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How One Hospital Brought Its C-Section Rate Down Fast NEWPORT BEACH, Calif.— Hoag Memorial Hospital Presbyterian, one of the largest and most respected facilities in Orange County, needed to move quickly. A big insurer had warned that its maternity costs were too high and it might be cut from the plan's network. The reason? Too many cesarean sections. "We were under intense scrutiny," said Dr. The C-section rate at the time, in early 2012, was about 38 percent. Within three years, Hoag had lowered its cesarean section rates for all women to just over a third of all births. In medicine, this qualifies as a quick turnaround. Decreasing C-sections results in "better health to mothers and better health to babies and lower costs," said Stephanie Teleki, senior program officer at the California HealthCare Foundation, which helped fund the data collection and analysis by the California Maternal Quality Care Collaborative. Experts have long been troubled by the wide variation of C-sections among hospitals nationally. Focus on Physicians Dr. Dr.

Crayons & Cuties In Kindergarten Whats On In Melbourne Victoria Australia | Only Melbourne News.com.au | News Online from Australia and the World | NewsComAu Le Monde.fr - Actualité à la Une Continuous support for women during childbirth Continuous support in labour increased the chance of a spontaneous vaginal birth, had no harm, and women were more satisfied. Historically women have been attended and supported by other women during labour and birth. However in many countries, as more women are giving birth in hospital rather than at home, continuous support during labour has become the exception rather than the norm.

Non-verbal classroom management tips This is the second post in the new series I’m introducing on The Cornerstone called Real Teachers, Real Tips. Each month, I’ll invite one educator to share a few classroom management tips that have worked in his or her classroom. I’m hoping to feature a wide cross-section of teachers from all different parts of the world, at all different grade levels, in all different teaching scenarios. August’s featured teacher is Tammi Pittaro, a super talented educator who’s been in the field for 35 years!! Hello! I live and teach in southeastern New Jersey, not far from the bright lights of Atlantic City and the Pine Barrens forest. As I am gearing up for a new school year, I am thinking about the basics. What does nonverbal classroom management look like and how can a teacher keep students focused on learning without using words or sounds? 1. I have found that making eye contact with each child early and often in the day or the period helps him or her stay on track in the classroom. 2. 3. 4.

ONLINE | Nachrichten, Hintergründe und Debatten Vaginal examinations: a symptom of a cervical-centric birth culture | MidwifeThinking This post is about routine vaginal examinations (VE) during physiological birth ie. an uncomplicated birth without any medical intervention. The VE is a useful assessment in some circumstances, but it’s routine use in an attempt to determine labour progress is questionable. As birth knowledge evolves, and research challenges the current cervical-centric approach to labour progress, there is an opportunity to shift practice. I’m hoping this post will inspire readers to reconsider their beliefs and practices regarding cervixes and VEs. History: the rise of the cervix How did we get fixated on what one small area of the body is doing during the complex and multidimensional birth process? The development of medicine was influenced by the notion that the body could be understood like a machine, with distinct parts that could be studied and understood separately. Now: new understandings and contradictions The cervical-centric discourse is so embedded that it is evident everywhere. Summary

Simplify Bulletin Boards With Time Saving Tips and Tricks | Grade School Giggles Hi there! I am so excited. The other authors and I over at The Primary Peach are hosting our very first linky party! Nearly every classroom has a bulletin board or two. One of the things that made a big difference is using a background and a trim that were meant to last for the entire year. Once my fabric background is up I use solid color borders. Just switching to using the same background and trim will save you a ton of time, but I also like to take it a step further. You can slip student work in and out of page protectors that have been stapled to the bulletin board. So, what do you do with your bulletin boards?

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