Search Results: MCHLine

Annotation: This guide provides detailed instructions for implementing a multilingual, person-centered decision aid for routine labor induction in prenatal care settings. It presents both web-based and paper versions of a decision support tool developed by Partner to Decide, a nonprofit organization, with funding from the Maternal Health Learning and Innovation Center. The guide outlines implementation options, necessary resources, and evaluation strategies for healthcare providers adopting the tool, which supports shared decision-making for pregnant people considering labor induction between 39-42+ weeks with no medical indication. It includes step-by-step quality improvement processes, example workflow charts, sample medical record documentation language, and strategies for addressing common implementation challenges. The document contains substantial appendices with worksheets for systems analysis and example implementation flowcharts to help healthcare settings customize the tool's adoption to their specific needs.

Contact: Maternal Health Learning and Innovation Center , University of North Carolina at Chapel Hill, Chapel Hill, NC Web Site: https://maternalhealthlearning.org/

• Link

Keywords: Decision making, Induced labor, Labor, Models, Patient care, Patient education, Patient satisfaction, Prenatal care

Annotation: This brief discusses the health risks and costs associated with early elective deliveries (EED),federal and national initiatives to support full-term pregnancies, and health plan and health plan foundation approaches to reducing EED. Topics include the potential negative health consequences of EED; average payments for maternal and newborn care and payment reform; and hospital, provider, patient, and member education initiatives. [Funded by the Maternal and Child Health Bureau]

Contact: National Institute for Health Care Management Foundation, 1225 19th Street, N.W., Suite 710, Washington, DC 20036, Telephone: (202) 296-4426 Fax: (202) 296-4319 E-mail: http://www.nihcm.org/contact Web Site: http://www.nihcm.org Available from the website.

• Link

Keywords: Adverse effects, Cesarean section, Childbirth, Costs, Federal initiatives, Foundations, Health education, Health plans, Induced labor, Intervention, National initiatives, Pregnant women, Program improvement, Reimbursement

Annotation: This document provides guidance on and strategies for reducing rates of early elective delivery (EED). Topics include the current landscape for eliminating EED, barriers to reducing EED and strategies to overcome them, challenges and barriers to monitoring performance and progress toward eliminating EED, key strategies to promote readiness for EED activities, and measurement guidance. Additional contents include educational tools, resources, and exemplars to support EED elimination efforts, as well as instructions for accessing relevant data.

Contact: National Quality Forum, 1030 15th Street, N.W., Suite 800, Washington, DC 20005, Telephone: (202) 783-1300 Fax: (202) 783-3434 E-mail: info@qualityforum.org Web Site: http://www.qualityforum.org Available from the website.

• PDF

Keywords: Barriers, Cesarean section, Childbirth, Hospitals, Induced labor, Measures, Obstetrical care, Policy development, Program improvement, Quality assurance

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.

Contact: Eunice Kennedy Shriver National Institute of Child Health and Human Development, P.O. Box 3006, Rockville, MD 20847, Telephone: (800) 370-2943 Secondary Telephone: (888) 320-6942 Fax: (866) 760-5947 Web Site: https://www.nichd.nih.gov/Pages/index.aspx Available from the website.

• Video
• Initiative Website

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

Annotation: This fact sheet explains why it is important to carry a baby to full term (40 weeks) and reminds pregnant women that labor should be induced for medical reasons only -- not for convenience. The fact sheet lists 40 different reasons to carry a baby to full term, including the health benefits to both the mother and baby, the reduction in health risks, and the ways in which expectant parents can enjoy the time before the birth of their baby.

Contact: Association of Women's Health, Obstetric and Neonatal Nurses, 1800 M Street, NW, Suite 740S, Washington, DC 20036, Telephone: (202) 261-2400 E-mail: Info@awhonn.org Web Site: https://www.awhonn.org/ Available from the website.

• PDF

Keywords: Induced labor, Infant health, Perinatal care, Pregnancy outcome

Annotation: This electronic resource for pregnant women provides information about induction of labor, including answers to the following questions: (1) How can I lower my chances of being induced unnecessarily; (2) What normally causes labor to begin? (3) What is the safest point in pregnancy for the baby to be born? and (4) Why are so many women experiencing induced labor? The resource also describes reasons why caregivers might recommend induction of labor; provides best evidence related to the induction of labor (including common "reasons" for induction that are not supported by rigorous research); and tips and tools to help pregnant women reduce their risk of being induced or having the best possible outcome if induction is called for. A quick fact sheet about the induction of labor and the results of the Childbirth Connection's Listening to Mothers survey of women who gave birth in hospitals in 2005 can be downloaded from the website.

Contact: National Partnership for Women and Families, Childbirth Connection , 1725 Eye Street, Suite 950 , Washington, DC 20006, E-mail: info@nationalpartnership.org Web Site: https://nationalpartnership.org/childbirthconnection/ Available from the website.

• Link

Keywords: Consumer education materials, Induced labor, Pregnant women, Risk factors

Annotation: This fact sheet for pregnant women provides answers to the following questions about induced labor: (1) What is the safest point in pregnancy for the baby to be born? (2) How may induction of labor affect my health, my baby's health, or my birth experience? (3) When is it beneficial to induce labor? (4) What common "reasons" for induction are not supported by rigorous research? (5) How can I lower my chances of being induced unnecessarily? and (6) Where can I learn more? The information is adapted from the Childbirth Connection's web-based resource on induction of labor.

Contact: National Partnership for Women and Families, Childbirth Connection , 1725 Eye Street, Suite 950 , Washington, DC 20006, E-mail: info@nationalpartnership.org Web Site: https://nationalpartnership.org/childbirthconnection/ Available from the website.

• PDF

Keywords: Consumer education materials, Induced labor, Pregnant women, Risk factors

Annotation: This report is part of a series that examine the rates at which 13 elective procedures are delivered in different communities across the state of California. The report examines the geographic variation in elective childbirth procedures, including elective induction, cesarian sections (C-sections), and vaginal birth after cesarian (VBAC). Each procedure is defined, and the risks and benefits are addressed. Comparative statistics on the rate and type of elective procedures performed in each of the state's hospital service areas (HSAs) is presented in table format. The data is from the period 2005-2009 and is based on the patients’ place of residence.

Contact: California HealthCare Foundation, 1438 Webster Street, Suite 400, Oakland, CA 94612, Telephone: (510) 238-1040 Fax: (510) 238-1388 Web Site: http://www.chcf.org Available from the website.

• PDF

Keywords: California, Cesarian section, Childbirth, Geographic regions, Induced labor, Infant health, Reproductive health, State surveys, Vaginal birth after Cesarian section, Women', s health

Annotation: This guide is designed to help pregnant women talk with their health care professional about elective induction of labor. It helps answer these questions: (1) What is elective induction? (2) What are the possible problems with elective induction? And (3) What don't we know yet about elective induction? Included are important things to consider and questions to ask your doctor or midwife. The guide does not cover labor induction for medical reasons. It is a companion publication to the clinician's guide, Elective Induction of Labor. The guide is available in English and Spanish. An audio (MP3) version and other related publications are also available.

Contact: AHRQ Publications Clearinghouse, U.S. Agency for Healthcare Research and Quality, P.O. Box 8547, Silver Spring, MD 20907-8547, Telephone: (800) 358-9295 Secondary Telephone: (888) 586-6340 E-mail: ahrqpubs@ahrq.hhs.gov Web Site: http://www.ahrq.gov/news/pubcat/pubcat.htm Available at no charge; also available from the website. Document Number: AHRQ Pub. no. 10-EHC004-A (English); 10-EHC004-B (Spanish).

• English
• Spanish

Keywords: Audiovisual materials, Childbirth, Consumer education materials, Induced labor, Infant health, Pregnancy, Pregnancy outcome, Reproductive health, Spanish language materials, Women', s health

Annotation: This brochure provides information to help pregnant women make informed choice about whether to have labor induced for non-medical reasons. The brochure explains what elective induction is, reviews possible problems, and discusses what is not yet known about elective induction. Topics also include why women might and might not want to induce labor, changes during labor, when it is not safe to induce labor, and Cesarean section. Things for pregnant woman to think about and questions for them to ask their doctor or midwife are also included. It is available in English and Spanish.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov Available from the website. Document Number: AHRQ Pub. No. 10-EHC004-A (English); 10-EHC004-B (Spanish) .

• English Version (2009)
• Spanish Version (2010)

Keywords: Cesarean section, Childbirth, Childbirth education, Consumer education materials, Induced labor, Pregnant women, Prevention, Spanish language materials

Annotation: This report provides information about the outcomes of elective induction of labor. The report discusses four key questions: (1) what evidence describes the maternal risks of elective induction vs. expectant management?, (2) what evidence describes the fetal/neonatal risks of elective induction vs. expectant management?, (3) what is the evidence that certain physical conditions/patient characteristics are predictive of a successful induction of labor?, and (4) how is a failed induction defined? Methods, results, and conclusions are provided.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov Available from the website. Document Number: AHRQ Pub. No. 09-E005.

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Keywords: Childbirth, Induced labor, Infant health, Pregnancy, Reproductive health, Women', s health

Annotation: This guide for clinicians summarizes clinical evidence comparing the safety of elective induction of labor at term with expectant management (waiting for spontaneous labor in a term pregnancy). The guide offers information about maternal and fetal outcomes when elective induction of labor is used and discusses the potential for harms and benefits. It does not address induction of labor for medical indications, nor does it compare the effectiveness of different labor induction methods. The source material for the guide is based on a systematic review of research studies published between 1964 and 2007.

Contact: AHRQ Publications Clearinghouse, U.S. Agency for Healthcare Research and Quality, P.O. Box 8547, Silver Spring, MD 20907-8547, Telephone: (800) 358-9295 Secondary Telephone: (888) 586-6340 E-mail: ahrqpubs@ahrq.hhs.gov Web Site: http://www.ahrq.gov/news/pubcat/pubcat.htm Available at no charge; also available from the website. Document Number: AHRQ Pub. no. 10-EHC004-3.

• PDF

Keywords: Childbirth, Induced labor, Infant health, Pregnancy outcome, Reproductive health, Women', s health

Annotation: This continuing education activity for obstetricians, neonatologists, pediatricians, nurses, midwives, nurse practitioners, clinical nurse specialist, general practitioners, and family medicine clinicians discusses the challenges associated with the diagnosis and management of late preterm birth. Topics include the factors contributing to the rising rate of late preterm births and non-medically indicated inductions prior to 39 weeks, the potential short- and long-term consequences of births occurring between 34 and 38 weeks' gestation, and best practice, evidence-based guidelines for delivery prior to 39 weeks.

Contact: National Child and Maternal Health Education Program, Eunice Kennedy Shriver National Institute for Child Health and Human Development, Rockville, MD Telephone: (301) 435-3458 E-mail: fowlerlt@mail.nih.gov Web Site: http://www.nichd.nih.gov/ncmhep/Pages/index.aspx Available from the website.

• Continuing Education Module
• Program Website

Keywords: Adverse effects, Childbirth, Continuing education, Diagnosis, Induced labor, Infants, Model programs, Patient care management, Pregnant women, Preterm birth