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The ERASE MM (Enhancing Reviews and Surveillance to Eliminate Maternal Mortality) initiative assists states in identifying ways to reduce maternal mortality and complications of pregnancy.

Our CMIH team collaborates with North Carolina hospitals, clinics, and communities to provide free training on maternal warning signs during pregnancy and 1 year postpartum to provide assistance with planning and implementation of obstetric emergency protocols.

‘I Gave Birth’ Implementation Tool Kit

Approximately 2 out of 3 pregnancy-related deaths occur outside of the day of delivery or the week postpartum

The goal of the “I Gave Birth” bracelet initiatives to improve care of patients who present for medical care during the postpartum period. The bracelets serve as a reminder to staff to look for post-birth warning signs including:

• Chest pain or shortness of breath
• Seizures or headache
• Thoughts of harming themselves or others
• Uncontrollable bleeding
• Fever of 100.4 F or higher

Bracelets are provided to patients delivering a live infant or stillbirth after 20 weeks gestation along with education about post-birth warning signs.

Click here for a step-by-step plan for implementing this initiative in your institution!

For more resources and printable handouts

• AIM Statement Worksheet 
• IHI—QI Essentials Toolkit: Maternal Health 
• IHI—Science of Improvement: Forming the Team  
• Quality Improvement Project Measures Worksheet

See how this was initiated with ECU Health Medical Center

ECU Health Medical Center is the only tertiary care center in Perinatal Region VI; they were influential in allocating best practices and quality improvement initiatives. Below you will see the presentation overview with background, methods, and discussions surrounding the ‘I Gave birth’ initiative. Informational flyer and badge ID cards are included below, serving as a visual reminder of the initiative and care in the 4th trimester.

References

‌AWHONN. POST-BIRTH Warning Signs education program (n.d.).  https://www.awhonn.org/education/hospital-products/post-birth-warning-signs-education-program/ 

CDC. (2016, January 1). CDC Newsroom: Hear Her: CDC campaign highlights Warning Signs of Pregnancy https://www.cdc.gov/media/releases/2022/p0919-pregnancy-related-deaths.html 

Noble BSN, RNC, J., Harper MSN, RN, MHA, K. D., Mitchell MSN, CNM, K., & McClain MA, MPH, E. K.(2023). “I Gave Birth”–An Initiative to Improve Postpartum Care [Review of “I Gave Birth”–An Initiative to Improve Postpartum Care]. North Carolina Medical Journal, 4(1), 24–27. 

Roosa Tikkanen et al. (2020, November 18). Maternal mortality and maternity care in the United States compared to 10 other developed countries. https://doi.org/10.26099/411v-9255 

Additional Patient Education Resources

Click on the ‘Order Materials’ button below to order free educational materials through the DHHS Warehouse

Order Materials

Contact Us Liz Soto BSN, RN | lizso@email.unc.edu

DISCLAIMER: This webpage was supported by the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $450,000 with 0% percentage financed with nongovernmental sources. The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement, by CDC, HHS, or the U.S. Government.   

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Poster Presentation at AWHONN

Resources / Citations

The post 4th Trimester “ I Gave Birth” Medical Alert Bracelet appeared first on UNC Collaborative for Maternal & Infant Health.

• Visiting hours 9 a.m. – 9 p.m.
• Adult inpatients will be allowed 1 visitor during the day (9 a.m. – 9 p.m.) and 1 visitor at night (9 p.m. – 9 a.m.)
• COVID-19 positive patients will continue to have no visitors (except for laboring women, who may be allowed to have the birthing partner at bedside).
• Laboring mothers may designate two support people, which could include a doula. After birth, patients may designate one support person for the entire length of stay in the hospital. Visiting hours do not apply to these visitors.

Click HERE for the most updated version of the document “Having Your Baby During the COVID-19 Pandemic: Questions You May Have”
Click HERE to go to the main UNC Health page for more information.
Click HERE for the Spanish version of the Visitor Policy.

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 The Winter newsletter includes our statement on the FDA Advisory Committee Decision regarding 17P, the launch of two new websites NewMomHealth & SafeSleepNC.org, new materials from our Perinatal Neonatal Outreach Coordination efforts, and much more.
 Click here to read the full newsletter.

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“Supporting women becoming mothers”

PHOTOGRAPHY, RECORDING & INFORMATION RELEASE AUTHORIZATION FORM

I authorize UNC Collaboration for Maternal and Infant Health (UNC CMIH) and The 4^th Trimester Project team members to repost/reshare, take and/or release recordings, and any related information for public relations and/or marketing purposes. By agreeing to the information below, I give permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of The 4^th Trimester Project and UNC CMIH activities. I agree that The 4^th Trimester Project and UNC CMIH projects and programs will be allowed to claim partnership for the attributed pictures, etc., and may use them for any purpose consistent with The 4^th Trimester Project’s mission.  These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet.  I acknowledge that I will not receive any compensation, etc., for the use of such pictures, etc., and hereby release The 4^th Trimester Project, UNC CMIH, and partners from any and all claims which arise out of or are in any way connected with such use.

CONTENT / INFLUENCER COLLABORATION INFORMATION RELEASE AUTHORIZATION FORM

I authorize UNC Collaboration for Maternal and Infant Health (UNC CMIH) and The 4^th Trimester Project team members to repost/reshare, take and/or release content created by myself, my partners, and/or The 4th Trimester Project team. I understand my blog posts, photos, and content will link/redirect to my own online properties, including my website and/or social media channels. By agreeing to the information below, I give permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any content created by myself, my partners, and/or The 4th Trimester Project team. I agree that The 4th Trimester Project team may use the agreed-upon content for public relations and/or marketing purposes. I agree that The 4^th Trimester Project and UNC CMIH will be allowed to claim my content ‘a contribution from a collaborator’ on the attributed content, and may use them for any purpose consistent with The 4^th Trimester Project’s mission.  These uses include, but are not limited to illustrations, bulletins, exhibitions, videotapes, reprints, reproductions, publications, advertisements, and any promotional or educational materials in any medium now known or later developed, including the Internet.  I acknowledge that I will not receive any compensation, etc., for the use of such content, and hereby release The 4^th Trimester Project, UNC CMIH, and partners from any and all claims which arise out of or are in any way connected with such use.

 I have read, understand, and agree to the information in this Authorization form. Email confirmation here.

 For questions or concerns, please email Suzanne Woodward (SuzanneW@med.unc.edu), Communications Director, UNC Collaboration for Maternal and Infant Health.

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UPDATE: Are you a woman, 18-35 years old?

The UNC Center for Maternal & Infant Health would like to get your opinions about messages we have made about e-cigarettes and vaping.

Your input will help us understand how women like you will react to the advertisements.

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Many of the items are now available to be ordered through the NC Division of Public Health, Women’s Health Branch. Click HERE to find the form.

You Quit, Two Quit, our perinatal tobacco cessation quality improvement initiative, has new provider and patient materials.

Our new Practice Bulletin is full of information for health care providers about the 5As, resources, billing, pharmacotherapy, preventing postpartum relapse, electronic nicotine device systems, and integrating trauma informed care for women who use tobacco.

Our new patient education booklet,  E-Cigarettes &Vaping: Information for Women & Their Families, provides information for pregnant women and mothers on the risks associated with e- cigarettes and self-help guidance for quitting. This booklet can be ordered through the NC Division of Public Health, Women’s Health Branch.

We also have new posters designed to help encourage pregnant and postpartum woman to be tobacco free –available in  English and Spanish.

We have a two-sided handout in English and Spanish that highlights benefits of being tobacco free for both the woman and her infant on one side and on the back shares some important health risks about e-cigarettes.

CMIH has created new materials to promote 17P use among eligible pregnant women.  The aim of the new materials is to identify and educate women who are appropriate for the use of 17P as a means to reduce the risk of  a repeat preterm birth.

	A new one page handout, Is 17P Right for Me?,  addresses the most common questions and concerns that women have identified regarding 17P (English and Spanish).  The handouts can be ordered through the NC Division of Public Health, Women’s Health Branch. Also now available to order through the Women’s Health Branch is our 17P booklet (English and Spanish)
	There are also new posters designed to  provide a general  preterm birth message to help women who have had a prior preterm birth to initiate a conversation with their healthcare provider. ( English and Spanish)

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