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Strengthen the Evidence for Maternal and Child Health Programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.

Displaying records 1 through 4 (4 total).

Missouri Perinatal Quality Collaborative. 2025. Cardiac conditions in obstetric care resource workbook. Jefferson City, MO: Missouri Perinatal Quality Collaborative, 16 pp.

Annotation: This workbook provides guidance for implementing evidence-based practices to improve care for pregnant and postpartum individuals with cardiovascular disease (CVD). It summarizes the evidence on the significant risks of CVD in pregnancy, which can exacerbate pre-existing conditions or lead to new disorders due to the hemodynamic changes of pregnancy. The workbook presents data from Missouri's Pregnancy-Associated Mortality Review, finding that CVD accounted for 30% of pregnancy-related deaths from 2017-2021, with most deemed preventable and Black women disproportionately impacted. To address this crisis, the AIM Cardiac Conditions in Obstetric Care patient safety bundle components are provided, with detailed strategies for implementing universal cardiac risk screening, rapid response protocols, cardio-obstetric teams, care coordination, patient education, and equity-focused data monitoring. Emphasis is placed on early recognition, diagnosis, and treatment to prevent complications and death. Resources and references are included for further training and implementation.

Keywords: Cardiovascular diseases, Evidence-based medicine, Guidelines, Maternal morbidity, Maternal mortality, Missouri, Obstetrical complications, Perinatal care, Postpartum care, Prevention, Quality improvement, Resources for professionals, State initiatives

Coalition for Improving Maternity Services. 2010. The risks of cesarean section. Raleigh, NC: Coalition for Improving Maternity Services, 8 pp.

U.S. Bureau of Community Health Services. 1975, 1977. Studies in maternal health: Research to improve health services for mothers and children . Rockville, MD: U.S. Bureau of Community Health Services, 2 v.

California Maternal Quality Care Collaborative. California Maternal Quality Care Collaborative toolkits . Palto Alto, CA: California Maternal Quality Care Collaborative,

Annotation: This collection of toolkits and related resources guides hospitals and healthcare systems in adopting quality improvement strategies to enhance maternal safety and outcomes. The major topics covered by the toolkits address critical areas of maternal health: (1) Cardiovascular Disease, including improving health care response in pregnancy and postpartum; (2) Early Elective Deliveries, focusing on eliminating non-medically indicated deliveries before 39 weeks gestational age; (3) Hemorrhage, specifically improving health care response to obstetric hemorrhage; (4) Hypertensive Disorders of Pregnancy, focusing on improving health care response; (5) Sepsis, detailing improvement for diagnosis and treatment of obstetric sepsis; (6) Substance Exposure (Mother & Baby), providing resources for substance exposure; (7) Supporting Vaginal Birth, including strategies to reduce primary cesareans; and (8) Venous Thromboembolism, focusing on improving health care response to maternal venous thromboembolism.

Keywords: California, Guidelines, Obstetrical complications, Patient safety, Postpartum care, Prenatal care, Resources for professionals, Risk management, State initiatives
   

The MCH Library is one of six special collections at Georgetown University, the nation's oldest Jesuit institution of higher education. The library is supported through foundation, private, university, state, and federal funding. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by Georgetown University or the U.S. Government. Note: web pages whose development was supported by federal government grants are being reviewed to comply with applicable Executive Orders.