Abstract
The paper reveals that there are several short-term and long-term ailments associated with cesarean deliveries for mothers. This study proposes a semi-structured interview to examine whether physicians have sufficient knowledge about the process to minimize the impact of post-surgery ailments related to unplanned cesarean deliveries. The paper also explores whether physicians across different hospitals adopt identical procedures to minimize this impact. This includes short-term risks, long-term risks and risks to future pregnancies.

Outline:
Introduction
Problem Statement
Purpose of this Study
Definition of Key Concepts
Literature Review
Dependent Variables
Independent Variables
Hypotheses or Research Questions
Research Method
Research Design
Participants
Recruitment Strategy
Sampling Frame
Method of Selecting the Sample Elements
Data Collection
Trustworthiness (Credibility and rigor) of Results
Delimitations
Ethical Issues
Data Analysis
Conclusion

From the Paper
"Unplanned cesarean deliveries can take place when induced and/or continued labor may turn out to be harmful for either the mother or the child or both. Doctors prefer unplanned cesarean deliveries when the child fails to make a movement towards the birth channel; or when the cervix fails to open up; or when the child's heart rate is abnormal and it is assumed that the child can no longer deal with continued labor; or when prolapsed cord slides through the cervix which endangers child's oxygen supply; or when placental abruption takes place and sufficient oxygen cannot be delivered; or when the water breaks; or when the genital herpes erupts."

Tags:risks, dangers, procedures, birth, mortality

Abstract
In this article the writer reviews the scholarly article, "Maternal Mortality and Severe Morbidity Associated with Low-risk Planned Cesarean Delivery versus Planned Vaginal Delivery at Term", about the relative dangers of cesarean section versus vaginal delivery for women. The paper looks at the purpose of the study and summarizes the results. The writer then describes its strengths and weaknesses and outlines how such findings should be utilized in the future. In addition, two key questions that should guide future investigation are enumerated.

Outline:
Abstract
Purpose of the study
Results of the study
Strengths of the study
Weaknesses of the study
How to use these findings in practice
Two questions for future research

From the Paper
"The strengths of the study lie in the fact that few studies this writer has reviewed have been more comprehensive. To wit, the planned cesarean group comprised 46,766 women; for the planned vaginal delivery group, the figure was 2,292,420. Every bit as importantly, the study is longitudinal in nature. Specifically, the study encompasses a 14-year period - a length of time seemingly sufficient to ensure that curious aberrations or anomalies in particular years did not cause fundamental distortions in the findings of the study. Additionally, to ensure the validity of the data findings, the researchers employed adjusted odds ratio and confidence intervals; as well, the authors used multivariate analysis to control for "confounding variables" such as age, year of delivery, and elderly primigravidity - among other factors."

Tags:hospital, risk, pregnancy, weight

Abstract
The paper reveals that in spite of the overall success rates and avoidance of prenatal factors that decrease Cesarean section success, the minority that have unsuccessful operative deliveries require close support. The paper argues that the practice of Cesarean section with a care-oriented approach is still cost-effective and adequately supported by numerous, institutions and should still be offered as an alternative nonetheless.

From the Paper
"Cesarean sections are classified as operative deliveries that are performed either electively or in emergent situations that threaten expectant mother, child or both. Cesarean sections obviate the need for strict procedures both in the operating theater, with proper preoperative and postoperative preparation and care given. The population that has undergone cesarean sections worldwide varies. The most number of procedures done were in private hospitals in some countries in Latin America, which surpasses 50 percent of total births (Dodd & Crowther, 2006). In other countries, the percentage of cesarean births varies from..."

Tags:nursing, cesarean, section

Abstract
Although many women are familiar with the existence of planned parenthood, they may not be aware of the alternatives. This paper examines three such organizations and how they serve to empower women who face the difficult choices that come with unplanned pregnancies. In addition, this paper discusses different kinds of empowerment for women associated with this topic, focusing on those of education and of legislation.

Tags:unplanned, pregnancy, counseling

Abstract
The paper reveals that in spite of the overall success rates and avoidance of circumstances which decrease VBAC success, the minority that have unsuccessful vaginal deliveries can suffer catastrophic consequences. The paper explains that this, coupled with lower quality clinical evidence, has led to ambivalence regarding the offering of VBACs as an option alongside repeat cesarean sections in women. The paper relates that the practice of VBAC is still adequately supported by numerous, albeit lower-tier evidence and should still be offered as an alternative to cesarean section.

From the Paper
"Vaginal birth after cesarean section (VBAC) is the delivery of a neonate through the vaginal canal in a mother with a previous history of an operative delivery. The operative delivery excludes operative vaginal deliveries by forceps and pertains exclusively to operative abdominal deliveries. The population that has undergone cesarean sections worldwide varies. The most number of procedures done were in private hospitals in some countries in Latin America, which surpasses 50 percent of total births (Dodd & Crowther, 2006). In other countries, the percentage of..."

Tags:nursing, vbac, practice

Abstract
This paper examines some of the advantages and disadvantages associated with giving birth vaginally after having previously delivered by a Cesarean (VBAC). The paper looks at why doctors try to avoid them, but also gives support from the literature for their safety and success. The paper further discusses contraindications and the major problem which is uterine rupture following prior C-section. It points out that uterine rupture is usually due to Pitocin use, and that VBACs have a 98 percent success rate.

From the Paper
"Vaginal Birth After Cesarean (VBAC) is becoming increasingly popular and the medical profession has tried somewhat to discourage it because of the risk of uterine rupture. While postpartum fever seemed to correlate with uterine rupture at VBAC in a recent study there was no relationship between single or double..."

Tags:Vaginal Birth After Caesarean (VBAC), VBA2C, VBA2+C, VBA3+C

Abstract
Presents a consensus of all three articles that today's organizations experience change that is faster and more frequent due to the global business environment, technology, and changing consumer demands.

From the Paper
"The three Internet articles obtained for this research all focus on change (planned or unplanned) management. In the article Managing Change (2002), the focus is on the difference between ..."

Abstract
This paper discusses the health care delivery systems in the United States. Firstly, it gives an overview of how health care is delivered to the patient. Next, it points out some of the flaws that have been occurring in this system. Additionally, the author explores some of the factors a patient looks for when rating a health care delivery system.

From the Paper
"The U.S. health care delivery system was thought to be the best in the world but lately people have started to question this once unchallenged assumption. Some experts have said that our health care delivery system needs to make major improvements. Throughout this paper I will give an overview of the health care delivery system of the U.S. I will discuss the good qualities of our health care delivery system as well as the flaws that occur in it. Additionally I will discuss how health care delivery systems are evaluated. Lastly I will discuss some factors which are important to a patient when it comes to a health care delivery system. The means by which health care is delivered to U.S. patients is changing. The U.S. health care delivery system is comprised of many components including hospitals, outpatient facilities, transitional ..."

Tags:health, care, delivery

Abstract
This paper describes the business logic involved in choosing the correct delivery vehicle for a given product. Business managers must consider the specific goods being carried in order to choose the right type and size of vehicle. The paper also examines the other factors that enter the decision: the size of the fleet, the region in which the company operates, the financial health of the company, and a variety of other similar factors.

From the Paper
"Acquiring the best delivery vehicle for a specific application is a dynamic decision and must include a thorough investigation into the types of vehicles that work best, the cost and terms of the financing or lease, as well as how it will accommodate the drivers as well as consideration of the type of goods that is to be carried and whether delivery will involve the crossing of state or international borders. This paper examines some of the basic parameters involved when considering how to make the best business decision in acquiring the right delivery vehicle."

Tags:delivery, vehicle, business, decision, financing, lease, fleet, leasing, truck, van, haulage

Abstract
The paper aims to provide insights into how service delivery strategies of the leading companies in the travel and hospital industries are increasingly relying on the employees' and customers' roles in service delivery, in addition to the managing of service supply chains to ensure customers' expectations are consistently met or exceeded. The paper focuses on the call center functions within the Hilton Hotel chain, Southwest Airlines and Avis rental cars. The paper then presents recommendations to ensure service delivery strategies are turned into competitive advantages. The paper explains how service delivery strategies in these industries need to foster and nurture self-efficacy on the part of customers while at the same time keeping the role of employees more clearly defined.

Outline:
Service Delivery Strategy: Background and Introduction
Main Conclusions
Recommendations
Turning Service Delivery Strategies into a Competitive Advantage: Defining the roles of Employees versus Customers
Developing More Effective Demand Forecasts with Role Clarification
Making Self-Efficacy Work Rather Than Hinder Service Delivery Strategies
Future Trends
Limitations, Conclusions and Recommendations

From the Paper
"To be effective, service delivery strategies in the travel and hospitality industries need to foster and nurture self-efficacy on the part of customers while at the same time keep the role of employees more clearly defined. The challenge many self companies have, from Hilton Hotels to Southwest Airlines, is to continue the successes obtained in getting customers involved in the service process yet not confusing internal employees about their relative role. In the case of Avis, the division of labor between employee and customer are well-delineated and the supply chain is well defined through a reservation program. Yet for Hilton and Southwest, the challenges of continuing to build on the gains made in customer participation and service that lead to higher levels of customer satisfaction need to be managed to ensure consistent levels of self-efficacy opportunities as well (McKee, Simmers, Licata, 2006). As much empirical research has shown that the higher the level of participation the higher the level of "ownership" on the part of customers, employees are often unsure which part of the process they should also take responsibility and accountability for (Hsieh, Yen, Chin, 2004)."

Tags:self-efficacy, participation, customers, employees, reservations, call, centers