Subject(s)
Birthing Centers/legislation & jurisprudence , Neonatal Nursing/legislation & jurisprudence , Quality Assurance, Health Care/legislation & jurisprudence , Cooperative Behavior , Diagnostic Errors/legislation & jurisprudence , Diseases in Twins/diagnosis , Diseases in Twins/nursing , Diseases in Twins/therapy , Female , Germany , Guideline Adherence , Humans , Infant, Newborn , Infant, Premature, Diseases/diagnosis , Infant, Premature, Diseases/nursing , Interdisciplinary Communication , Pregnancy , Pregnancy, High-RiskABSTRACT
En el presente artículo pretendemos abordar la problemática de la maternidad subrogada como método de reproducción asistida, prohibido en España. El objeto de estudio de este trabajo es analizado desde la perspectiva legal y ética, llegando a la conclusión de que ante una hipotética regulación legal, entendemos que el médico no está obligado éticamente a colaborar en el proyecto de maternidades subrogadas, lo que sin duda abre un amplio campo sobre la ética deliberativa de la responsabilidad (AU)
In the present article, we try to approach the issue of surrogacy as a prohibited assisted reproduction treatment in Spain. The subject of study of this work will be analyzed from the legal and ethical perspective. We understand that, arriving at the conclusion that before a hypothetical legal regulation, the doctor is not ethically forced to collaborate legally in the project of surrogacy, thus widening the scope for the deliberative responsibility ethics (AU)
Subject(s)
Humans , Female , Birthing Centers/legislation & jurisprudence , Reproductive Techniques, Assisted/legislation & jurisprudence , Law Enforcement/methods , Reproductive Techniques/legislation & jurisprudence , Reproductive Techniques/trends , Reproductive Behavior/physiology , Forensic Medicine/legislation & jurisprudence , Forensic Medicine/methods , Health Services/classification , Health Services/legislation & jurisprudenceABSTRACT
Using ethnographic data lifted from an investigation into midwifery talk and practice in the South of England, this paper sets out to interrogate the ethics underpinning current admission policy for Free Standing (midwifery led) Birth Centres in the UK. The aim of this interrogation is to contest the grounds upon which birth centres admissions are managed, particularly the over-reliance on abstract calculations of risk--far removed from the material lived experience of the mother wishing to access these birth centre services.
Subject(s)
Birthing Centers/ethics , Health Policy , Health Services Accessibility/ethics , Patient Admission , Birthing Centers/legislation & jurisprudence , Female , Health Policy/legislation & jurisprudence , Humans , Infant, Newborn , Patient Admission/legislation & jurisprudence , Pregnancy , Risk Factors , United KingdomSubject(s)
Birthing Centers/organization & administration , Delivery Rooms/organization & administration , Health Services, Indigenous/organization & administration , Australia , Birthing Centers/legislation & jurisprudence , Delivery Rooms/legislation & jurisprudence , Female , Health Services, Indigenous/legislation & jurisprudence , Humans , Infant, Newborn , Native Hawaiian or Other Pacific Islander , Pregnancy , Rural PopulationABSTRACT
After midwife-led birth centres had been included into the Social Security Statute Book (§134a SGB V) and thus become covered by German Public Health Insurance since April 1st, 2007 contract negotiations on flat rate costs have followed. Meanwhile the 2nd edition of this -agreement has come into effect. The present contribution describes how this non-hospital obstetric care has developed in the last 3 years. The medical care situation is explained based on legal conditions. Special attention is paid to regulations concerning quality management as well as the certification or auditing required to remain listed in the national register of midwife-led units at the Social Health Insurance. Results are shown from data collected by the Associa-tion for Quality Assurance on Out-of-hospital births (QUAG) and from a pilot project which also contains comparisons with clinical findings. The discussion refers to data taken from German as well as international publications. The conclusion points out some aspects in need of further development.
Subject(s)
Birthing Centers/legislation & jurisprudence , Birthing Centers/standards , Delivery Rooms/standards , Midwifery/legislation & jurisprudence , Midwifery/standards , Quality Assurance, Health Care/legislation & jurisprudence , Quality Assurance, Health Care/standards , Delivery Rooms/legislation & jurisprudence , GermanySubject(s)
Birthing Centers/legislation & jurisprudence , Expert Testimony/legislation & jurisprudence , Malpractice/legislation & jurisprudence , Nurse Midwives/legislation & jurisprudence , Obstetric Labor Complications/nursing , Postnatal Care/legislation & jurisprudence , Anal Canal/injuries , Connecticut , Female , Humans , Perineum/injuries , Pregnancy , Rupture , Vagina/injuriesSubject(s)
Birthing Centers/organization & administration , Contracts/legislation & jurisprudence , Delivery, Obstetric/nursing , Midwifery/organization & administration , Nurse's Role , Birthing Centers/legislation & jurisprudence , Female , Humans , Infant, Newborn , London , Midwifery/legislation & jurisprudence , Obstetric Labor Complications/prevention & control , Pregnancy , Public OpinionSubject(s)
Birthing Centers/organization & administration , Contracts/legislation & jurisprudence , Interinstitutional Relations , Midwifery/organization & administration , Public Opinion , Birthing Centers/legislation & jurisprudence , Delivery, Obstetric/nursing , Female , Humans , Infant, Newborn , London , Midwifery/legislation & jurisprudence , Obstetric Labor Complications/epidemiology , PregnancyABSTRACT
The American Association of Birth Centers (AABC) is a multidisciplinary membership organization dedicated to the birth center model of care. This article reviews the history, membership, and current policy initiatives of the AABC. The history of AABC includes the promotion of research, education, and national and state policies that are supportive of birth center care. Current AABC priorities address three main pressures to birth center sustainability: high malpractice insurance rates, the lack of a federally mandated birth center facility fee, and low rates of certified nurse-midwife/certified midwife reimbursement. The AABC is addressing these concerns through lobbying, collaborating with other national organizations, and the promotion of birth research.
Subject(s)
Birthing Centers/economics , Birthing Centers/legislation & jurisprudence , Insurance, Health, Reimbursement , Insurance, Liability/economics , Midwifery , Female , Humans , Lobbying , Midwifery/economics , Midwifery/methods , Midwifery/organization & administration , Nurse Midwives , Pregnancy , United StatesSubject(s)
Delivery, Obstetric/legislation & jurisprudence , Health Care Reform/legislation & jurisprudence , Midwifery/standards , Parturition , Patient-Centered Care/legislation & jurisprudence , State Medicine/legislation & jurisprudence , Birthing Centers/legislation & jurisprudence , Delivery Rooms/legislation & jurisprudence , Female , Humans , Pregnancy , Quality Assurance, Health Care , State Medicine/standards , United KingdomABSTRACT
This article provides an overview of trends and changes to state laws and regulations governing the practice of nurse-midwifery in the United States from 1995 to 1997. It includes tables documenting state requirements related to education, certification, Medicaid and third-party reimbursement, prescriptive, authority, graduate practice, birth centers, regulatory oversight and postpartum discharge.