promoting normal physiologic birth developing a national strategy
Download
Skip this Video
Download Presentation
PROMOTING NORMAL, PHYSIOLOGIC BIRTH: Developing a National Strategy

Loading in 2 Seconds...

play fullscreen
1 / 21

PROMOTING NORMAL, PHYSIOLOGIC BIRTH: Developing a National Strategy - PowerPoint PPT Presentation


  • 157 Views
  • Uploaded on

PROMOTING NORMAL, PHYSIOLOGIC BIRTH: Developing a National Strategy. Tina Johnson, CNM, MS American College of Nurse-Midwives. Goals of ACNM’s Normal Birth Initiative. Promote healthy, normal physiologic birth as the standard of care for “low risk” women

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' PROMOTING NORMAL, PHYSIOLOGIC BIRTH: Developing a National Strategy' - jemima


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
promoting normal physiologic birth developing a national strategy

PROMOTING NORMAL, PHYSIOLOGIC BIRTH: Developing a National Strategy

Tina Johnson, CNM, MS

American College of Nurse-Midwives

goals of acnm s normal birth initiative
Goals of ACNM’s Normal Birth Initiative
  • Promote healthy, normal physiologic birth as the standard of care for “low risk” women
  • Identify the evidence, care processes and outcomes, quality indicators, systems changes, and outreach needed to support and promote the value of healthy, spontaneous labor and birth within the healthcare system and to the general public
cultural context of birth in the us
Cultural Context of Birth in the US
  • Prenatal care that “Expects Trouble”
  • “Safety” is ensured if birth takes place in hospitals with an obstetrician
  • “Intervention intensive” labor and birth is best
  • Fear of litigation
  • Intense fear of labor and birth
  • Rising maternal mortality and cesarean rates
reality of birth in the us
Reality of Birth in the US
  • Induction (41%)/Augmentation (31%)
  • Intravenous fluids (62%)
  • EFM (94% continuously in 2006)
  • Restrictions movement (57%), eating (79%) drinking (60%)
  • Epidural (67% of vaginal births)
  • Urinary catheter (47%)
  • Instrument delivery (11%)/episiotomy (17%)
  • Cesarean (31%)

Listening to Mothers III (2013) www.childbirthconnection.org

slide5

Context of “Normal Birth”

  • Highly technological procedures in childbirth have been normalized without an associated improvement in outcomes.
  • Many different countries have created statements defining and describing “normal” birth, yet at that time, the U.S. did not have a similar, consensus-driven statement about this fundamental concept in birth.
formation of the physiologic birth task force
Formation of the Physiologic Birth Task Force

Consensus

Statement

Sub-Committees

Advisory

Committee

Steering Committee

promoting normal physiologic birth developing a consumer statement about normal physiologic birth

PROMOTING NORMAL, PHYSIOLOGIC BIRTH: Developing a Consumer Statement about Normal Physiologic Birth

normal birth consumer statement
Normal Birth Consumer Statement
  • Women have lost confidence in their ability to give birth under their own power
  • Standard maternity care is not evidence-based and actually increases risk
  • Provides evidence based information to consumers about labor and birth
  • Increase women’s understanding of normal birth
slide12

PROMOTING NORMAL, PHYSIOLOGIC BIRTH: Developing Documents to Introduce Normal Birth to Hospital Quality Personnel and Insurers

slide13

Quality patient care in labor and delivery: A call to action. J Midwifery Womens Health. 2012;57(2):112-113.

joint commission perinatal care pc core measure set

PC-01 Elective Delivery

PC-02 Cesarean Section

PC-03 Antenatal Steroids

PC-04 Health Care-Associated Bloodstream Infections in Newborns

PC-05 Exclusive Breast Milk Feeding

Joint Commission: Perinatal Care (PC) Core Measure Set

Improvable with Physiologic Care

to date
To Date…
  • White paper about normal birth being submitted for publication
  • Documents targeting hospital quality personnel and insurers are in final stages of development and design
slide18

Target: 1) Clinicians and hospital staff at the point of care 2) Maternity unit leadership

Scope: Implement care process improvements that support, promote, and facilitate physiologic birth through dissemination of useful, actionable resources and case studies from exemplars

development of the tool kit
Development of the Tool Kit
  • Founded on the Consensus Statement
  • Encouraged engagement vs. alienation
  • Whole scale change vs. steps at a time
  • Searchable
  • Easy access from a busy unit
  • Aimed at the front line user with background for administrators and systems
birthtools menu of change
BirthTOOLS:Menu of Change
  • For each focal area, the toolkit will include:
    • Review of evidence
    • Model unit policies
    • Clinical decision support tools (e.g. algorithms, checklists)
    • Guidelines and tools for auditing performance
    • Educational resources for clinicians and/or consumers
ad