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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).

California Maternal Quality Care Collaborative Preeclampsia Task Force. 2014. Preeclampsia toolkit: Improving health care response to preeclampsia–A California toolkit to transform maternity care. Stanford, CA: California Maternal Quality Care Collaborative, multiple items.

Annotation: This toolkit is designed to guide and support health professionals and others working in clinics, hospitals, and other health care settings develop methods within their facilities to recognize and respond to preeclampsia. Contents include care guidelines in checklist, flowchart, and table chart formats; a compendium of 18 best practice articles; a slide set for professional education; and educational material for pregnant women and their families.

Keywords: Collaboration, Guidelines, Model programs, Perinatal care, Preeclampsia, Pregnant women, Program improvement, Quality assurance, Resources for professionals

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

Main E, Morton C, Hopkins D, Giuliani G, Melsop K, Gould J. 2011. Cesarean deliveries, outcomes, and opportunities for change in California: Toward a public agenda for maternity care safety and quality. Palo Alto, CA: California Maternal Quality Care Collaborative, 86 pp.

Annotation: This white paper presents the viewpoint that the rise in Cesarean delivery rates in California and in the United States as a whole should be a cause of serious concern, and it calls for a public agenda for maternity care safety and quality. The paper discusses the high rates of Cesarean delivery and how rates vary among states, regions, hospitals, and providers; presents evidence for costs and risks associated with Cesarean delivery; explores the causes of the increase; looks at sociocultural factors that contribute to the increase; outlines a set of complementary strategies for reducing the increase; and offers recommendations.

Keywords: Cesarean section, Childbirth, Costs, Geographic factors, Infant health, Risk factors, Sociocultural factors, Women's health

Smith H, Peterson N, Lagrew D, Main E. 2022. Toolkit to support vaginal birth and reduce primary cesareans: A quality improvement toolkit, addended, part V. Stanford, CA: California Maternal Quality Care Collaborative, 191

Annotation: This toolkit to support vaginal birth and reduce primary cesarean sections includes evidence-based tools and resources to support pregnant patients who transfer to the hospital from a community birth center and to effectively integrate midwifery care and doula support into the hospital setting. The toolkit serves as a “how to” guide to help educate and motivate maternity clinicians to apply best practices to support vaginal birth. Included are strategies to (1) improve the culture of care, awareness, and education for cesarean reduction; (2) support intended Vaginal Birth; (3) manage labor abnormalities and safely reduce cesarean births; and (4) use data to drive reduction in cesareans. Twenty appendices include checklists, guidelines, partograms, performance measures, and assessment tools for healthcare providers.

Keywords: Birthing Centers, California , Cesarean section, Childbirth, Doulas, Hospitals Quality assurance, Labor, Midwives, Model programs, Pregnant women, Prevention, Vaginal birth
   

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