Healthcare Strategies for Reducing Pregnancy-Related Morbidity and Mortality in the Postpartum Period

Bingham, Debra; Suplee, Patricia Dunphy; Morris, Melanie H.; McBride, Meredith

doi:10.1097/jpn.0000000000000344

Cited by 15 publications

(6 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Each pregnant individual who gives birth has the potential to experience a complication, and individuals who can recognize the signs and symptoms of the leading causes of maternal morbidity and mortality may act more quickly to seek care and may receive more timely and appropriate interventions. 7 In this pilot quality improvement project (QIP), UMWS training and resources were provided to public health workers of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), a program focused on maternal and child health. WIC staff complete visits with individuals during prenatal and postnatal certification and follow-up appointments, increasing the number of individuals receiving timely prenatal care.…”

Section: Introductionmentioning

confidence: 99%

Applying the Urgent Maternal Warning Signs Initiative in a Novel Setting

Jenkins,

Quarshie,

Phommasathit

et al. 2023

J Healthc Qual

View full text Add to dashboard Cite

Symptoms of urgent maternal warning signs (UMWS) may occur during pregnancy or after delivery and may have lasting effects or indicate a life-threatening situation if left untreated. The state department of health sponsored a quality improvement project (QIP) to broaden the reach of UMWS education beyond traditional clinical settings, to public health settings where prenatal and postpartum women are seen. Specifically, the QIP implemented process changes to provide education (written and verbal) and resources to individuals receiving services from Women, Infants, and Children clinics during pregnancy and up to 12 weeks postpartum. Clinics submitted participant-level data although the Research Electronic Data Capture secure data portal. The key results indicated an increase in both written and verbal education. In addition, the project monitored referrals made specific to conditions identified through project-specific data collection and the provision of UMWS education.

show abstract

Section: Introductionmentioning

confidence: 99%

Applying the Urgent Maternal Warning Signs Initiative in a Novel Setting

Jenkins,

Quarshie,

Phommasathit

et al. 2023

J Healthc Qual

View full text Add to dashboard Cite

show abstract

“…The United States (US) is one of the few developed countries with an increase in maternal mortality rate (MMR) since 1990, with MMR increasing from 8.0 deaths per 100,000 in 1990 to 20.1 deaths per 100,000 live births in 2019 [ 1 , 2 ]. Pregnancy-related deaths occur most frequently during the postpartum period, and many are preventable [ 3 , 4 ]. Maternal mortality is often considered the ‘tip of the iceberg,’ with many additional women experiencing serious complications that have lifelong impact [ 5 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Social Determinants of Health on the Provision of Postpartum Contraceptives in Medicaid

et al. 2022

View full text Add to dashboard Cite

Disparities continue to exist in the timely provision of postpartum contraception. This study aimed to identify prevalence and factors associated with postpartum contraception provision among women enrolled in Medicaid. A retrospective cohort study was conducted using the 2014 National Medicaid data, linked to county-level social vulnerability index (SVI) data. Women aged 15–44 with a live birth in 2014 were included. Multivariable logistic regression was used to predict 3-day provision of long-acting reversible contraception (LARC) and 60-day provision of most effective or moderately effective contraceptives (MMEC). Overall, 3-day LARC provision was 0.2% while 60-day MMEC was 36.3%. Significantly lower odds of receiving MMEC was found among women aged 15–20 (adjusted odds ratio[aOR] = 0.87; 95% CI:0.86–0.89) compared to women 20–44 years as well as among Asian women (aOR = 0.69; 95% CI:0.66–0.72) and Hispanic women (aOR = 0.73; 95% CI:0.72–0.75) compared to White women. The provision of postpartum contraception remains low, generally, and needs attention in communities experiencing poor maternal outcomes.

show abstract

“…Postpartum periods can be easily neglected because they are not viewed as a period of health risk 1–8 . However, according to the Centers for Disease Control and Prevention (CDC), 33% of maternal deaths in the United States occur between 7 days and 1‐year postpartum 1,4,8 …”

Section: Introductionmentioning

confidence: 99%

Implementing effective care by improving attendance to the comprehensive postpartum visit in an urban hospital practice

Rowland

Kennedy

2022

Nursing Forum

View full text Add to dashboard Cite

Background: Approximately 40% of postpartum patients do not return for comprehensive postpartum visits. Up to 20% of postpartum patients suffer from depression or anxiety. One-third of deaths related to pregnancy occur between 7 days to 1-year postpartum. Only 27% of new moms returned for comprehensive postpartum or check-in visits during the first 3 weeks postpartum. The providers did not perform depression screening for these postpartum outpatients. This quality initiative aimed to provide effective care by increasing postpartum follow-up to 80% in 90 days. Method:The core interventions in this project included schedule logs, telehealth check-in visits within 1-3 weeks postpartum, screening with the Edinburgh Postnatal Depression Scale (EPDS), and a team engagement plan.Results: Sixty-eight percent (68.8%) of patients attended check-in visits, and staff screened 90.9% of patients with the EPDS. Patients who checked-in benefited from visits, making patients more than four times more likely to attend comprehensive visits. Overall attendance for the comprehensive visit increased from 27% to 57% (p < .001).Discussion: This initiative increased attendance at postpartum visits at a statistically significant rate. Implementing a schedule log, postpartum check-in visits, and depression screening increased effective care and attendance at comprehensive postpartum visits.

show abstract

Healthcare Strategies for Reducing Pregnancy-Related Morbidity and Mortality in the Postpartum Period

Cited by 15 publications

References 39 publications

Applying the Urgent Maternal Warning Signs Initiative in a Novel Setting

Applying the Urgent Maternal Warning Signs Initiative in a Novel Setting

The Influence of Social Determinants of Health on the Provision of Postpartum Contraceptives in Medicaid

Implementing effective care by improving attendance to the comprehensive postpartum visit in an urban hospital practice

Contact Info

Product

Resources

About