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.
Posts tagged with 'induction of labor'
In the Literature: A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims
After implementation of this comprehensive patient safety program, birth trauma rates decreased, the number of obstetrical occurrences (specified birth-related event or injury that may lead to a claim) decreased by 65%, and the average costs per obstetrical claim decreased. The number of new claims reported decreased by 48%.
From the Field: Washington State Perinatal Collaborative Reducing Elective Delivery Before 39 Weeks Project
The collaborative is seeking to understand the reason for rising C-Section rates and possible modifiable factors leading to this rise. The collaborative believes that the variation among hospitals in cesarean, VBAC, and induction rates are affecting maternal and infant health across the state of Washington. To address these variations the collaborative is engaging agencies, hospitals, organizations, and the community to encourage birthing hospitals to collaborate and address issues such as inductions, trial of labor, appropriate admissions, and accessibility to vaginal births after cesareans. The first initiative uses the March of Dimes Toolkit and other resources to reduce early elective deliveries in the state of Washington.
Keystone: OB focuses on preventing elective inductions and elective cesareans before 39 weeks. We are also focused on assuring safe care during labor induction, augmentation, and the second stage of labor. In addition, we provide recommendations on electronic fetal monitoring, and most importantly improving the culture of safety in the unit.
The goal is to eliminate elective deliveries prior to 39 weeks. All OB hospitals in Oklahoma have been invited to participate. Currently, 50 out of 60 have registered. This will include a process change for scheduling elective inductions or cesareans–they must be at least 39 weeks on the date they are scheduled to deliver. We will use the March of Dimes toolkit to aid in this process. Included will be policies, a scheduling form and data collection tools. Patient education and public awareness of the risks will be addressed by providing free patient education materials and by developing a PSA to be broadcast statewide.
In the Literature: HCA reduces liability claims, cesarean sections with comprehensive patient safety approach
The general approach described in this article is the standardization of practices and protocols for several clinical situations associated with high risk of injury or harm, specifically use of oxytocin, misoprostol, or magnesium sulfate; operative vaginal delivery; and the management of shoulder dystocia and abnormal fetal heart rate tracings. In the period since the implementation of the comprehensive patient safety program, HCA saw a dramatic decrease in malpractice claims and loss rates. In addition, the primary cesarean section rate fell despite a generally liberal approach to operative delivery.
From the Field: CMQCC Toolkit: Elimination of Non-medically Indicated (Elective) Deliveries Before 39 Weeks Gestational Age
The primary aim of this toolkit is to help hospitals implement process changes to eliminate elective deliveries before 39 weeks in California and to help disseminate and determine best practices for prevention of early deliveries. It also aims to outline the most effective strategies for supporting California health care providers in implementing those practices.
Childbirth Connection, the Leapfrog Group, and the March of Dimes have partnered to offer a suite of resources to reduce early elective deliveries.
In the Literature: A statewide initiative in Ohio reduces scheduled births before 39 weeks with no documented medical indication
A quality collaborative consisting of twenty hospitals in the state of Ohio representing 47% of all births in the state came together to reduce the number of scheduled births occurring before 39 weeks gestation without an appropriate documented medical indication. The collaborative reported that the rate of scheduled births taking place between 36 and 39 weeks gestation decreased significantly from 25% to <5% in participating hospitals in one year.