Search Results: MCHLine

Annotation: This report presents the results of the Levels of Care Assessment Tool (LOCATe) implemented in Montana in 2021 to assess maternal and neonatal care capabilities in birthing facilities and support strategies to improve risk-appropriate care. LOCATe aligns with guidelines from the Society for Maternal-Fetal Medicine, the American College of Obstetricians and Gynecologists, and the American Academy of Pediatricsto match hospital capabilities with patient risk. The report summarizes Montana's LOCATe results, with 96% of birthing facilities participating. Key findings include: 80% of facilities assessed at Level I or II for neonatal care; 68% assessed at Level I or lower for maternal care; facilities had discrepancies between self-reported and assessed levels; 44% lacked maternal transport plans; and protocols existed for maternal emergencies but drills were lacking. The report provides five recommendations to improve risk-appropriate care: 1) Develop perinatal regionalization through stakeholder coordination; 2) Cultivate relationships between facilities through education and learning collaboratives; 3) Establish maternal transport plans and agreements; 4) Enhance care through evidence-based practices and statewide safety bundles; 5) Measure impact through data and review committees.

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Keywords: Gestational age, High risk pregnancy, Montana , Perinatal care, Reproductive health, Risk appropriate care, Rural health, State initiatives, Statistical data

Annotation: This report presents trends in primary and repeat Cesarian delivery from 2016 to 2021, using data from the National Vital Statistics System. It finds that, although repeat Cesarian delivery decreased each year from 2016 to 2021, primary Cesarian rates increased for women under 40, for most race and Hispanicorigin groups, and for all gestational age. Color graphs and maps illustrate the changes by age, race, gestational age, US state, etc.

• English

Keywords: Cesarean section, Gestational age, Hispanic Americans, Race, Repeat cesarean birth

Annotation: This web-based tool helps states and other jurisdictions create standardized assessments of levels of maternal and neonatal care. CDC LOCATeSM is based on the most recent guidelines and policy statements issued by the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine.

• Link

Keywords: Gestational age, High risk pregnancy, Perinatal care, Reproductive health, Risk appropriate care, Statistical data

Annotation: This report describes state-specific trends on primary cesarean delivery rates for states that had implemented the 2003 U.S. Standard Certificate of Live Birth, with particular focus on changes from 2009 to 2012. Primary cesareans are defined as a first cesarean delivery regardless of parity. State-specific changes in primary cesarean delivery by gestational age are also explored.

• PDF

Keywords: Cesarean section, Childbirth, Gestational age, Statistical data, Trends

Annotation: These resources for health professionals and pregnant women communicate the meaning of "term" pregnancy and the importance of the last few weeks of pregnancy in infant development. Contents include a poster, tear pad, and postcards. The materials are available in English and Spanish.

• Link

Keywords: Communication, Consumer education materials, Gestational age, National initiatives, Pregnancy, Pregnant women, Public awareness campaigns, Spanish language materials

Annotation: This video for consumers explains why it's important to mother and baby's health to wait at least 39 weeks of pregnancy to deliver if the mother or child's health is not in danger. The video is available in a full-length version (4 min.,10 seconds), as well as 60-and 30-second versions. The initiative web page provides additional information for moms to be and for health professionals, including tools to help spread the word such as an infographic, ecards, and badges to put on a personal web site, blog, or organizational web site.

• Video
• Initiative Website

Keywords: Childbirth, Gestational age, Induced labor, National initiatives, Pregnancy complications, Pregnancy outcome, Risk factors

Annotation: This report examines the high U.S. infant mortality rate (IMR) relative to other developed countries and efforts to reduce the IMR. The report identifies a number of causes of U.S. infant mortality but focuses on low birthweight and short-gestational-age births because the United States has relatively high and increasing rates of these births and research has found that these births can be reduced through policy interventions.The report first examines international IMR comparisons and discusses geographic variation in state IMRs. Next, the report examines mothers' demographic characteristics and various health system characteristics that may influence the U.S. IMR. The report then describes a number of federal programs that may indirectly reduce the IMR. Finally, the report summarizes federal initiatives included in the Affordable Care Act that may reduce infant mortality.

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Keywords: Federal programs, Gestational age, Health care reform, Infant mortality, International health, Legislation, Low birthweight, Program improvement, Research, Statistics

Annotation: This 90-minute webinar, broadcast November 15, 2011, discusses how successful partnerships were built with clinicians, health departments and the March of Dimes and offers strategies to participants to implement the 39 Weeks Toolkit with their clinicians and community partners. Presentation materials are also available on the web site; these include data on preterm births, factors related to causes and prevention of elective preterm birth, how to get started, and examples of successful efforts.

• Link
• Webinar Presentation Materials

Keywords: Audiovisual materials, Gestational age, Pregnancy counseling, Pregnancy outcomes, Public awareness campaigns, Third pregnancy trimester

Annotation: This report examines how the enforcement of the Woman’s Right to Know Act (WRTK) beginning on January 1, 2004, in the state of Texas, had an impact on abortions performed in that state. It analyzes how the law, which requires that all abortions at 16 weeks gestation or later be performed in an ambulatory surgical center, affected (1) the incidence and timing of abortions, (2) the type of facility in which abortions are performed, and (3) the number of abortions obtained out of state by residents of Texas. The report also examines whether the mandated information and waiting-period component of the law was associated with changes in abortion rates prior to 16 weeks gestation.

• PDF

Keywords: Abortion, Data analysis, Gestational age, Law enforcement, Outcome evaluation, State legislation, Statistics, Texas

Annotation: These annual reports, part of the monthly National Vital Statistics Report, present U.S. infant mortality statistics from the period linked birth/infant death data set by a variety of maternal and infant characteristics. Topics include infant mortality by race and Hispanic origin of the mother, birthweight, period of gestation, sex of infant, plurality, maternal age, live-birth order, mother's marital status, mother's place of birth, age at death, and underlying cause of death. Information on trends in infant mortality is included.

• 1997 To-date

Keywords: Gestational age, Infant mortality, Low birthweight, Population surveillance, Trends, Vital statistics

Annotation: This report presents a study that entails detailed analyses on the relationship between Medicaid costs and prenatal WIC participation in five states—Florida, Minnesota, North Carolina, South Carolina, and Texas— in order to determine the savings in Medicaid costs for newborns and their mothers during the first 60 days after birth from participating in the WIC during pregnancy and to examine the effects of prenatal participation in the WIC program on two important birth outcomes—birthweight and gestational age. It is organized into five chapters and two appendices. Following an introduction, Chapter 2 describes the perinatal and sociodemographic characteristics of the five study states and background information on the WIC and Medicaid programs. Chapter 3 provides an overview of the data used to examine the relationship between Medicaid costs and prenatal WIC participation by examining the WIC/Medicaid database and by providing descriptive profiles of WIC participants and nonparticipants in each of the five study states. Chapters 4 and 5 discuss the implications of the study findings for the national WIC and Medicaid programs. Appendices A and B contain tables with detailed analytical reports.

• Link

Keywords: Access to prenatal care, Data, Florida, Gestational age, Health care costs, Medicaid, Minnesota, North Carolina, Outcome evaluation, Participation, Perinatal care, Prenatal care, Socioeconomic factors, South Carolina, Texas, WIC Program