Improving Patient Postpartum Show Rates Through Increased Education and Scheduling

Maternal health and patient outcomes post-pregnancy have been in the news during COVID-19 as the pandemic has underscored disparities in care and access. But the issues of access to care, and the difficulties faced by patients and providers in organizing care post-partum, have been studied by many over decades. The post-partum period is critical to women and infants not only to follow-up on pregnancy and birthing but also as the window to taking care of women’s health for a lifetime. Join us to hear about ideas for promoting follow-up care in the post-partum period implemented during a study conducted in center city Philadelphia and tested for sustainability during COVID-19. Presentation: 59:4

Improving Patient Postpartum Show Rates Through Increased Education and Scheduling

The postpartum period is a critical time that presents an opportunity to improve maternal health by assessing immediate pregnancy-related concerns such as physical recovery from birth, infant feeding, mood disorders, chronic disease management, contraception and birth spacing, and long-term health maintenance. Despite these benefits, postpartum care is mostly underutilized. There are risk factors for failure to attend the postpartum visit, including younger age, increased parity, minority race or ethnicity, lower household income, public or no insurance, and inadequate prenatal care. Most of these factors are non-modifiable and potentially interrelated. However, additional attention and efforts toward addressing modifiable factors can improve health outcomes and decrease health disparities. The postpartum visit for most women without high-risk medical issues has traditionally been scheduled six weeks following delivery. However, for many, this is perceived as late for problems that arise earlier on, and the visits are poorly attended. An attempt to increase compliance and the timeliness of the visit is frequently discussed in the medical community. The benefits of increasing the number of patients scheduled and show rates would include earlier identification of maternal concerns and avoiding unscheduled care in the emergency department. This project focused on improving show rates for postpartum visits by better scheduling, early communication, and educating the staff and patients. The results showed improvements in scheduling and an initial trend toward increased postpartum visits; however, the impact of the Covid-19 pandemic prevented the project outcomes from being fully realized

Quality and Safety in Obstetrics and Gynecology

Objectives Review the concepts of healthcare quality and safety Discuss Inpatient Quality Metric & Perinatal Quality Metrics Outline Quality Initiative

Thinking chickens: a review of cognition, emotion, and behavior in the domestic chicken

Domestic chickens are members of an order, Aves, which has been the focus of a revolution in our understanding of neuroanatomical, cognitive, and social complexity. At least some birds are now known to be on par with many mammals in terms of their level of intelligence, emotional sophistication, and social interaction. Yet, views of chickens have largely remained unrevised by this new evidence. In this paper, I examine the peer-reviewed scientific data on the leading edge of cognition, emotions, personality, and sociality in chickens, exploring such areas as self-awareness, cognitive bias, social learning and self-control, and comparing their abilities in these areas with other birds and other vertebrates, particularly mammals. My overall conclusion is that chickens are just as cognitively, emotionally and socially complex as most other birds and mammals in many areas, and that there is a need for further noninvasive comparative behavioral research with chickens as well as a re-framing of current views about their intelligence