Journal ArticleDOI
Blueprint for Action: Steps Toward a High-Quality, High-Value Maternity Care System
Peter B. Angood,Elizabeth Armstrong,Diane Ashton,Helen Burstin,Maureen P. Corry,Suzanne F. Delbanco,Barbara Fildes,Daniel M Fox,Paul A Gluck,Sue Leavitt Gullo,Joanne Howes,R. Rima Jolivet,Douglas W Laube,Donna Lynne,Elliott K. Main,Anne Rossier Markus,Linda J. Mayberry,Lynn V Mitchell,Debra L Ness,Rachel Nuzum,Jeffrey D. Quinlan,Carol Sakala,Alina Salganicoff +22 more
TLDR
The "Blueprint for Action", issued by the Transforming Maternity Care Symposium Steering Committee, answers the fundamental question, "Who needs to do what, to, for, and with whom to improve the quality of maternity care over the next five years?"Abstract:
Childbirth Connection hosted a 90th Anniversary national policy symposium, Transforming Maternity Care: A High Value Proposition, on April 3, 2009, in Washington, DC. Over 100 leaders from across the range of stakeholder perspectives were actively engaged in the symposium work to improve the quality and value of U.S. maternity care through broad system improvement. A multi-disciplinary symposium steering committee guided the strategy from its inception and contributed to every phase of the project. The "Blueprint for Action: Steps Toward a High Quality, High Value Maternity Care System", issued by the Transforming Maternity Care Symposium Steering Committee, answers the fundamental question, "Who needs to do what, to, for, and with whom to improve the quality of maternity care over the next five years?" Five stakeholder workgroups collaborated to propose actionable strategies in 11 critical focus areas for moving expeditiously toward the realization of the long term "2020 Vision for a High Quality, High Value Maternity Care System", also published in this issue. Following the symposium these workgroup reports and recommendations were synthesized into the current blueprint. For each critical focus area, the "Blueprint for Action" presents a brief problem statement, a set of system goals for improvement in that area, and major recommendations with proposed action steps to achieve them. This process created a clear sightline to action that if enacted could improve the structure, process, experiences of care, and outcomes of the maternity care system in ways that when anchored in the culture can indeed transform maternity care.read more
Citations
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Journal ArticleDOI
Cesarean Delivery Rates Vary Tenfold Among US Hospitals; Reducing Variation May Address Quality And Cost Issues
TL;DR: Four promising directions for reducing variations in cesarean rates are focused on, including better coordinating maternity care, collecting and measuring more data, tying Medicaid payment to quality improvement, and enhancing patient-centered decision making through public reporting.
Journal ArticleDOI
Outcomes of care in birth centers: demonstration of a durable model.
TL;DR: This study demonstrates the safety of the midwifery-led birth center model of collaborative care as well as continued low obstetric intervention rates, similar to previous studies of birth center care.
Journal ArticleDOI
Doula Care, Birth Outcomes, and Costs Among Medicaid Beneficiaries
Katy B. Kozhimannil,Rachel R. Hardeman,Laura B. Attanasio,Cori Blauer-Peterson,Michelle O’Brien +4 more
TL;DR: State Medicaid programs should consider offering coverage for birth doulas to realize potential cost savings associated with reduced cesarean rates, which depend on states' reimbursement rates, birth volume, and current cesAREan rates.
Journal ArticleDOI
Postpartum Depression and Help Seeking Behaviors in Immigrant Hispanic Women
TL;DR: Perceptions of immigrant Hispanic women experiencing symptoms of postpartum depression are described to identify barriers to seeking mental health services and limited social networks and barriers to health care should be addressed to foster positive outcomes.
Journal ArticleDOI
Maternal clinical diagnoses and hospital variation in the risk of cesarean delivery: analyses of a National US Hospital Discharge Database.
TL;DR: A national database is used to examine the extent to which variability in cesarean section rates across the US from 2009–2010 was attributable to individual women's clinical diagnoses.
References
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Book
Breastfeeding and maternal and infant health outcomes in developed countries.
Stanley Ip,Mei Chung,Gowri Raman,Priscilla Chew,Nombulelo Magula,Deirdre DeVine,Thomas A Trikalinos,Joseph Lau +7 more
TL;DR: A history of breastfeeding was associated with a reduced risk of many diseases in infants and mothers from developed countries and cluster randomized controlled studies on the effectiveness of various breastfeeding promotion interventions will provide further opportunity to investigate any disparity in health outcomes as a result of the intervention.
Journal ArticleDOI
Sicily statement on evidence-based practice
Martin Dawes,William Less Summerskill,Paul Glasziou,Antonino Cartabellotta,Janet Martin,Kevork Hopayian,Franz Porzsolt,Amanda Burls,James Osborne +8 more
TL;DR: All health care professionals need to understand the principles of EBP, recognise EBP in action, implement evidence-based policies, and have a critical attitude to their own practice and to evidence.
Journal ArticleDOI
Listening to Mothers II: Report of the Second National U.S. Survey of Women's Childbearing Experiences: Conducted January-February 2006 for Childbirth Connection by Harris Interactive(R) in partnership with Lamaze International.
TL;DR: Although continuing to document many core items measured in the first survey, the second survey includes much new content, exploring earlier topics in greater depth, as well as some new and timely topics.
Journal ArticleDOI
Maternal outcomes at 2 years after planned cesarean section versus planned vaginal birth for breech presentation at term: the international randomized Term Breech Trial.
Mary E. Hannah,Hilary Whyte,Walter J. Hannah,Sheila Hewson,Kofi Amankwah,Mary Cheng,Amiram Gafni,Patricia Guselle,Michael Helewa,Ellen Hodnett,Eileen K. Hutton,Rose Kung,Darren McKay,Sue Ross,Saroj Saigal,Andrew R. Willan +15 more
TL;DR: In this article, the authors compared maternal outcomes at 2 years postpartum after planned cesarean section and planned vaginal birth for the singleton fetus in breech presentation at term.
Journal ArticleDOI
Is planned vaginal delivery for breech presentation at term still an option? Results of an observational prospective survey in France and Belgium.
François Goffinet,François Goffinet,M. Carayol,Jean-Michel Foidart,Sophie Alexander,Serge Uzan,Damien Subtil,Gérard Bréart +7 more
TL;DR: In places where planned vaginal delivery is a common practice and when strict criteria are met before and during labor,planned vaginal delivery of singleton fetuses in breech presentation at term remains a safe option that can be offered to women.