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ON THE FACTORS DETERMINING THE SIZE OF THE NEWBORN 总被引:1,自引:0,他引:1
Hermann H. Knaus M.D. 《BJOG : an international journal of obstetrics and gynaecology》1949,56(5):856-859
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Cynthia P. Dickinson Debra J. Jackson William H. Swartz 《Journal of Midwifery & Women's Health》1994,39(2):112-118
The BirthPlace program in San Diego, California, is an example of a successfully “mainstreamed” alternative maternity care program. It was developed to address an access to prenatal care problem in the county, and it has successfully integrated four systems of care: 1) a private practice of nurse-midwives and obstetricians, 2) the public community clinic system, 3) the tertiary university hospital, and 4) a freestanding birth center. It provides a model of care that, if replicated, could be an answer for ensuring universal access to maternity care in the United States. The BirthPlace program primarily serves a public-funded, Hispanic population, with certified nurse-midwives as the primary providers. The program's greatest challenge has been to maintain a personalized, family-centered focus, which has been the hallmark of freestanding birth centers to date, in the face of large numbers of clients and low reimbursement for care. The program has addressed the challenge of increasing access and cost-effectiveness while ensuring family-centered care through decentralized clinic management, informed consent, culturally sensitive care, and appropriate use of technology. However, in the face of an ever-changing health care system, balancing these issues will remain a constant challenge as we reshape our maternity care services. 相似文献
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THE ROLE OF THE FETUS IN THE FORMATION OF AMNIOTIC FLUID 总被引:2,自引:0,他引:2
T. Lind Anne Kendall F. E. Hytten 《BJOG : an international journal of obstetrics and gynaecology》1972,79(4):289-298