Patricia M. “Happy” Barnes received a perinatal nurse practitioner certification from Houston Baptist University in 1978 and a masters of science in midwifery from Baylor College of Medicine in 1997. She currently practices midwifery at Nativiti Women's Health and Birth Center, Houston and with Specialists for Women at The Woodlands Memorial Hospital, The Woodlands.
Triage Issues in an Out-of-Hospital Birth Center
Article first published online: 30 DEC 2010
1999 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 44, Issue 5, pages 458–470, September-October 1999
How to Cite
Barnes, P. M. and Dossey, M. S. (1999), Triage Issues in an Out-of-Hospital Birth Center. Journal of Nurse-Midwifery, 44: 458–470. doi: 10.1016/S0091-2182(99)00081-6
- Issue published online: 30 DEC 2010
- Article first published online: 30 DEC 2010
Effective triage in an out-of-hospital birth center helps low-risk women avoid high-risk care. Background issues include the contributions of evidence-based practice, informed consent, patient education, problem-focused documentation, after-hours access to client data, and the value of intuition. Telephone triage, immediate referral, birth center management, and follow-up with counseling are outlined for common out-of-hospital triage problems: first trimester bleeding, nausea and vomiting, second and third trimester bleeding, urinary tract symptoms, decreased fetal movement, contractions < 37 weeks, rupture of membranes, contractions ≥ 37 weeks, and “emergency” delivery.