The post ERASE Maternal Mortality (“I Gave Birth” Initiative) appeared first on UNC Collaborative for Maternal & Infant Health.

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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Safe Sleep NC is here to equip healthcare professionals and parents, so North Carolina babies sleep safer for every nap and nighttime sleep. Check out our new website SafeSleepNC.org to find lots of practical information.

For more information regarding Safe Sleep NC, contact Megan Canady megancanady@med.unc.edu 919-843-7865

Information for healthcare professionals, includes:

Information for parents in both English and Spanish, includes:

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Click Here to learn more about our 17P Social Media Toolkit. You are encouraged to personalize these for your clinic and share them on your clinic’s various social media platforms. There are messages intended for consumers and messages directed toward healthcare providers.

Click HERE to learn more about the NC 17P Project.

If you have questions about the NC 17P Project, contact Erin McClain at erin_mcclain@unc.edu

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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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