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West Virginia Perinatal Partnership - 2009. Nancy Tolliver, Director tolliver2@verizon.net. Why Study Perinatal Health. Twelve years ago, West Virginia birth statistics were much brighter than today.

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West Virginia Perinatal Partnership - 2009


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west virginia perinatal partnership 2009

West Virginia Perinatal Partnership - 2009

Nancy Tolliver, Director

tolliver2@verizon.net

why study perinatal health
Why Study Perinatal Health

Twelve years ago, West Virginia birth statistics were much brighter than today.

The State’s rates for pre-term birth, primary C-sections, and low birth weight infants were all more positive for healthy outcomes

What we did

Key Informant Survey

Data analysis

Studies

slide3

What we found

  • Medical System Concerns
    • Non-compliance with ACOG and AAP Guidelines
    • NICU Beds – 100 % capacity
    • Deteriorating system for medical consultation
  • Low breastfeeding rates
  • Maternity provider shortage areas
  • Poor oral health
  • Drug use
  • No worksite wellness
  • High smoking rates
key informant survey
Key Informant Survey
  • West Virginia has only a few physicians who specialize in high-risk pregnancy and newborn care.
design statewide perinatal system
Design Statewide Perinatal System
  • Standards of Care
  • Update the medical consultation system
  • Design telecommunications
  • Hospital self assessment
  • Study adequacy of NICU beds.
  • Uniform maternal risk assessment
obstetrical provider shortages
Obstetrical Provider Shortages
  • Identify areas of state without obstetrical coverage and design a rural maternity service that is economically feasible
  • Study options for medical liability coverage.
addressing the needs of perinatal practitioners
Addressing the Needs of Perinatal Practitioners
  • Rural physicians and CNMs in West Virginia have expressed the need for closer communication with specialists.
slide8

Locations of Open and Closed Obstetrical Delivery Facilities

  • Locations of Closed Obstetric Facilities
  • Morgan City War Memorial
  • Hampshire Memorial
  • Potomac Valley Hospital
  • Tucker County Hospital
  • Broaddus Hospital
  • Grafton City Hospital
  • Sistersville General Hospital
  • Memorial General Hospital, Elkins
  • Webster County Hospital?
  • Richwood Community Hospital?
  • Pocahontas Memorial Hospital
  • New River Birth Center
  • Appalachian Regional Hospital
  • Calhoun General Hospital
  • Putnam General Hospital
  • WVSOM Birth Center
  • Rainelle Medical Center Birth Center
  • Dr. Vincent’s Birth Center
  • Jackson General Hospital (2004)
  • Women’s Health Center Birth Center
  • Boone Memorial Hospital
  • Hinton Hospital
  • Summers County Hospital
  • Stevens Clinic
  • Doctors’ Memorial
  • Wyoming General Hospital
  • Montgomery General
  • Oak Hill Hospital
  • Guthrie Hospital
  • Lincoln County Clinic
  • Holden Hospital
  • Man Appalachian Regional
  • Wetzel County Hospital (closing 8/06)

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Locations of open obstetric delivery services in 2006

Locations of Tertiary Perinatal Referral Centers

perinatal policy priorities 2009
Perinatal Policy Priorities - 2009
  • Legislation to protect pregnant addicted women, get into treatment early
  • Perinatal outreach education
  • Behavioral Issues
    • Stop tobacco use
    • Increase breastfeeding
  • Support rural maternity services development.
  • Medical systems issues
    • Reduce elective deliveries
    • Telecommunications
ann dacey atdacey@hsc wvu edu nancy tolliver tolliver2@verizon net www wvperinatal org
Ann Dacey atdacey@hsc.wvu.eduNancy Tollivertolliver2@verizon.netwww.wvperinatal.org

WV Perinatal Partnership