Health care providers at Women & Infants Hospital of Rhode Island collaborated to write and edit the recently-released textbook "Obstetric Triage and Emergency Care Protocols."
The first edition of the text was released in late summer by Springer Publishing Company. Editors of the text are Diane J. Angelini, EdD, CNM, FACNM, FAAN, of the Women & Infants Nurse Midwifery Section of the Department of Obstetrics and Gynecology, and Donna LaFontaine, MD, FACOG, former medical director of the hospital's Triage (Emergency) Department.
"We wanted to create a handbook that contains the expertise of midwives, nurse practitioners, obstetricians, gynecologists and radiologists," Angelini said, adding that the pair did not have to look far for such skill. Of the book's 30 chapters on management of obstetric emergencies and care, almost all were written by staff at Women & Infants and affiliated with The Warren Alpert Medical School of Brown University. The simultaneously clinical and academic nature of the ob/gyn department at Women & Infants and Brown encourages the adoption and study of best practices in patient care.
"These are people who evaluate more than 30,000 obstetric visits each year. We gathered their evidenced-based information from various clinical situations requiring emergency care. The purpose is to enable practitioners to easily recognize and understand symptomology, evaluate physical exam findings, lab and imaging studies, and differential diagnoses, as well as more effectively collect history and data and conduct follow-up," Angelini added.
The handbook, which is organized by subject and stages of gestational development, offers many imaging guidelines using images exclusively from Women & Infants' Department of Diagnostic Imaging.
"Women & Infants is the logical place to find these stories of obstetric emergencies because we are the premier resource for women and newborns in this region," said Constance Howes, president and chief executive officer of the hospital. "It is amazing to see the variety of clinicians involved in the writing and publication of this book, and to know that all of that talent and skill is located right here."
Chapters by Women & Infants staff, in alphabetical order, include:
- Angelini, "Overview of Obstetric Triage and Potential Pitfalls"
- Chelsey Caren, MD, of the Triage Department, and David Edmonson, MD, of the Breast Health Center, "Postpartum Breast Complications" and "Common General Surgical Emergencies in Pregnancy"
- Catherine Friedman, MD, Center for Women's Behavioral Health, "Substance Use and Psychiatric Disorders in Pregnancy"
- Robyn Gray, DO, of the Triage Department, "Vaginal Bleeding in Pregnancy," and, with Luu Cortes Doan, MD, a resident, "Pregnancy Loss Prior to Viability"
- Elisabeth Howard, CNM, Nurse Midwifery Section, "Labor Evaluation"
- Margaret Howard, PhD, and Rebecca Christophersen, both of the Center for Women's Behavioral Health, "Psychiatric Complications in the Postpartum Period"
- Linda Hunter, CNM, Nurse Midwifery Section, "Preterm Labor"
- Moune Jabre Raughley, MD, Triage Department, "Abdominal Pain and Masses in Pregnancy"
- Julie Johnson, MD, and Brenna Anderson, MD, both of the Division of Maternal-Fetal Medicine, "Infections in Pregnant Women"
- Dr. LaFontaine, "Sexually Transmitted Infections" and "Intimate Partner Violence and Sexual Assault in Pregnancy"
- Edie McConaughey, CNM, Nurse Midwifery Section," Fetal Evaluation and Clinical Applications"
- Martha Pizzarello, MD, Triage Department, and Dr. LaFontaine, "Secondary Postpartum Hemorrhage ad Endometritis"
- Janet Singer, CNM, Nurse Midwifery Section, "Recognition and Treatment of Postabortion Complications"
- Amy Snyder, MD, Triage Department, "Nausea Vomiting and Hyperemesis of Pregnancies"
- Linda Steinhardt, MS, CNM, Nurse Midwifery Section, "Limited or No Prenatal Care at Term"
- Roxanne Vrees, MD, Triage Department, "Management of Ectopic Pregnancy" and, with Alyson McGregor, MD, also of the Triage Department, "Trauma in Pregnancy"
- Emily White, MD, Triage Department, "Vaginal Bleeding in Early Pregnancy"
"Obstetric triage has developed into a specialty area/unit within obstetrics with multifunctional aspects. In some institutions, the obstetric triage setting is primarily a screening area for laboring women; while in other settings, it serves multiple functions including labor evaluation, assessment of obstetric emergencies and management of obstetric conditions post viability," the pair noted in the preface of their book.
The book, which is also available for e-readers, can be purchased through the publisher at springerpub.com.
About Women & Infants Hospital
Women & Infants Hospital of Rhode Island, a Care New England hospital, is one of the nation's leading specialty hospitals for women and newborns. The primary teaching affiliate of The Warren Alpert Medical School of Brown University for obstetrics, gynecology and newborn pediatrics, as well as a number of specialized programs in women's medicine, Women & Infants is the eighth largest stand-alone obstetrical service in the country with nearly 8,400 deliveries per year. In 2009, Women & Infants opened what was at the time the country's largest, single-family room neonatal intensive care unit.
New England's premier hospital for women and newborns, Women & Infants and Brown offer fellowship programs in gynecologic oncology, maternal-fetal medicine, urogynecology and reconstructive pelvic surgery, neonatal-perinatal medicine, pediatric and perinatal pathology, gynecologic pathology and cytopathology, breast disease and reproductive endocrinology and infertility. It is home to the nation's only mother-baby perinatal psychiatric partial hospital, as well as the nation's only fellowship program in obstetric medicine.
Women & Infants has been designated as a Breast Center of Excellence from the American College of Radiography; a Center for In Vitro Maturation Excellence by SAGE In Vitro Fertilization; a Center of Biomedical Research Excellence by the National Institutes of Health; a National Accreditation Program for Breast Centers through the American College of Surgeons; and a Neonatal Resource Services Center of Excellence. It is one of the largest and most prestigious research facilities in high risk and normal obstetrics, gynecology and newborn pediatrics in the nation, and is a member of the National Cancer Institute's Gynecologic Oncology Group and the National Institutes of Health's Pelvic Floor Disorders Network.