Research and resources for perinatal professionals.
January 06, 2012 | by: Kimmelin Hull, PA, LCCE
This past September, news hit the popular media that several Oregon state hospitals introduced a hard stop on elective deliveriesincluding elective cesarean sectionsprior to 39 completed weeks of gestation, with the potential to decrease the incidence of late term premature birthbirth occurring
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January 05, 2012 | by: Kimmelin Hull, PA, LCCE
In November, 2011, Centers for Disease Control and Prevention released their preliminary National Vital Statistics data for 2010. Included in this data is a minor decrease in cesarean section ratesfrom 32.9 percent in 2009 to 32.8 percent in 2010representing the first drop in this mode of
January 04, 2012 | by: Kimmelin Hull, PA, LCCE
According to Glanz, Rimer and Viswanath in Health Behavior and Health Education (2008): Change strategies are most effective and likely to be sustained when they are directed at multiple levels of the organization, while simultaneously taking the external environment into account.
January 03, 2012 | by: Kimmelin Hull, PA, LCCE
Maternal Mortality through the Lens of Psychosocial TheoryThe quandary of pregnancy-related death in our country is a complex one with numerous variables at play. Breaking this public health challenge into two broad categories, systems and individuals, allows us to apply the constructs of a
January 02, 2012 | by: Kimmelin Hull, PA, LCCE
Last week, we featured the five-part completion of Christine Morton and Kathleen Pine's assessment of the current Maternal Quality Care landscape in the United States. What a great way to close out the year by scrutinizing the measures our nation is taking--at both the federal and community
December 30, 2011 | by: Christine H Morton, PhD
[Editor's Note: In this final segment of Christine Morton and Kathleen Pine's series on the Maternal Quality Care landscape in the United States, the post authors look at where the <39 weeks elective deliveries bans have been effective, and where such attempts may have some unintended
December 29, 2011 | by: Christine H Morton, PhD
[Editor's note: Continuing with Christine Morton and Kathleen Pine's review of U.S. Maternal Quality Care measures assessment this week, and in completion of their three-part series, today they discuss methods of data collection and the problems that sometimes occur in accurate documentation.]
December 28, 2011 | by: Christine H Morton, PhD
How Hospitals Measure ED < 39 Weeks Next we discuss how hospitals actually compile the data elements needed to calculate their rate of elective deliveries occurring between 37 and 39 completed weeks gestation. It is crucial to remember that successful Quality Measurement depends on the
December 27, 2011 | by: Christine H Morton, PhD
Perinatal Measure Case Study: Elective Deliveries <39 Weeks The <39 weeks measure is designed to capture the percentage of elective vaginal or cesarean deliveries at greater than or equal to 37 and less than 39 completed weeks of gestation. Elective in this sense means scheduled and having no
December 26, 2011 | by: Christine H Morton, PhD
Quality measures, transparency, and quality improvement these buzz words are proliferating in the blogosphere, reflecting increased activity and interest around improving the quality of health care in the United States. How does maternity care fit into this picture? This blog post series
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