The advanced practice movement in nursing: impact on perinatal care

Article Abstract:

Tripling the number of advanced practice nurses (APNs) in the US from 1987-1997 has improved the quality of health care. APNs include nurse practitioners, certified nurse-midwives, clinical nurse specialists, and certified registered nurse anesthetists. Advanced practice nursing faces barriers in prescription writing, inconsistent third party reimbursement, and consistent regulation, but has clearly improved the quality of perinatal care.

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The promise of clinical pathways

Article Abstract:

Institutions which establish clinical pathways for obstetric care have reported favorable clinical and financial results. Pathways emphasize patient outcomes rather than staff behavior. The best pathway work is transdisciplinary, inductive, deductive, and data driven. Clinical pathways permit institutions to provide high quality care while indicating how to utilize materials and control costs.

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Eating disorders, fertility, and pregnancy: relationships and complications

Article Abstract:

Women who pregnant and have symptoms of anorexia nervosa or bulimia will experience complications during their pregnancy resulting from poor nutrition. Anorexia and bulimia often cause fertility problems as well. Nursing care for pregnant women with eating disorders are described.

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