Group Prenatal Care was started around 2001-2002 and we offer 12 groups yearly. Baby groups were piloted in the 2005 timeframe and packaged/started in 2007. We have done multiple national presentations on group care at organizational meetings.
Shared decision making
As a Patient-Centered Maternity Home, two components of our Maternal-Child Health Care are evidence-based practice and shared decision-making. While ACOG guidelines are not always evidence-based, they have recently released guidelines allowing us all to offer trial of labor to women with two prior cesareans or twins. Our cesarean rate is 19% and our VBAC rate is 50%. North Carolina Medicaid is currently reimbursing cesarean birth at the same rate as vaginal birth.They were proactive in setting the rates pretty close to each other in years past.
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.
From the Field: Eliminating Preventable Perinatal Injuries and Reducing Malpractice Claims and Costs: Creating High Reliability Obstetrics Units
We intend to reduce perinatal harm and decrease malpractice events by eliciting improved compliance in 4 clinical care bundles and implementation of an evidence-based simulation training methodology focused on improving clinical staff’s ability to work in teams. We are measuring our impact through a culture of safety survey and a high reliability survey, various outcomes measures.
NH Patient Voices’s mission is education and advocacy for safe, quality, compassionate healthcare that puts patients & their families at the center of care in both policy and practice. Since 2005, we’ve worked tirelessly to bring the collective voice of patients to healthcare providers, administrators, legislators, public policy, and public health leaders.
The Postpartum Depression Task Force of Monroe County seeks to improve identification and treatment for women with perinatal mood disorders. The Task Force is a coalition of providers from all aspects of maternal-child health, including doctors, nurses, psychiatrists, psychologists, social workers, doulas, childbirth educators, hospital and medical office administrators, and consumers. Measures include attendance at continuing education events; numbers of in-services and outreach events; as well as improved identification and referral systems within the hospital as well as in the community.
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.
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.
James’s Project sets out to reduce the US infant mortality rate and improve maternal health by raising awareness of patient safety issues in these areas. This is done by using the tools of education, communication and collaboration.
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.