Disparities

From the Field: Home Birth Consensus Summit

Safety of birth in any setting is of utmost priority. Maternity care providers and researchers in the U.S. disagree about appropriate settings for birth. Ultimately, women and families are ill-served by inter-professional conflict. The current debate on home birth indicates the need for constructive discussion and consensus-building. Successful collaboration between health professionals has been found to result in improved experience and outcomes for consumers.

The Home Birth Consensus Summit will be organized in a way that is most likely to foster the dialogue needed to find common ground and spark constructive action that will ultimately benefit all stakeholder groups. This summit will encourage dialogue among health care professionals, consumers, policy makers, and other leaders from disciplines that support maternity care, with the shared goal of identifying a common agenda for the provision of birth services in the U.S.

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Filed in Care coordination, Clinical controversies, Decision making and choice, Disparities, Stories from the Field on Fri., Sep 16, 2011

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From the Field: The Safe Motherhood Quilt Project

The Safe Motherhood Quilt Project, originated by midwife Ina May Gaskin, is a national effort developed to draw public attention to the current maternal death rates, as well as to the gross underreporting of maternal deaths in the United States. The Quilt honors American mothers who have died of pregnancy or childbirth related causes since 1982, the last year there was a reduction in maternal mortality.

The goal of the Safe Motherhood Quilt Project is to demand an equivalent system of counting, analyzing, and learning from mistakes made in our maternity care system here, regardless of where babies are born or what caregiver is the birth attendant. Until we do that, doctors, midwives, and nurses in the US will continue to work without a good system of feedback about what is and is not dangerous in maternity care, and preventable maternal deaths will continue to take place.

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Filed in Clinical audit, case review, or analysis of adverse events, Clinical controversies, Community education/outreach, Consumer advocacy or political action, Disparities, Educational materials for health professionals, Health information technology, Improved liability system, Performance measurement, Performance measurement/reporting, Stories from the Field, Team building on Mon., Sep 12, 2011

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From the Field: Empowering women with information and support

We want to change childbirth options in our area. Of the five local hospitals in our area only one will allow planned VBACs. Also, the c-section rate for first time moms with no complications during pregnancy is an average of 33% in our area. We want to change this! So we are reaching out to the pregnant and new moms in our area by hosting a monthly support group where we focus on the topic surrounding childbirth and the options that are actually available to them. We look to make a change one mom at a time and build a community of families that support each other and empower each other.

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Filed in Clinical controversies, Community education/outreach, Decision making and choice, Disparities, Shared decision making on Wed., Aug 10, 2011

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From the Field: Becoming a Baby Friendly Facility

We wanted to design a center where the needs of the mother and the baby come first. A place where every aspect of care is based on supporting natural birth and breastfeeding.

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Filed in Care coordination, Clinical controversies, Clinical practice guideline/policy change, Decision making and choice, Disparities, Educational materials for health professionals, Performance measurement/reporting, Shared decision making, Skills training or drills for health professionals, Staffing/care coordination change, Stories from the Field, Team building on Thu., Jul 14, 2011

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From the Field: Community Doula Initiative

HPC Community Doulas is a non profit 501(c) 3 maternal-infant agency dedicated to serve low income pregnant women receiving prenatal care at federally qualified health centers in Hudson County, NJ. Our grant is committed to reducing perinatal disparities in birth outcomes, so we offer free community doulas to pregnant women on Medicaid and/or enrolled in the WIC program.

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Filed in Care coordination, Community education/outreach, Decision making and choice, Disparities, Educational materials for health professionals, Health professions education, New care delivery model, Performance measurement, Shared decision making, Skills training or drills for health professionals, Stories from the Field, Team building, Workforce on Thu., Jul 14, 2011

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From the Field: Every Birth Deserves a Doula

In our local area (St. Louis, MO), access to doulas has largely been for those with the knowledge, money and opportunity (i.e. middle class, white women). Purple Lotus Doulas was founded as a collective of doulas who are dedicated to providing doula services across the full spectrum of women and pregnancy, regardless of any socio-economic or other issues. Each of the doulas in our collective has worked with a variety of populations, either on a professional or volunteer basis. Although we do accept private, for pay clients, we are all available for reduced pay or free doula services. We are also active in the birth community, with the goals to improve access to health services, change or maintain laws that benefit our target populations, and provide education to the general public.

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Filed in Blueprint, Consumer advocacy or political action, Disparities, Payment/reimbursement change, Scope of covered services, Shared decision making, Stories from the Field on Wed., Jul 6, 2011

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From the Field: The Birth Trust

The Birth Trust provides funding for projects that advance midwifery and woman-centered childbirth or reduce birth disparities through educational, policy, and research projects. The Birth Trust is a grant-making fund where donors and birth activists commit a certain amount monthly and then vote and select which projects get funded. Since the Birth Trust launched in 2010, nine very diverse projects have been selected.

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Filed in Care coordination, Clinical controversies, Consumer advocacy or political action, Decision making and choice, Disparities, Educational materials for health professionals, Health professions education, New care delivery model, Nursing/medical/midwifery curriculum change, Payment/reimbursement change, Scope of covered services, Skills training or drills for health professionals, Stories from the Field on Tue., Jul 5, 2011

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From the Field: Louisiana Birth Outcomes Project

The Louisiana Birth Outcomes Project is a state-wide effort coordinated by the Department of Health and Hospitals. This multi-stakeholder initiative drew inspiration from the Transforming Maternity Care project and charged several interdisciplinary task forces with constituencies modeled after the five TMC stakeholder workgroups to determine critical steps for progress in four major areas: quality and safety, interconception care, behavioral health, and performance measurement.

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Filed in Blueprint, Care coordination, Childbirth Connection, Clinical controversies, Clinical practice guideline/policy change, Community education/outreach, Disparities, Health information technology, Health information technology, Payment reform, Payment/reimbursement change, Performance measurement, Performance measurement/reporting, Scope of covered services, Staffing/care coordination change, Stories from the Field on Fri., Apr 22, 2011

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Federal Legislative Action: Maternal Health Accountability Act of 2011

The Maternal Health Accountability Act would provide grants to states for mandatory reporting of pregnancy-related deaths, establishment of a state maternal mortality review committees, and standardization of data collection. It would also support research on “near miss” cases and eliminating disparities in maternal health outcomes.

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Filed in Blueprint, Care coordination, Clinical audit, case review, or analysis of adverse events, Disparities, Federal Legislation, Performance measurement, Performance measurement/reporting on Thu., Apr 21, 2011

From the Field: Obstetrics Clinical Outcomes Assessment Program (OB COAP)

The Obstetrics Clinical Outcomes Assessment Program (OB COAP) is a clinician-led data collection and analysis initiative that uses chart-abstracted data of the variables relating to the management of a pregnant woman who delivers in the state of Washington. Its goal is to ensure that all women in the state of Washington receive the same evidence-based obstetrical care. OB COAP gathers the intrapartum data needed to optimize management of labor and delivery.

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Filed in Blueprint, Clinical audit, case review, or analysis of adverse events, Clinical controversies, Decision making and choice, Disparities, Performance measurement, Performance measurement/reporting, Stories from the Field, Workforce on Wed., Apr 6, 2011

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