HBWW quality improvement and hospital recognition programs
Research shows that choosing to deliver a baby before 39 weeks when there are no medical indications for delivery puts infants at a higher risk of neonatal death and of health problems such as respiratory distress syndrome, need for ventilator support and persistent pulmonary hypertension, resulting in increased NICU admissions.1,2 The March of Dimes works with doctors and nurses, hospitals, hospital associations, insurers, regional collaboratives, patients and their families to reduce elective deliveries before 39 weeks gestation.3
In 2014, the March of Dimes supported 100 hospitals across 28 states to implement the March of Dimes 39+ Weeks Quality Improvement Service Package. The Service Package complemented the information in the Elimination of Non-medically Indicated (Elective) Deliveries Before 39 Weeks Gestational Age toolkit and included action-oriented guidance, data collection tools and other support services to assist hospitals in implementing a successful perinatal quality improvement initiative to eliminate elective deliveries prior to 39 weeks.
The Elimination of Non-medically Indicated (Elective) Deliveries Before 39 Weeks Gestational Age toolkit is available to hospitals across the country and can be downloaded for free at prematurityprevention.org.
Greene County General Hospital (IN) is recognized for its work in reducing early elective deliveries. Left to right: Jennifer Hurtubise, IHA Representative, Teresa Hutton, RN, OB Manager, Tracy Blanton, RN and Dennis Casey, March of Dimes representative
North Okaloosa Medical Center (FL) is recognized for its work in reducing early elective deliveries.
1. Oshiro, B., Henry, E., Wilson, J., Branch, D., Varner, M. (2009). Decreasing elective deliveries before 39 weeks of gestation in an integrated health care system. Obstet Gynecol, 113(4), 804-11.
2. Tita, A.T., Landron, M.B., Spong, C.Y., et al. (2009). Timing of Elective Repeat Cesarean Delivery at Term and Neonatal Outcomes. N Eng J Med, 360, 111-20.
3. Oshiro, B., Kowalewski, L., Sappenfield, W., et al. (2013). A multistate quality improvement program to decrease elective deliveries