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Sneak Peek at Maternity Care Initiative
 

Sneak Peek at Maternity Care Initiative

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2012 Summer Medical Editors Meeting: Molly Beinfeld, MPH

2012 Summer Medical Editors Meeting: Molly Beinfeld, MPH

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    Sneak Peek at Maternity Care Initiative Sneak Peek at Maternity Care Initiative Presentation Transcript

    • SNEAK PEEK AT MATERNITY CARE INITIATIVE A NOVEL APPROACH TO SHARED DECISION MAKING IN M AT E R N I T Y C A R E Molly Beinfeld, MPH Director, Independent Production July 2012
    • Comprehensive set of decision tools 2
    • Fresh user interface 3
    • Novel engagement strategies 4
    • 5
    • 6
    • WHAT IS THE MATERNITY CARE SDM INITIATIVE? Maternity Care SDM Initiative 7
    • TOOLS• What are the opportunities?• Multi-stakeholder interviews (16)• #1 concern: C-section rate 8
    • VBAC C-Section 33%Vaginal 67% 9
    • 100%   90%   80%   Repeat 70%   60%  C-Section 50%   33% 40%   Primary 30%   20%   10%   0%   1  10
    • ElectiveRepeat *Many stated reasons are not *Reasons Primary   supported by Repeat   high-qualityPrimary evidence. 1  11
    • 100%   Breech/TransverseElective 90%   Multiples Pre-Labor Pre-existing 80%   Conditions 70%   Suspected Macrosomia 60%  *Reasons 50%   Slow Labor Progress During a bor  L   Pre-­ bor   ­L 40%   During Fetal Distress Labor 30%   20%   10%   0%   1  12
    • Cesarean Births in the U.S.Opportunities for decision support   100% 90%   Breech/Transverse Elective Multiples Pre-Labor Pre-existing Conditions 100%   80%   Suspected Macrosomia 90%   70%   80%   Repeat VBAC 70%   60%   60%   50%   During a bo  L 50%   *Reasons Primary  a Pre-­ bor   ­L Repeat   Slow Labor Progress 40%   40%   Primary During Labor Fetal Distress 30%   30%   Potential Influnc er s 20%   and Drivers 10%   20%   Provider/Setting Labor Induction 0%   Labor Interventions e 1  10%   0%   1  = Decision Aid * Many stated reasons = Multimedia Interactive Contente are not supported by high-quality evidence. = Influnc er /D iv r er 13 © 2012 Informed Medical Decisions Foundation and Childbirth Connection
    • SOURCES• Zhang J, Torendle J, Reddy UM, et al. Consortium on Safe Labor. Contemporary cesarean delivery practice in the United States. Am J Obstet Gynecol. 2010;203:326.e1- 10.• Barber EL, Lundsberg LS, Belanger K, Pettker CM, Funai EF, Illuzzi JL. Indications contributing to the increasing cesarean delivery rate. Obstet Gynecol. 2011;118:29-38. 14
    • INTERFACE 15
    • CONTENT MANAGEMENT SYSTEM 16
    • ENGAGEMENT 17
    • THE “DREAM TEAM”Content Strategy and OutreachAmy Romano, MSN, CNM Maureen Corry, MPHCarol Sakala, MSPH, PhD Lyn Paget, MPHSuzanne Brodney, PhD Diana Stilwell, MPHJessica Turon ProductionMedical Editor Sherry ReisnerKathie Hartmann, MD, PhD Project Management Carin Upstill 18