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West Virginia Perinatal Partnership - 2009

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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  1. West Virginia Perinatal Partnership - 2009 Nancy Tolliver, Director tolliver2@verizon.net

  2. 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

  3. 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

  4. Key Informant Survey • West Virginia has only a few physicians who specialize in high-risk pregnancy and newborn care.

  5. 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

  6. 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.

  7. Addressing the Needs of Perinatal Practitioners • Rural physicians and CNMs in West Virginia have expressed the need for closer communication with specialists.

  8. 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) 18 1 33 7 3 2 6 5 4 19 8 14 15 29 9 10 11 20 30 21 27 28 16 17 12 31 32 13 26 22 23 25 24 Locations of open obstetric delivery services in 2006 Locations of Tertiary Perinatal Referral Centers

  9. 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

  10. Ann Dacey atdacey@hsc.wvu.eduNancy Tollivertolliver2@verizon.netwww.wvperinatal.org WV Perinatal Partnership

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