hospital obstetrics and gynecology department


Summary: Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients.

Top Publications

  1. Filippi V, Ronsmans C, Gohou V, Goufodji S, Lardi M, Sahel A, et al. Maternity wards or emergency obstetric rooms? Incidence of near-miss events in African hospitals. Acta Obstet Gynecol Scand. 2005;84:11-6 pubmed
  2. Brown S, Davey M, Bruinsma F. Women's views and experiences of postnatal hospital care in the Victorian Survey of Recent Mothers 2000. Midwifery. 2005;21:109-26 pubmed
    ..Acting on these findings requires a greater focus on communication and listening skills, attention to staffing levels, and leadership promoting more women-centred care in postnatal wards. ..
  3. Korst L, Gornbein J, Gregory K. Rethinking the cesarean rate: how pregnancy complications may affect interhospital comparisons. Med Care. 2005;43:237-45 pubmed
  4. DiGiuseppe D, Aron D, Payne S, Snow R, Dierker L, Rosenthal G. Risk adjusting cesarean delivery rates: a comparison of hospital profiles based on medical record and birth certificate data. Health Serv Res. 2001;36:959-77 pubmed
    ..In contrast, limiting models to data elements with known reliability may yield rankings that are more similar to rankings based on medical record data. ..
  5. Brown H, Hofmeyr G, Nikodem V, Smith H, Garner P. Promoting childbirth companions in South Africa: a randomised pilot study. BMC Med. 2007;5:7 pubmed
    ..We were unable to determine whether the presence of a lay carer impacted on the humanity of care provided by health professionals. Current Controlled Trials ISRCTN33728802. ..
  6. Henderson Smart D, Lumbiganon P, Festin M, Ho J, Mohammad H, McDonald S, et al. Optimising reproductive and child health outcomes by building evidence-based research and practice in South East Asia (SEA-ORCHID): study protocol. BMC Med Res Methodol. 2007;7:43 pubmed
  7. Wyatt J, Paterson Brown S, Johanson R, Altman D, Bradburn M, Fisk N. Randomised trial of educational visits to enhance use of systematic reviews in 25 obstetric units. BMJ. 1998;317:1041-6 pubmed
    ..Further work is needed to define cost effective methods to enhance the uptake of evidence from systematic reviews and to clarify leadership and roles of senior obstetric staff in implementing the evidence. ..
  8. Duckett S. Commentary on the King Edward Inquiry: every defect a treasure. Aust Health Rev. 2003;26:24-5 pubmed
  9. Fredriksson G, Hogberg U, Lundman B. Postpartum care should provide alternatives to meet parents' need for safety, active participation, and 'bonding'. Midwifery. 2003;19:267-76 pubmed
    ..Also, a way to treat the family as a whole on an individual family basis must be found and parents of newborn babies should be allowed to choose the form of care they consider best. ..

More Information


  1. Putre L. Patient care. Rise in C-sections tax hospitals' resources. Hosp Health Netw. 2008;82:12 pubmed
  2. Lee K, Ho K. Obstetric regional analgesia services in New Zealand: a national survey. N Z Med J. 2004;117:U1177 pubmed
    ..Availability of obstetric regional analgesia services in New Zealand is very geographically focused, and appears to match closely with the distribution of obstetric deliveries in New Zealand. ..
  3. Carvalho B, Coghill J. Obstetric anaesthesia workload and time of day. Int J Obstet Anesth. 2004;13:126-8 pubmed
  4. Dudenhausen J, Friese K, Kirschner W. [Preconceptional health promotion and counselling pregnant women in choosing their obstetric clinic as further tools in the reduction of preterm deliveries]. Z Geburtshilfe Neonatol. 2007;211:142-6 pubmed
    ..The additional preconceptional and antepartal measures may contribute to a further reduction of complications. ..
  5. Labarere J, Castell M, Fourny M, Durand M, Pons J. A training program on exclusive breastfeeding in maternity wards. Int J Gynaecol Obstet. 2003;83:77-84 pubmed
    ..6% vs. 54.0%, P<0.01). A training program for health professionals can be effective in improving maternity ward practices and increasing exclusive breastfeeding rate at discharge. ..
  6. Samraj S, Westbury J, Pallett A, Rowen D. Compliance with hand hygiene in a genitourinary medicine department. Int J STD AIDS. 2008;19:782-3 pubmed publisher
    ..3% vs. 66%). However, techniques of glove removal were universally satisfactory. Strategies for improvement in hand hygiene are suggested. These include performance feedback and use of posters. ..
  7. Bilszta J, Gu Y, Meyer D, Buist A. A geographic comparison of the prevalence and risk factors for postnatal depression in an Australian population. Aust N Z J Public Health. 2008;32:424-30 pubmed publisher
    ..Other predictors such as efficacy of social support and perceived financial burden may strengthen statistical models used to predict PND for women living in a rural setting. ..
  8. Cross M. Pregnancy + birth = $$$. Manag Care. 2006;15:28-30, 32, 34 pubmed
  9. Bussey C, Bell J, Lydon Rochelle M. Certified nurse midwife-attended births: trends in Washington State, 1995-2004. J Midwifery Womens Health. 2007;52:444-50 pubmed
    ..The rate of CNM-attended births doubled in hospitals with high birth volumes. We recommend future research designed to understand these trends. ..
  10. Audu B, Mustapha S. Prevalence of gestrointestinal symptoms in pregnancy. Niger J Clin Pract. 2006;9:1-6 pubmed
    ..Gastrointestinal symptoms are common among healthy pregnant women. And even though these represent well-known physiological changes, they must be carefully assessed to exclude any pathological disorder that may require intervention. ..
  11. Forster D, McLachlan H, Yelland J, Rayner J, Lumley J, Davey M. Staffing in postnatal units: is it adequate for the provision of quality care? Staff perspectives from a state-wide review of postnatal care in Victoria, Australia. BMC Health Serv Res. 2006;6:83 pubmed
    ..Future research on postnatal care provision should include consideration of any impact on staff and staffing. ..
  12. Haberman S, Rotas M, Perlman K, Feldman J. Variations in compliance with documentation using computerized obstetric records. Obstet Gynecol. 2007;110:141-5 pubmed
    ..Compliance with documentation in electronic medical record is very low when the reminders for documentation completeness are deactivated and varies with type of provider, as well as with some clinical aspects of the patient. ..
  13. Amelink Verburg M, van Roosmalen J, Roelofsen J, Wolleswinkel van den Bosch J, Verloove Vanhorick S. [Evaluation and validation of a perinatal death audit by means of feedback to the caregivers]. Ned Tijdschr Geneeskd. 2003;147:2333-7 pubmed
  14. McCabe A. Psychosocial care of mothers after stillbirth. Lancet. 2002;360:1600-1; author reply 1601-2 pubmed
  15. Kavoussi S, Smith Y, Ernst S, Quint E. Cervical cancer screening with liquid cytology in women with developmental disabilities. J Womens Health (Larchmt). 2009;18:115-8 pubmed publisher
  16. Knop J, Østerberg Larsen B. [Psychological intervention during pregnancy. A multidisciplinary hospital network]. Ugeskr Laeger. 2001;163:5018-22 pubmed
  17. Homer C. Re: Collaboration in maternity care. A response to 'what do I think of midwife-led units?'. Aust N Z J Obstet Gynaecol. 2006;46:262-4 pubmed
  18. Penney G, Brace V. Near miss audit in obstetrics. Curr Opin Obstet Gynecol. 2007;19:145-50 pubmed
    ..Near miss audit is increasingly used to complement maternal mortality review. Standardization of inclusion criteria and of methods for case assessment would facilitate comparisons over time and among countries. ..
  19. Uharcek P, Mlyncek M, Uharceková P, Pretiová L. Anaesthesia for Caesarean section and acid aspiration prophylaxis: a survey of Slovak obstetric departments. Eur J Anaesthesiol. 2007;24:724-6 pubmed
  20. King M, Wrench I, Galimberti A, Spray R. Introduction of cell salvage to a large obstetric unit: the first six months. Int J Obstet Anesth. 2009;18:111-7 pubmed publisher
    ..We have successfully introduced cell salvage to our unit in a relatively short period of time and have used it for the largest series of patients reported in the UK. ..
  21. Al Serouri A, Al Rabee A, Bin Afif M, Al Rukeimi A. Reducing maternal mortality in Yemen: challenges and lessons learned from baseline assessment. Int J Gynaecol Obstet. 2009;105:86-91 pubmed publisher
    ..The data argue for strengthening the 4 interlinked health system elements-human resources, and access to, use, and quality of services. The Government must address each of these elements to meet the Safe Motherhood MDG. ..
  22. Zwart J, Yazdani S, Harvey M, de Vries R, van Roosmalen J. Underreporting of major obstetric haemorrhage in the Netherlands. Transfus Med. 2010;20:118-22 pubmed publisher
    ..The estimated underreporting of MOH of 35% is considerable. Underreporting is inherent to large observational multicentre studies and should be anticipated and quantified to facilitate fair comparison of epidemiologic data. ..
  23. Treacy A, O DONOVAN M, Byrne P. Perinatal outcome in unbooked women at the Rotunda Hospital. Ir Med J. 2002;95:44-7 pubmed
    ..Unbooked pregnancies account for a small proportion of our antenatal population. However, perinatal outcome is significantly worse in unbooked patients compared to those who are regular antenatal attenders. ..
  24. Parker A. Tracking a decade of CIS (clinical information systems). A vendor survey tracks 10 years of CIS use in the obstetrics department of a nationally renowned medical center with some stunning results. Health Manag Technol. 2002;23:28-31 pubmed
  25. Lagrew D, Stutman H, Sicaeros L. Voluntary physician adoption of an inpatient electronic medical record by obstetrician-gynecologists. Am J Obstet Gynecol. 2008;198:690.e1-5; discussion 690.e5-6 pubmed publisher
    ..5%, 75.8%, 56.6%, and 88.2%, respectively, over the study time period. A well designed electronic medical record can be utilized in the voluntary private inpatient setting with significant physician adoption. ..
  26. Mikos T, Downes E. Ambulatory gynaecology: what can we do?. Best Pract Res Clin Obstet Gynaecol. 2005;19:647-61 pubmed
    ..Specific issues that need to be addressed include training, patient selection, consenting issues, decisions to cancel/transfer as inpatients, and the management of common gynaecological problems. ..
  27. Belling C, Coulehan J. A window of opportunity: ethics and professionalism in the obstetrics and gynecology clerkship. Teach Learn Med. 2006;18:326-9 pubmed
    ..In this report, we describe our 12 years of experience with this program including nearly 1,300 medical students. ..
  28. Torres Arreola L, Constantino Casas P, Flores Hernandez S, Villa Barragán J, Rendón Macías E. Socioeconomic factors and low birth weight in Mexico. BMC Public Health. 2005;5:20 pubmed
    ..We found that socioeconomic factors are relevant to LBW. However further research should be done in different population groups as well as developing precise ways of measuring socioeconomic factors and their role in reproductive health. ..
  29. Beebe L, Beaty C, Rayburn W. Immediate neonatal outcomes after elective induction of labor. J Reprod Med. 2007;52:173-5 pubmed
    ..An elective abortion induction is an independent risk factor for delivery of an infant requiring immediate attention. ..
  30. Cameron M, Penney G. Are national recommendations regarding examination and disposal of products of miscarriage being followed? A need for revised guidelines?. Hum Reprod. 2005;20:531-5 pubmed
    ..National guidance on these issues was found to be contentious and implementation was variable. Wide consultation with stakeholders is needed prior to the publication of revised guidance. ..
  31. Friedman D, Curtis C, Schauer S, Salvi S, Klapholz H, Treadwell T, et al. Surveillance for transmission and antibiotic adverse events among neonates and adults exposed to a healthcare worker with pertussis. Infect Control Hosp Epidemiol. 2004;25:967-73 pubmed
    ..Data from the 58 neonates who received azithromycin suggest it may be well tolerated in this age group. ..
  32. Chan M, Chan S, Day M. A pilot study on nurses' attitudes toward perinatal bereavement support: a cluster analysis. Nurse Educ Today. 2004;24:202-10 pubmed
    ..Findings may be used to improve support of nurses, to ensure sensitive bereavement care in perinatal settings, and to enhance nursing curricula. ..
  33. Yajima M, Aruga E, Shirotani N, Tohma H, Hanabusa H, Ohta H. [A newly opened palliative care ward and the nursing of terminal patients with gynecological cancer at our Department of Obstetrics and Gynecology in Tokyo Women's Medical University Hospital]. Gan To Kagaku Ryoho. 2003;30 Suppl 1:98-101 pubmed
    ..We had time to talk enough with carcinoma patients and their family in the ward, which widened choices of their death place, including home death. ..
  34. Kersting A, Fisch S, Baez E. Psychosocial care of mothers after stillbirth. Lancet. 2002;360:1600; author reply 1601-2 pubmed
  35. Meyers D, Turner Maffei C. Improved breastfeeding success through the baby-friendly hospital initiative. Am Fam Physician. 2008;78:180, 182 pubmed
  36. Jayaprakasan K, Campbell B, Clewes J, Johnson I, Raine Fenning N. Three-dimensional ultrasound improves the interobserver reliability of antral follicle counts and facilitates increased clinical work flow. Ultrasound Obstet Gynecol. 2008;31:439-44 pubmed publisher
    ..While this is at the expense of time overall, the duration of the actual ultrasound examination and patient exposure is significantly reduced using 3D compared with real-time 2D ultrasound. ..
  37. Rzymski P, Kokot P, Wilczak M, Spaczynski M. [Gynecologic endoscopy in the greater region of Poland during 1988-1998]. Ginekol Pol. 2001;72:547-53 pubmed
    ..We demonstrated the insufficient equipment in the region, in spite of the right tendencies in the spectrum of the endoscopic procedures and the experience of the physicians who perform laparoscopy and hysteroscopy. ..
  38. Bojar I, Wdowiak L, Ostrowski T. Patients' quality assessment of ambulatory obstetric and gynaecological services. Rocz Akad Med Bialymst. 2005;50:319-21 pubmed
    ..More satisfied with the services provided by the obstetric and gynaecological out-patient clinics were women living in cities than in villages and those visiting nonpublic than public practices. ..
  39. Fantini M, Stivanello E, Frammartino B, Barone A, Fusco D, Dallolio L, et al. Risk adjustment for inter-hospital comparison of primary cesarean section rates: need, validity and parsimony. BMC Health Serv Res. 2006;6:100 pubmed
    ..By adjusting for only actual confounders valid and more precise estimates could be obtained. ..
  40. Romano M. A bigger brood. As OB/GYN practices grow nationwide, what's good news for the docs can be bad news for hospitals and health plans. Mod Healthc. 2005;35:28-30 pubmed
  41. Webster V, Stewart R, Stewart P. A survey of interventional radiology for the management of obstetric haemorrhage in the United Kingdom. Int J Obstet Anesth. 2010;19:278-81 pubmed publisher
    ..Access to this resource is subject to striking local variability and influenced by the size and nature of the hospital supporting the delivery unit. ..
  42. Turnbull D, Baghurst P, Collins C, Cornwell C, Nixon A, Donnelan Fernandez R, et al. An evaluation of Midwifery Group Practice. Part I: clinical effectiveness. Women Birth. 2009;22:3-9 pubmed publisher
    ..No significant differences were found in the incidence of post-partum haemorrhage, antenatal hospital admissions, or neonatal admission to Special or Intensive Care. MGP is clinically effective when practiced in a routine setting. ..
  43. Laudicella M, Olsen K, Street A. Examining cost variation across hospital departments--a two-stage multi-level approach using patient-level data. Soc Sci Med. 2010;71:1872-81 pubmed publisher
    ..We identify those departments with significantly higher costs that need to take action. ..
  44. Szeverényi P, Kovácsné T, Hetey A. [Opinions about postpartum care: expectations of the population]. Orv Hetil. 2003;144:367-72 pubmed
    ..Almost 62% of the sample had no children at the time of the interview. They will be in need of obstetric care in the future as well. Because of this, their opinion is especially important. ..
  45. Zeck W, Panzitt T, Schlembach D, Lang U, McIntyre D. Management of diabetes in pregnancy: comparison of guidelines with current practice at Austrian and Australian obstetric center. Croat Med J. 2007;48:831-41 pubmed
    ..National and international consensus has yet to be achieved in the management of diabetes in pregnancy. ..
  46. Lindberg I, Christensson K, Ohrling K. Parents' experiences of using videoconferencing as a support in early discharge after childbirth. Midwifery. 2009;25:357-65 pubmed
    ..The findings can also be used as a foundation for further development of the application of VC within maternal health care and in health care in rural areas. ..
  47. Heller G, Schnell R, Richardson D, Misselwitz B, Schmidt S. [Assessing the impact of delivery unit size on neonatal survival: estimation of potentially avoidable deaths in Hessen, Germany, 1990-2000]. Dtsch Med Wochenschr. 2003;128:657-62 pubmed
    ..Additionally policy discussions regarding structural changes in obstetrical care should be undertaken in the meantime, aimed at reducing the observed mortality rates. ..
  48. Ebulue V, Vadalkar J, Cely S, Dopwell F, Yoong W. Fear of failure: are we doing too many trials of instrumental delivery in theatre?. Acta Obstet Gynecol Scand. 2008;87:1234-8 pubmed publisher
    ..Thus, many junior trainees may prefer to conduct relatively uncomplicated instrumental deliveries in theatre. Appropriate training and senior staff input would help reduce this. ..
  49. Fox R, Minchom S. Parental experiences of the newborn hearing screening programme in Wales: a postal questionnaire survey. Health Expect. 2008;11:376-83 pubmed publisher
    ..They highlight significant differences in user satisfaction between those whose babies had clear responses on initial screening and those who did not, and point to areas where improvement may be possible. ..
  50. Goer H. "Spin doctoring" the research. Birth. 2003;30:124-9 pubmed
  51. Grujić I, Papović M, Gagović M. [The history and development of obstetrics and gynecology services in Vrbas]. Med Pregl. 2007;60:299-302 pubmed
    ..All women from the municipalitY of Vrbas and this region use the services of this department. ..
  52. Kaye D, Mirembe F, Aziga F, Namulema B. Maternal mortality and associated near-misses among emergency intrapartum obstetric referrals in Mulago Hospital, Kampala, Uganda. East Afr Med J. 2003;80:144-9 pubmed
    ..In developing countries, with poor obstetric services, emergency transfers in labour are very common. These women, who are of low status, contribute significantly to maternal mortality and morbidity. ..
  53. Korst L, Fridman M, Friedlich P, Lu M, Reyes C, Hobel C, et al. Hospital rates of maternal and neonatal infection in a low-risk population. Matern Child Health J. 2005;9:307-16 pubmed
    ..They also identified hospitals with exceptionally high rates of infectious morbidity. The relationship between hospital ownership and obstetrical practice patterns, and the feasibility of practice improvement, remain to be studied. ..