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Perinatal Support Program
NAME OF ORGANIZATION, AGENCY, OR INSTITUTION
Delta Area Health Education Center/Crittenden Regional Hospital (West Memphis, Arkansas)
PRIMARY CONTACT NAME AND TITLE
Angie Whatley, RN, Women’s Health Project Coordinator
PROJECT AIM AND GOALS
Grant funds were acquired to implement a doula program for Crittenden Regional Hospital, a rural hospital in Arkansas. Trainings were established to train lay women to work in the program. Trainings were also provided for healthcare professionals to introduce gentle birth practices, and the role of a doula, and doulas working as part of the health care team.
Tools used to measure outcomes: hospital score cards track low birth weight, neonatal transfers, cesarean births, and cost.
Our program is also beginning CenteringPregnancy – Group care, as the first site in Arkansas.
BLUEPRINT AREA(S) ADDRESSED
- Performance measurement and leveraging of results
- Disparities in access and outcomes
- Scope of covered services
- Coordination of care across time, settings, and disciplines
- Decision making and consumer choice
- Scope, content and availability of health professions education
- Educational materials for health professionals
- Hands-on skills training or drills for health professionals
- Performance measurement/reporting
- Clinical practice guideline or policy change
- Community education/outreach
- Team building or communication process change
- New care delivery model
- Decline in induction rates
- Decline in Cesarean Birth
- Decline in pain medications/epidurals for management
- Shorter labors with doula care
- Clients with doulas stay home longer and in more active labor with hospital admission
- Breastfeeding rates have increased two-fold.
- Policy changes to promote more breastfeeding
- Policy changes to allow clients to ambulate more and have more decision making choices with birth preferences