A N O V E L A P P R O A C H T O S H A R E D D E C I S I O N M A K I N G I N M A T E R N I T Y C A R E

SNEAK PEEK AT MATERNITY CARE INITIATIVE

Molly Beinfeld, MPHDirector, Independent Production

July 2012

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Comprehensive set of decision tools

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Fresh user interface

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Novel engagement strategies

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WHAT IS THE MATERNITY CARE SDM INITIATIVE?

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Maternity Care SDM Initiative

TOOLS

•What are the opportunities?•Multi-stakeholder interviews (16)•#1 concern: C-section rate

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Vaginal67%

C-Section33%

VBAC

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Repeat

Primary

C-Section33%

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Repeat

Primary

Elective

*Reasons

*Many stated reasons are

not supported by high-quality

evidence.

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Elective

*Reasons

Pre-Labor

DuringLabor

Breech/TransverseMultiples

Pre-existing ConditionsSuspected

Macrosomia

Slow Labor Progress

Fetal Distress

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Cesarean Births in the U.S.Opportunities for decision support

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.

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INTERFACE

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CONTENT MANAGEMENT SYSTEM

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ENGAGEMENT

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THE “DREAM TEAM”

ContentAmy Romano, MSN,

CNMCarol Sakala, MSPH,

PhDSuzanne Brodney, PhDJessica Turon

Medical EditorKathie Hartmann, MD,

PhD

Strategy and Outreach

Maureen Corry, MPHLyn Paget, MPHDiana Stilwell, MPH

ProductionSherry Reisner

Project ManagementCarin Upstill

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