In January of 2019, the NCMS convened a group of health care providers and thought leaders to address North Carolina’s alarming maternal and infant health statistics. Below are some resources and materials that can provide additional information on maternal and infant health, as well as details of ongoing efforts by the NCMS and its partners to address this issue.
October 2, 2019 Presentations and Meetings Notes
- Maternal Infant Health Agenda
- Mamas Matter: Establishing the 4th Trimester Presentation
- CenteringPregnancy Panel Presentation
- CHI Birth Equity Issue Brief
- Aligning Value-Based Payment with CenteringPregnancy
January 23, 2019 Presentations and Meeting Notes
- Maternal Infant Health Meeting Notes
- Presentation by Belinda Pettiford, Branch Manager, Women’s Health Branch, Women’s & Children’s Health Section, Division of Public Health, NC Department of Health and Human Services
- NC Perinatal Health Strategic Plan
- NC Preconception Health Strategic Plan
- NC Infant Mortality Rates
These initiatives are currently underway in North Carolina
NCIOM Perinatal Systems of Care Task Force Meeting Dates
- June 6: 10:00 am – 3:00 pm at NCIOM, 630 Davis Dr, Morrisville, NC 27560
- July 29: 10:00 am – 3:00 pm at NCIOM, 630 Davis Dr, Morrisville, NC 27560
- August 29: 10:00 am – 3:00 pm at NCIOM, 630 Davis Dr, Morrisville, NC 27560
Perinatal Health Strategic Plan Team meetings
- September 25: 10:00 am – 12:00 pm location TDB
- November 27: 10:00 am – 12:00 pm location TDB
Perinatal Health Strategic Plan Meeting
- July 31, 2019. Theme: Point 9- Close the Education Gap. Host: Duke University, School of Medicine, Division of Community Health, Department of Family Medicine and Community Health Location: 200 Morris Street Durham, NC 27701
Upcoming Medication Assisted Treatment (MAT) Training & Office-Based Opioid Treatment (OBOT) Sessions
- June 27, 2019
Location: Mountain AHEC; Asheville, NC
Program: Providers’ Clinical Support System – Buprenorphine Office‐Based Treatment for Opioid Use Disorders The “Half and Half” Course
Time: 4:00 PM – 8:45 PM (Registration at 3:30 PM)
Fee: Free for MAHEC Residents; $20 early bird for MAHEC employees ($35 after 6/20); $35 general early bird ($50 after 6/20)
CME: Yes
Website: https://mahec.net/event/56888
Location: Mountain AHEC; Asheville, NC
Program: Recovery Within Reach: Building Team Expertise in Office-Based Opioid Treatment (OBOT)
Time: 3:45 PM – 8:30 PM (Registration at 3:15 PM)
Fee: $20 early bird for MAHEC employees ($35 after 6/20); $35 general early bird ($50 after 6/20)
CME: Yes
Website: https://mahec.net/event/56882
- September 27, 2019
Location: Mountain AHEC; Asheville, NC
Program: Providers’ Clinical Support System – Buprenorphine Office‐Based Treatment for Opioid Use Disorders The “Half and Half” Course
Time: 1:30 PM – 6:00 PM (Registration at 1:00 PM)
Fee: Free for MAHEC Residents; $20 early bird for MAHEC employees ($35 after 9/20) and $35 general early bird ($50 after 9/20)
CME: Yes
Website: https://mahec.net/event/56898
Location: Mountain AHEC; Asheville, NC
Program: Recovery Within Reach: Building Team Expertise in Office-Based Opioid Treatment (OBOT)
Time: 1:45 PM – 6:00 PM (Registration at 1:15 PAM)
Fee: $20 early bird for MAHEC employees ($35 after 9/20) and $35 general early bird ($50 after 9/20)
CME: Yes
Website: https://mahec.net/event/56897
Online Trainings
- Free 8 Hour Online MAT Waiver Training for Physicians – https://learning.pcssnow.org/p/onlinematwaiver
- Free 8 Hour Online Treatment of Opioid Use Disorder Course (with Waiver Qualifying Requirements) – https://elearning.asam.org/products/treatment-of-opioid-use-disorder-waiver-qualifying-8-hours-online-unc-ahrq
CDC Says Most Pregnancy-related Deaths Are Preventable
In its recently released report the Centers for Disease Control and Prevention (CDC) and state maternal mortality data found that roughly 60 percent of pregnancy-related deaths in the US are preventable.
Among the other findings:
• From 2011 through 2015, the rate of pregnancy-related deaths was 17 per 100,000 live births.
• Some 31 percent of deaths occurred during pregnancy, 36% on the day of delivery or within a week after, and 33 percent from 1 week to 1 year postpartum.
• Cardiovascular conditions, including cardiomyopathy and cerebrovascular accidents, accounted for over a third of deaths.
• Maternal deaths were about three times more common among black and American Indian/Alaska Native women (43 and 33 per 100,000 live births, respectively) than among white women (13 per 100,000).
Related:
Mothers dying needlessly: CDC says most pregnancy-related deaths can be prevented – USA Today
US Pregnancy Deaths Are Up, Especially Among Minorities – NY Times
Why America’s Black Mothers and Babies Are in a Life-or-Death Crisis – NY Times
Comparison of Delivery-Related Complications Among Obstetrician-Gynecologists and Family Physicians Practicing Obstetrics – by Daniel M. Avery, Jr, MD; Shelley Waits, MD; Jason M. Parton, PhD; American Journal of Clinical Medicine • Winter 2014 • Volume Ten Number One
Safe Prevention of the Primary Cesarean Delivery – Obstetric Care Consensus • Number 1 • March 2014
Doulas utilization helps address the high cost of maternity care
Doulas as childbirth paraprofessionals: results from a national survey.
Medicaid and Doulas in Other States
- San Francisco announces plans to provide doulas for low-income mothers
- NY Pilot Program Expands Medicaid to Cover Doula Services in Brooklyn
- Oregon Medicaid reimbursement for doula services
ACOG’s Position on Doulas (see the section entitled “Continuous Support during Labor”)
This Is How the American Healthcare System Is Failing Black Women – by Erika Stallings, The Oprah Magazine, Aug. 1, 2018
Judge Hatchett’s Son Seeks Justice After His Wife’s Tragic Childbirth Death: ‘No One Should Feel This Pain’, People Magazine
Judge Hatchett And Son Suing L.A. Hospital Over His Wife’s Death