Biomedical subjects

R G Fleschler

Publications and source records attributed to R G Fleschler.

3 recordsLinked to original sources

PubMed1995

Perinatal outcomes management: balancing quality with cost.

As flexibility and change become the only constants in health care delivery, providers are seeking improved methods for delivering quality, cost-effective services. Perinatal care is no exception. Length of stay is decreasing for obstetric patients, and the challenges of providing quality care are great. Outcomes management uses outcomes measures to improve clinical and functional results while better utilizing resources. Critical pathways and variances from that pathway are analyzed for opportunities to improve care and quality. Quality indicators are then derived from the variance data. The women's services outcomes manager, a new role, identifies and resolves quality issues.

Cost-Benefit Analysis↗

PubMed1995

Pregnancy after organ transplantation.

With the advent of new immunosuppressive agents in the 1980s, transplant recipients are living longer, healthier lives. Women who before did not have a chance to live, much less conceive, are now carrying and delivering healthy children. Obstetric management of such patients is discussed in this article. Two case reports of women who became pregnant after liver and heart transplants are presented. Perinatal nurses in the high-risk arena have the opportunity to collaborate with other health care specialists to care for this new group of patients.

Adult↗

PubMedDate not supplied

Association between significant decrease in barometric pressure and onset of labor.

To determine whether there is any correlation between sudden decrease in barometric pressure and onset of labor, a non-experimental, retrospective study at a 948-bed tertiary care hospital was done. Pregnant patients of 36 weeks gestation or more who presented with spontaneous onset of labor during the 48 hours surrounding the 12 occurrences of significant drop in barometric pressure in 1992 were included in the study. Significantly more occurrences of onset of labor were identified in the 24 hours after a drop in barometric pressure than were identified in the 24 hours prior to the drop in barometric pressure (P < 0.05). Therefore, the overall number of labor onsets increased in the 24 hours following a significant drop in barometric pressure.

Adult↗