As we continue to provide labor support education in every perinatal region across North Carolina, a third class was held in Winston Salem at Novant Forsyth Medical Center. Taught by midwife, Tina Hayes, with assistance from midwives Leigh Anne Smith and Tamara Brothers, nearly 40 nurses were given instruction and advice on how to partner with women to provide labor support to increase vaginal delivery. A highlight of the day was four nurses who previously attended a PQCNC labor support class in Charlotte, NC sharing their experiences of how they recently incorporated support techniques learned during the class. Not only were they successful in achieving vaginal deliveries, they were also able to demonstrate the value of that knowledge to providers who subsequently requested their presence for labor support at additional deliveries. The enthusiasm and feelings of empowerment and gratification demonstrated by the nurses was contagious. Three more labor support classes are scheduled in Raleigh, Wilmington and Asheville, North Carolina.
One of the elements of the PQCNC AIM RPC Action Plan is for teams to provide patient education on healthy labor and birth. There are a handful of teams who currently provide such information and the team at CaroMont is one of them. They utilize an infographic from Lamaze International titled “Six Steps to a Healthy and Safe Birth.” CaroMont provides this information during childbirth education classes but it is also pertinent for mothers to receive upon admission. It can provide education and promote discussion regarding methods to support vaginal birth.
AUGUST 23rd-REGION II
Forsyth Medical Center 3333 Silas Creek airway Winston-Salem, NC 27103 Charter Hall in the NHFMC Conference Center Parking is free. Park in parking deck Register here
SEPTEMBER 16- REGION IV
UNC Rex Hospital Rex Heart & Vascular Building 2800 Lake Boone Trail, Raleigh NC. Auditoriums A&B located on the first floor of the Heart & Vascular building Parking is free and participants can park in H&V parking garage More Information to follow.
OCTOBER 9- REGION V
SEAHEC 2511 Delaney Avenue Wilmington, NC 28403 Pelican Room Parking is free in a designated lot at 2514 Delaney Avenue, diagonally across from the SEAHEC building. Attendees are to park in this space then access the building through the front doors facing Delaney. More Information to follow.
OCTOBER 17- REGION I
More Information to follow.
Earlier in May, PQCNC facilitated a labor support workshop in Greenville, NC and on May 20 a workshop was held in Charlotte, NC at the Atrium main campus. Nearly 65 obstetric providers gathered to learn labor support techniques and the physiology behind what makes them effective. The workshop was taught by midwives Tina Hayes and Sage Brook. The physician perspective of labor support and how best to communicate labor progress with providers was also provided. After a discussion of various labor support techniques and viewing instructional videos, participants were able to experience hands on practice of the techniques with continued guidance provided by the instructors. Instructors and participants were able to share their personal experiences along with hints, tips and tricks of what nurses can do to facilitate labor support and provide women with the childbirth experience they desire.
Nearly 50 obstetric providers gathered at Vidant Medical Center for a PQCNC workshop to learn labor support techniques and the physiology behind what makes them effective. The workshop was taught by midwives Kay Mitchell and Jomeka Mowery and childbirth educator Jennifer Kendrick. After a discussion of various labor support techniques and viewing instructional videos, participants were able to experience hands on practice of the techniques with continued guidance provided by the instructors. Additionally, patient educational materials were supplied along with hints, tips and tricks of what nurses can do to facilitate labor support and provide women with the childbirth experience they desire.
Teams have asked and PQCNC has listened! We are excited to announce PQCNC will be partnering with experts from across the state to offer RPC teams 2 regional meetings in May focused on labor management. These will be all day sessions beginning at 9 AM. Lunch will be provided and there is no charge for participating hospitals. Registration links are below and these meetings are right around the corner, so don’t wait...spread the word! We hope to see you there.
Lake Norman Regional Medical Center (LNRMC) has made tremendous strides in reducing their primary cesarean section rate in the last few years. LNRMC is located in Mooresville, North Carolina and delivers approximately 800 babies per year. The staff at LNRMC have worked diligently to incorporate many elements of the AIM Reducing Primary Cesarean Section maternal safety bundle and they have shared their success story with all PQCNC teams participating in the AIM Reducing Primary Cesarean Section initiative. Arin McClune, the Perinatal Program Coordinator at LNRMC, recorded a brief webinar discussing the elements of the maternal safety bundle that have made the most impact on their primary cesarean section rate. The webinar, titled Reducing Primary Cesarean Deliveries in Hospitals with less than 1000 deliveries per year, can be found here.
After a very successful kickoff meeting for the PQCNC AIM Reducing Primary Cesarean Section initiative, it is now time for teams to begin planning, setting goals and implementing interventions. A facility intervention tracker was reviewed at the kickoff meeting and teams were given time to determine what elements of the action plan they currently have in place, prioritize outstanding interventions and set a goal timeline for implementation. The facility intervention tracker and planning forms can be found here. Based on a review of the baseline snapshot information submitted, participating teams had an NTSV cesarean section rate of 26% for June 2018, 27% for July 2018 and 27% for August 2018. With goals of 23.9% for each facility and a statewide stretch goal of 20%, it’s time to get to work!
The kickoff meeting for the upcoming AIM Reducing Primary Cesarean Section initiative is scheduled for January 24, 2019. If you haven’t registered your team for the initiative yet, please consider joining us as we work to improve maternal outcomes by safely decreasing the number of nulliparous, term, singleton, vertex (NTSV) cesarean section deliveries performed in North Carolina. Facilities of all sizes that have been able to sustain a low NTSV cesarean delivery rate will be sharing processes and workflows that have enabled their success. Teams will be able to prioritize a number of interventions to implement as they work towards the statewide goal of a 20% NTSV cesarean section delivery rate. Come join us in making deliveries safer for the women and infants across North Carolina.
If you’d like to join us in our work, please register your team here.
If you’d like to attend the kickoff meeting, please register here.
All teams participating in the PQCNC AIM Reducing Primary Cesarean Section (RPC) initiative will be completing a baseline questionnaire prior to the kickoff of the initiative to determine what processes are currently in place to support healthy birth and labor at each individual facility. These process and structure measures will serve as a starting point for teams to begin planning improvement cycles and set facility goals during the initiative.