Online Program

Innovations in Maternity Services Oral Session

Tuesday, November 3, 2015: 8:30 a.m. - 10:00 a.m.
This session will explore important innovative areas of Maternal Child Health Care. Hemorrhage is the leading but the most preventable cause of maternal mortality. The Florida Perinatal Quality Collaborative (FPQC) led a state-wide quality improvement (QI) project, Obstetric Hemorrhage Initiative (OHI), to assist hospitals in implementing best practices related to inter-professional efforts needed to prevent, identify, and manage hemorrhage cases. Public health programs are one way that women can learn about the risks of childbearing but another channel is through their personal experiences and social networks. One third of all births in the U.S. are cesarean deliveries. Compared with vaginal births, cesareans increase maternal risk of hemorrhage, infection, and complications in subsequent births. Birth centers (BC) report cesarean rates below the national average, but these rates may be attributable to lower-risk BC patients.
Session Objectives: 1. Discuss challenges and successes experienced by hospitals during the implementation process of a state-wide Obstetric Hemorrhage Initiative. 2. Identify one pathway through which information on the dangers of childbearing affects reproductive behavior. 3. Explain changes in five key MCH service profile. Describe the relationship between local health department organizational characteristics and changes in the provision of five key MCH services. 4.Compare, on an intent to treat basis, the risk of cesarean section if admitted to BC’s versus hospitals at the onset of spontaneous labor.
Carol Nelson, LM, CPM and Barb Levin
Carol A. Nelson, LM, CPM

Exploring Factors Influencing the Implementation of the Obstetric Hemorrhage Initiative (OHI) in Florida   
Cheryl A. Vamos, PhD, MPH, Allison Cantor, MA, Linda A. Detman, PhD, Emily Bronson, MA, MPH, CPH, Annette Phelps, ARNP, MSN, Judette M. Louis, MD, MPH, Anthony Gregg, MD, FACOG, John S. Curran, MD and William M. Sappenfield, MD MPH

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Maternal and Child Health
Endorsed by: Women's Caucus, APHA-Committee on Women's Rights

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)