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Journal ArticleDOI

Blueprint for Action: Steps Toward a High-Quality, High-Value Maternity Care System

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.

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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

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.

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

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

Is planned vaginal delivery for breech presentation at term still an option? Results of an observational prospective survey in France and Belgium.

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.
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