Register for Improvement Projects Here 

Prevention of the 1st Cesarean Delivery

The rising cesarean delivery rate in the United States has been in the news. In 2014, ACOG and SMFM published a consensus document on the Safe Prevention of the Primary Cesarean Delivery. The plan is to facilitate dissemination of this information throughout the state and to support implementation of the recommendations. Baseline data on Nebraska cesarean rates has been collected. A presentation at the Summit on September 9th will highlight the recommended practices. 

Hyperbilirubinemia Data Tool

Jaundice is a fairly common newborn condition that can result in devastating kernicterus. Evidence-based protocols provide guidance in identification of newborns at risk and their appropriate management. A webinar, held May 11th, highlighted evidence-based practices for neonatal jaundice. If you missed the webinar, it was recorded and the links below will take you to the recording, slides and reference articles. If your facility would like to participate in this project, please register. Web-conferences of the participating hospitals are taking place every two months as improvement teams are taking steps to develop and implement evidence-based protocols.

Web Conference 9/23/16

Webinar Recording

Webinar Slides 

Pediatrics 2004

Bhutani,V. J of Perinatology, 2001: 21:S78 

Sample evidence-based protocol
 

Breastfeeding Practices Data Tool

Did you know Nebraska ranked 48th out of 53 states and territories in the 2014 United States Breastfeeding Report Card released by the Centers for Disease Control & Prevention (CDC)? This ranking is based on the 2013 Maternity Practices in Infants Nutrition and Care (mPINC) Survey conducted by the CDC biennially to assess evidence-based hospital practices that support and encourage breastfeeding. Of the perinatal stakeholders who attended the NPQIC 2015 Fall Summit, 83% responded that breastfeeding was a priority quality issue for their organizations.

The plan is to repeat the mPINC survey through Red Cap every 6 months while providing healthcare organizations assistance in implementation of evidence-based practices. The initial data collection occurred early in 2016 and revealed opportunity to improve on:

  • Skin-to-skin contact immediately after birth and during routine procedures
  • Babies to breast within one hour of birth
  • Keeping mothers and babies together
  • Supplementation with non-breastmilk
  • Distribution of formula company discharge packs
  • Routine separation of mother and baby for transition after vaginal birth

A webinar was held in June with web-conferences of the participating hospitals every two months. If you missed the webinar, you can still view the recording. Slides are also available. Be sure to register your hospital for this improvement project.

NICU Innovations - Breastfeeding

The aim of this project is to increast the number of feeds at breast in the days leading up to discharge. For more information and detail about data collection, click here. For slides from the February 22 session, click here. The teams at the the participating hospitals are collecting data monthly and working to implement recommended evidence-based practices. Webinars are held every two months to share progress.

Prevention of CMV

In Nebraska, there are approximately 156 CMV infected newborns born every year. Unsuspecting pregnant women may contract CMV and pass it on to their developing baby in-utero. Some of these newborns will have hearing loss as a result of the CMV infection. Public education programs have been effective in reducing the transmission of CMV to pregnant women. The plan for this initiative is to implement evidence-based prenatal education on simple hygienic measures to prevent CMV transmission. Baseline data on current practices will be collected in the near future.

Count the Kicks

Kick counts are a simple way for mothers to identify if their unborn baby is healthy. The Count the Kicks campaign, which originated in Iowa, strives to education pregnant women and provides tools to assist them with kick counts. Kick counts are an easy way to prevent stillborn babies. Nebraska hospitals and providers may order free brochures to share the campaign with their patients. Order your brochures today.

 March of Dimes Prematurity Campaign

Learn more about the MOD Roadmap Interventions to reduce prematurity.