Collaborative on innovations in managing obstetric emergencies
Wednesday, November 6, 2013
: 1:10 p.m. - 1:30 p.m.
Background: Quality of maternity care varies among hospitals across the US. There is a pile-up of guidelines and no process for disseminating best practices a life-threatening problem because providers need continued training and guidelines on how to deal with obstetric emergencies since maternal mortality is a rare event. Methods: Merck for Mothers, a 10-year $500m initiative to reduce maternal mortality, conducted a landscape analysis of maternal health in the US and conducted consultations with more than 50 experts: CDC, ACOG, AWHONN, AMCHP, IHS and hospital leadership in major cities. Results: Research revealed a clear need to strengthen clinical guidelines, policies and practices to improve facility-level care during labor and delivery. We are hosting an ambitious collaborative among leading maternal health organizations to develop standardized guidelines for the three leading killers in the US post-partum hemorrhage, eclampsia, embolism with the goal of scaling nationwide. OB/GYNs, nurses, quality of care experts and hospital administrators will tackle challenges hospitals confront in improving quality of care in the labor and delivery suite including innovative incentives to encourage adoption of guidelines. Starting with five states with disproportionately high rates of maternal mortality and severe health disparities, the collaborative will explore new ways to standardize quality of care: quantification of blood loss, obstetric drills, patient messages on warning signs and hospital accreditation akin to the Baby Friendly Hospital designation. Conclusions: This collaborative presents an opportunity to ensure high quality, measurable and consistent maternity care for every woman, no matter where she delivers.
Administration, management, leadership
Provision of health care to the public
Public health or related laws, regulations, standards, or guidelines
Public health or related organizational policy, standards, or other guidelines
Discuss challenges hospitals confront in improving quality of care in the labor and delivery suite – including innovative incentives to encourage adoption of guidelines
Identify new ways to standardize quality of emergency obstetric care
Keyword(s): Maternal Care, Quality Improvement
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am an obstetrician and gynecologist and global women's health expert. I previously served as Director of Research and Development for the Women and Health Initiative at the Harvard School of Public Health, where I led the implementation research agenda and supported the development and evaluation of healthcare innovations.
Any relevant financial relationships? Yes
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Employment (includes retainer)
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.