If you are visually impaired or blind, you can visit the PDF version by Pressing CONTROL + ALT + 4
<br /> advancing the art & science of medicine in the midwest<br /> volume 112 • no. 2 • april 2013<br /> Doulas in the<br /> delivery room<br /> A look at economics<br /> and outcomes<br /> W<br /> ith more than 30 years of<br /> dedicated service, our focus is on the insurance<br /> needs of Wisconsin’s medical community.<br /> For more information on our products and services contact us at<br /> 866.442.3810 or visit www.wisconsinmedicalsociety.org/insurance.<br /> <br /> cover Theme<br /> Doulas in the delivery room:<br /> A look at economics and<br /> outcomes<br /> Research has shown doula support<br /> to be associated with a wide range<br /> of positive effects on birth outcomes<br /> and maternal emotions and self-<br /> esteem. A study in this issue of WMJ<br /> also explores the economics of pro-<br /> fessional doula support and suggests<br /> the potential to lower costs associ-<br /> ated with low-risk deliveries.<br /> Cover <a title="wmj_112no2 page 1" href="http://viewer.zmags.com/publication/682550a3?page=1"> advancing the art & science of medicine in the mi</a> <a title="wmj_112no2 page 2" href="http://viewer.zmags.com/publication/682550a3?page=2"> W ith more than 30 years of dedi</a> <a title="wmj_112no2 page 3" href="http://viewer.zmags.com/publication/682550a3?page=3"> </a> <a title="wmj_112no2 page 4" href="http://viewer.zmags.com/publication/682550a3?page=4"> cover Theme Doulas in the delivery room: A look a</a> <a title="wmj_112no2 page 5" href="http://viewer.zmags.com/publication/682550a3?page=5"> advancing the art & science of medicine in the mi</a> <a title="wmj_112no2 page 6" href="http://viewer.zmags.com/publication/682550a3?page=6"> advancing the art & science of medicine in the mi</a> <a title="wmj_112no2 page 7" href="http://viewer.zmags.com/publication/682550a3?page=7"> LETTER TO THE EDITOR / COMMENTARY Absence of Lab</a> <a title="wmj_112no2 page 8" href="http://viewer.zmags.com/publication/682550a3?page=8"> Back by popular demand! & T MEDICAL RECORDS HE</a> <a title="wmj_112no2 page 9" href="http://viewer.zmags.com/publication/682550a3?page=9"> AS I SEE IT An Alternative Form to Determine </a> <a title="wmj_112no2 page 10" href="http://viewer.zmags.com/publication/682550a3?page=10"> Change Your M nd: Exploring thE sciEncE of Emotio</a> <a title="wmj_112no2 page 11" href="http://viewer.zmags.com/publication/682550a3?page=11"> LOOKING BACK…TO 1912 Obstetric Teaching and Pr</a> <a title="wmj_112no2 page 12" href="http://viewer.zmags.com/publication/682550a3?page=12"> IN THIS ISSUE Context Is Everything: How to </a> <a title="wmj_112no2 page 13" href="http://viewer.zmags.com/publication/682550a3?page=13"> nancies may be more generalizable to other states</a> <a title="wmj_112no2 page 14" href="http://viewer.zmags.com/publication/682550a3?page=14"> Register Now to Attend Mayo Clinic</a> <a title="wmj_112no2 page 15" href="http://viewer.zmags.com/publication/682550a3?page=15"> ORIGINAL RESEARCH Changes in Environmental To</a> <a title="wmj_112no2 page 16" href="http://viewer.zmags.com/publication/682550a3?page=16"> Table 1. Participant Characteristics by Time Peri</a> <a title="wmj_112no2 page 17" href="http://viewer.zmags.com/publication/682550a3?page=17"> interest in all models was time period, to determ</a> <a title="wmj_112no2 page 18" href="http://viewer.zmags.com/publication/682550a3?page=18"> Table 2. Adjusted Odds Ratios for Environmental T</a> <a title="wmj_112no2 page 19" href="http://viewer.zmags.com/publication/682550a3?page=19"> exposure, which is more relevant for long-term he</a> <a title="wmj_112no2 page 20" href="http://viewer.zmags.com/publication/682550a3?page=20"> ORIGINAL RESEARCH An Economic Model of the Be</a> <a title="wmj_112no2 page 21" href="http://viewer.zmags.com/publication/682550a3?page=21"> professional doulas have an independent practice </a> <a title="wmj_112no2 page 22" href="http://viewer.zmags.com/publication/682550a3?page=22"> Table 2. Cesarean Delivery Rates and Regional Ana</a> <a title="wmj_112no2 page 23" href="http://viewer.zmags.com/publication/682550a3?page=23"> figure 1. Calculating Low-Risk Cesarean Deliverie</a> <a title="wmj_112no2 page 24" href="http://viewer.zmags.com/publication/682550a3?page=24"> Table 3. Cost Savings if Professional Doula Labor</a> <a title="wmj_112no2 page 25" href="http://viewer.zmags.com/publication/682550a3?page=25"> ing the continued effectiveness of doula labor su</a> <a title="wmj_112no2 page 26" href="http://viewer.zmags.com/publication/682550a3?page=26"> reFerences 1. Simkin P, Way K. Position Paper: Th</a> <a title="wmj_112no2 page 27" href="http://viewer.zmags.com/publication/682550a3?page=27"> BRIEF REPORT Patient and Referring Provider S</a> <a title="wmj_112no2 page 28" href="http://viewer.zmags.com/publication/682550a3?page=28"> Table 1. Respondent Characteristics: Patients Ch</a> <a title="wmj_112no2 page 29" href="http://viewer.zmags.com/publication/682550a3?page=29"> Mean provider scores for all 10 satis- faction</a> <a title="wmj_112no2 page 30" href="http://viewer.zmags.com/publication/682550a3?page=30"> during pregnancy and create a plan should the dis</a> <a title="wmj_112no2 page 31" href="http://viewer.zmags.com/publication/682550a3?page=31"> CASE REPORT Hemodynamic Optimization in High-</a> <a title="wmj_112no2 page 32" href="http://viewer.zmags.com/publication/682550a3?page=32"> Table 1. Readiness for Cardiac Surgery Checklist </a> <a title="wmj_112no2 page 33" href="http://viewer.zmags.com/publication/682550a3?page=33"> risk candidate for MVR. His Society of Thoracic S</a> <a title="wmj_112no2 page 34" href="http://viewer.zmags.com/publication/682550a3?page=34"> Table 2. Hemodynamic Changes During Treatment Wit</a> <a title="wmj_112no2 page 35" href="http://viewer.zmags.com/publication/682550a3?page=35"> 11. Nashef SA, Roques F, Michel P, Gauducheau E, </a> <a title="wmj_112no2 page 36" href="http://viewer.zmags.com/publication/682550a3?page=36"> PROCEEDINGS Proceedings from the 2012 Annual M</a> <a title="wmj_112no2 page 37" href="http://viewer.zmags.com/publication/682550a3?page=37"> Discussion: C valvarum is a newly proposed specie</a> <a title="wmj_112no2 page 38" href="http://viewer.zmags.com/publication/682550a3?page=38"> good glycemic control with supportive care is the</a> <a title="wmj_112no2 page 39" href="http://viewer.zmags.com/publication/682550a3?page=39"> new-onset congestive heart failure and pneu- moni</a> <a title="wmj_112no2 page 40" href="http://viewer.zmags.com/publication/682550a3?page=40"> Observations (115 listed items) revealed posi</a> <a title="wmj_112no2 page 41" href="http://viewer.zmags.com/publication/682550a3?page=41"> anemia, severe thrombocytopenia, and mild immatur</a> <a title="wmj_112no2 page 42" href="http://viewer.zmags.com/publication/682550a3?page=42"> workup showed blood urea nitrogen 31mg/ dl, crea</a> <a title="wmj_112no2 page 43" href="http://viewer.zmags.com/publication/682550a3?page=43"> Heightened awareness of its presence and its pote</a> <a title="wmj_112no2 page 44" href="http://viewer.zmags.com/publication/682550a3?page=44"> 48 hours of IV antibiotic therapy there was no cl</a> <a title="wmj_112no2 page 45" href="http://viewer.zmags.com/publication/682550a3?page=45"> erythromycin in acute Upper gastrointestinal Blee</a> <a title="wmj_112no2 page 46" href="http://viewer.zmags.com/publication/682550a3?page=46"> similar features. Standard treatment for MC vascu</a> <a title="wmj_112no2 page 47" href="http://viewer.zmags.com/publication/682550a3?page=47"> improve over the next 3 to 6 days. DAH is also a </a> <a title="wmj_112no2 page 48" href="http://viewer.zmags.com/publication/682550a3?page=48"> inflammation of alveoli including alveolar ducts.</a> <a title="wmj_112no2 page 49" href="http://viewer.zmags.com/publication/682550a3?page=49"> would be in a 30- to 50-year-old woman with Rayna</a> <a title="wmj_112no2 page 50" href="http://viewer.zmags.com/publication/682550a3?page=50"> ated, and she was continued on oral myco- phenola</a> <a title="wmj_112no2 page 51" href="http://viewer.zmags.com/publication/682550a3?page=51"> possibility of NSAID hepatotoxicity. A con- serva</a> <a title="wmj_112no2 page 52" href="http://viewer.zmags.com/publication/682550a3?page=52"> 6 months prior to admission. Initial evalua- tion</a> <a title="wmj_112no2 page 53" href="http://viewer.zmags.com/publication/682550a3?page=53"> treatment of Crohn’s disease with closure of drai</a> <a title="wmj_112no2 page 54" href="http://viewer.zmags.com/publication/682550a3?page=54"> of 0.5-1.5mg/kg/hr elemental calcium and 2-4g/day</a> <a title="wmj_112no2 page 55" href="http://viewer.zmags.com/publication/682550a3?page=55"> revealed markedly hypercellular marrow (80%-90</a> <a title="wmj_112no2 page 56" href="http://viewer.zmags.com/publication/682550a3?page=56"> fL, platelet count 80K, and normal WBC. Her retic</a> <a title="wmj_112no2 page 57" href="http://viewer.zmags.com/publication/682550a3?page=57"> Discussion: VTE can be a life-threatening postope</a> <a title="wmj_112no2 page 58" href="http://viewer.zmags.com/publication/682550a3?page=58"> FROM THE OFFICE OF GENERAL COUNSEL The Sunsh</a> <a title="wmj_112no2 page 59" href="http://viewer.zmags.com/publication/682550a3?page=59"> numbers will be adjusted for inflation. Further, </a> <a title="wmj_112no2 page 60" href="http://viewer.zmags.com/publication/682550a3?page=60"> DEAN’S CORNER Accountable Care Organizations:</a> <a title="wmj_112no2 page 61" href="http://viewer.zmags.com/publication/682550a3?page=61"> often emphasize discrete problem areas— such </a> <a title="wmj_112no2 page 62" href="http://viewer.zmags.com/publication/682550a3?page=62"> CLASSIFIED ADVERTISING Seeking Ph</a> <a title="wmj_112no2 page 63" href="http://viewer.zmags.com/publication/682550a3?page=63"> A HEARTBEAT PORTRAIT Chisomo Boxer T:10.5” Actu</a> <a title="wmj_112no2 page 64" href="http://viewer.zmags.com/publication/682550a3?page=64"> “As physicians, we have so many unknowns comin</a>