availability of maternity care services on the int~Ult mortality rates in nonmetropolitan (rural) counties in Florida. Methods: We evaluated the sufficiency of physicians providing maternity care in each rural county. We then constructed a mathematical model to compare physician availability with the infant mortali...

BACKGROUND Women's views are critical for informing the planning and delivery of maternity care services. ST segment analysis (STan) is a promising method to more accurately detect when unborn babies are at risk of brain damage or death during labour that is being trialled for the first time in Australia. This is the first study to examine women's views about STan monitoring in this context. ...

A friend told me recently that he is suffering from crisis fatigue. Open an issue of just about any medical journal , he said, and you will find at least one article warning of an impending critical shortage of professionals. This issue of JOGC is no exception; on page 598, the Maternal Fetal Medicine Committee of the SOGC draws our attention—quite correctly—to the looming MFM shortage in this ...

BACKGROUND To reduce financial barriers to access, and improve access to and use of skilled maternal and newborn healthcare services, the government of Ghana, in 2003, implemented a new maternal healthcare policy that provided free maternity care services in all public and mission healthcare facilities. Although supervised delivery in Ghana has increased from 47% in 2003 to 55% in 2010, strikin...

background and purpose: hand hygiene is a low-cost، convenient measure recommended to all health care providers to prevent nosocomial infections. health care staff commonly neglect the importance of hand washing at workplace. this study aimed to evaluate the effect of involuntary motivational factors on hand hygiene compliance byhealth care providers. methods: this descriptive analytical study ...

background: preconceptional care is very effective to ensure mothers and babies health during and after pregnancy. the clinics and health center personnel are able to offer preconceptional care especially to the risky cases. learning about the experiences of health center personnel in such cases is useful for others to find solutions for the same problems which may come up. this study tends to ...

BACKGROUND While a number of studies have examined the factors affecting accessibility to and utilisation of healthcare services by persons with disability in general, there is little evidence about disabled women's access to maternal health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and the challenges they face in a...

BACKGROUND A better understanding of the processes of collaboration between midwives who work in the birthing centers, and hospital-based obstetricians, family physicians and nurses may promote cooperation among professionals providing maternity care in both institutions. The aim of this research was to explore the barriers and facilitators of the interprofessional and interorganizational colla...

Electronic auctions can be applied in certain health care markets, but the effects on market structure, market behavior and market performance are unclear. We analyzed the effects of a reverse electronic auction initiative that was implemented by a new intermediary (CareAuction.nl) in the market for maternity care in the Netherlands in 2005 and 2006. We found small but significant effects on th...