2.50
Hdl Handle:
http://hdl.handle.net/10755/161651
Type:
Presentation
Title:
Cost effectiveness of maternal posturing
Abstract:
Cost effectiveness of maternal posturing
Conference Sponsor:Midwest Nursing Research Society
Conference Year:1991
Author:Fishwick, Nancy, PhD
P.I. Institution Name:University of Maine, School of Nursing
Title:Assistant Professor
Contact Address:160 College Ave., Orono, ME, 04473, USA
Contact Telephone:2075812607
Maternal posturing to correct fetal malpositions or convert fetal

malpresentation is an effective nursing intervention to optimize

birth outcomes of mothers ad infants. Fetal distress rates and

perinatal mortality rates are higher for malpositions and

malpresentations, resulting in obstetric intervention and often,

cesarean birth. These interventions carry additional cost in

terms of financial expense to families and society, physiologic

risks for maternal-infant outcomes, and prolonged recovery

periods. In contrast, maternal posturing using the Andrews

technique is economic. There are no known physical hazards to

the mother or fetus, and there is no cost other than time.

Financial cost reduction is apparent, though not documented, when

compared to the cost of obstetric and operative interventions.

The purpose of this study was to examine the cost of malposition,

malpresentation, and obstetric interventions. An ethical

perspective is presented in the documentation and implementation

of low-cost non-interventive nursing strategies for the reduction

of health hazards to mothers and infants, as well as the reduction

of spiraling health care costs to society. A retrospective

review of 200 medical records was conducted. Factors related to

prenatal care, prenatal health behaviors and medical

complications during the intrapartum, postpartum, and neonatal

periods, length of labor, and length of hospital stay were

analyzed using univariate and multivariate analysis. Comparisons

between maternal-infant outcomes and financial costs associated

with fetal malposition and malpresentation are presented. The

ethics and cost effectiveness of a non-interventive nursing

strategy, using the Andrews technique for correcting fetal

malpositions and malpresentations is discussed.



Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCost effectiveness of maternal posturingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161651-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Cost effectiveness of maternal posturing</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1991</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Fishwick, Nancy, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Maine, School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">160 College Ave., Orono, ME, 04473, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">2075812607</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">FISHWICK@MAINE.MAINE.EDU</td></tr><tr><td colspan="2" class="item-abstract">Maternal posturing to correct fetal malpositions or convert fetal<br/><br/>malpresentation is an effective nursing intervention to optimize<br/><br/>birth outcomes of mothers ad infants. Fetal distress rates and<br/><br/>perinatal mortality rates are higher for malpositions and<br/><br/>malpresentations, resulting in obstetric intervention and often,<br/><br/>cesarean birth. These interventions carry additional cost in<br/><br/>terms of financial expense to families and society, physiologic<br/><br/>risks for maternal-infant outcomes, and prolonged recovery<br/><br/>periods. In contrast, maternal posturing using the Andrews<br/><br/>technique is economic. There are no known physical hazards to<br/><br/>the mother or fetus, and there is no cost other than time.<br/><br/>Financial cost reduction is apparent, though not documented, when<br/><br/>compared to the cost of obstetric and operative interventions.<br/><br/>The purpose of this study was to examine the cost of malposition,<br/><br/>malpresentation, and obstetric interventions. An ethical<br/><br/>perspective is presented in the documentation and implementation<br/><br/>of low-cost non-interventive nursing strategies for the reduction<br/><br/>of health hazards to mothers and infants, as well as the reduction<br/><br/>of spiraling health care costs to society. A retrospective<br/><br/>review of 200 medical records was conducted. Factors related to<br/><br/>prenatal care, prenatal health behaviors and medical<br/><br/>complications during the intrapartum, postpartum, and neonatal<br/><br/>periods, length of labor, and length of hospital stay were<br/><br/>analyzed using univariate and multivariate analysis. Comparisons<br/><br/>between maternal-infant outcomes and financial costs associated<br/><br/>with fetal malposition and malpresentation are presented. The<br/><br/>ethics and cost effectiveness of a non-interventive nursing<br/><br/>strategy, using the Andrews technique for correcting fetal<br/><br/>malpositions and malpresentations is discussed.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T23:24:55Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:24:55Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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