Assessment of interprofessional collaboration at free-standing birth centers: Does collaboration influence outcomes?

Wallace, Jean E.; Hoehn‐Velasco, Lauren; Jolles, Diana; Stapleton, Susan R.; Flynn, Cynthia A.; Bauer, Kate; Wright, Jennifer

doi:10.1016/j.xjep.2021.100479

Cited by 4 publications

(4 citation statements)

References 28 publications

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“…Are there variations for cesarean indicators by race and ethnicity? Are the systems of antenatal, intrapartum, and postpartum transfer integrated?69,70…”

Section: Discussionmentioning

confidence: 99%

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Place of Birth Preferences and Relationship to Maternal and Newborn Outcomes Within the American Association of Birth Centers Perinatal Data Registry, 2007-2020

Jolles

Montgomery²,

Breman³

et al. 2022

Journal of Perinatal &Amp; Neonatal Nursing

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Purpose: The purpose of this study was to describe sociodemographic variations in client preference for birthplace and relationships to perinatal health outcomes. Methods: Descriptive data analysis (raw number, percentages, and means) showed that preference for birthplace varied across racial and ethnic categories as well as sociodemographic categories including educational status, body mass index, payer status, marital status, and gravidity. A subsample of medically low-risk childbearing people, qualified for birth center admission in labor, was analyzed to assess variations in maternal and newborn outcomes by site of first admission in labor. Results: While overall clinical outcomes exceeded national benchmarks across all places of admission in the sample, disparities were noted including higher cesarean birth rates among Black and Hispanic people. This variation was larger within the population of people who preferred to be admitted to the hospital in labor in the absence of medical indication. Conclusion: This study supports that the birth center model provides safe delivery care across the intersections of US sociodemographics. Findings from this study highlight the importance of increased access and choice in place of birth for improving health equity, including decreasing cesarean birth and increasing breastfeeding initiation.

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“…Are there variations for cesarean indicators by race and ethnicity? Are the systems of antenatal, intrapartum, and postpartum transfer integrated?69,70…”

Section: Discussionmentioning

confidence: 99%

“…Are the systems of antenatal, intrapartum, and postpartum transfer integrated? 69,70 The nursing and healthcare implications of this study are wide ranging. Ideally, childbearing people are given the option to select a birthplace to their liking and one that will meet their and their family's needs.…”

Section: Discussionmentioning

confidence: 99%

Place of Birth Preferences and Relationship to Maternal and Newborn Outcomes Within the American Association of Birth Centers Perinatal Data Registry, 2007-2020

Jolles

Montgomery²,

Breman³

et al. 2022

Journal of Perinatal &Amp; Neonatal Nursing

Self Cite

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“…Integrated birth centers transfer patients for hospital care when indicated, which reserves inpatient beds for higher‐risk patients, 26 allows hospital‐based learners access to a population of individuals who need intervention, and offers midwifery and medical students unique exposure to personalized prenatal care and physiologic birth within the birth center. Effective interprofessional relationships require nurturing, ongoing education, and quality improvement efforts 27,28 . This article presents lessons learned from the ongoing collaboration between birth center and hospital health care providers, including strategies to improve transfer processes and optimize interprofessional communication and collaboration.…”

Section: Introductionmentioning

confidence: 99%

“…Effective interprofessional relationships require nurturing, ongoing education, and quality improvement efforts. 27,28 This article presents lessons learned from the ongoing collaboration between birth center and hospital health care providers, including strategies to improve transfer processes and optimize interprofessional communication and collaboration.…”

Section: Introductionmentioning

confidence: 99%

Strengthening Interprofessional Collaboration to Improve Transfers Between a Freestanding Birth Center and an Academic Medical Center

Danhausen

Diaz

McCain

et al. 2022

J Midwife Womens Health

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The number of individuals choosing to give birth in a freestanding birth center has doubled since 2004. As many as half of all pregnant persons planning for a birth center birth ultimately develop medical complications and are unable to give birth outside of the hospital. Integrating birth centers into their regional perinatal health care system optimizes outcomes by establishing predetermined pathways for antepartum and intrapartum transfers of care and facilitates ongoing communication and cooperation among clinicians. The Vanderbilt Birth Center is a freestanding birth center that is operated by an academic medical center and partners with a hospital‐based midwifery practice that cares for patients transferring from the birth center. Since the inception of the birth center in 2015, the entire perinatal team has worked to improve the process and experience of patient transfer from birth center to hospital care. This article will present strategies implemented through the ongoing collaboration between birth center and hospital health care providers. These include adopting a shared electronic health record, clinical practice guidelines that align across birth sites, preparing birth center patients prenatally for the possibility hospital transfer, the presentation of a united team across birth sites, clear and widely disseminated communication pathways for hospital admission and patient handoff, and ongoing opportunities for interteam communication, collaboration, and education. These strategies may benefit similar midwifery practice models as they seek to partner with larger health care systems and improve the transfer experience for their patients.

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A scoping review on the contribution of interprofessional collaborative practices on preventing and managing post-partum haemorrhage in the health care system

Zenani,

Tulelo,

Netshisaulu

et al. 2024

Preprint

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Background Post partum haemorrhage (PPH) is one of the complications that leads to increased morbidity and mortality management is interdependent on various healthcare professions acting according to promote safe and quality outcomes. This scoping review aims to explore and synthesise literature regarding the contribution of interprofessional collaboration practices in preventing and managing post-partum haemorrhage. Design: The review adopted a scoping review which is underpinned by a framework by Arksey and O’Malley that has five stages. Four databases were searched for sources: CINHAL, Scopus, PubMed, and Medline. Only English full-text written articles, across various research designs published between 2000–2024, were part of the inclusion criteria for the review. Results The review has shown that effective interprofessional collaboration has the potential of ensuring prompt diagnosis and management of PPH where the results ensure positive patient and team dynamics outcomes. Moreover, interprofessional collaboration in managing PPH safeguards good use of resource utilisation and team synergy where the is awareness of each healthcare professional roles, mutual trust and respect and shared leadership. Conclusion Preventing post-partum haemorrhage depends on high effective interprofessional collaboration. As a means of promoting safe healthcare delivery when PPH emergency occur, interprofessional collaboration practices is encouraged to be strengthened through various measures. Either through interprofessional collaboration quality improvement initiatives or interprofessional situ simulation training.

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Assessment of interprofessional collaboration at free-standing birth centers: Does collaboration influence outcomes?

Cited by 4 publications

References 28 publications

Place of Birth Preferences and Relationship to Maternal and Newborn Outcomes Within the American Association of Birth Centers Perinatal Data Registry, 2007-2020

Place of Birth Preferences and Relationship to Maternal and Newborn Outcomes Within the American Association of Birth Centers Perinatal Data Registry, 2007-2020

Strengthening Interprofessional Collaboration to Improve Transfers Between a Freestanding Birth Center and an Academic Medical Center

A scoping review on the contribution of interprofessional collaborative practices on preventing and managing post-partum haemorrhage in the health care system

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