June 15, 2011

Teams are continuing to record and use data to plan and implement changes to eliminate elective deliveries under 39 weeks gestation without documented pulmonary maturity studies...

March 15, 2011

Teams are continuing to record and use data to plan and implement changes to eliminate elective deliveries under 39 weeks gestation without documented pulmonary maturity studies...

December 15, 2010

Teams are continuing to record and use data to plan and implement changes to eliminate elective deliveries under 39 weeks gestation without documented pulmonary maturity studies...

December 5, 2010

Written and Directed by Erik Ewers, Your Story Films, Walpole, NH. Produced by Julie Coffman, NNEPQIN producer Becky Ewing, MD. Co Stars: Michele Lauria, MD, Bill Edwards MD, Andrea Damato and Bonnie Morrissette

Risk is a very human twenty minute educational DVD that helps patients and their providers experience potential outcomes of elective late preterm delivery through the stories of two moms.

Dr. Lauria and Dr. Edwards provide the medical context in language that is accurate and understandable.

More here


October 20, 2010

Short-changing babies - Read the full article

"Thank you, PQCNC, for bringing the problem of elective late-preterm births to our attention and for giving our doctors the support they need to truly talk to their patients and each other."

September 16, 2010



On August 31, 20 teams came together in Chapel Hill to celebrate the accomplishments of the 37 hospital teams that worked to achieve a 43% decrease in the rate of elective deliveries <39 weeks between October 2009 and June 2010.  Hospitals shared strategies they have implemented over the past year to reach their goals of reducing elective deliveries <39 weeks.  Teams reported that they have noticed less congestion in their L&D units as a result of fewer admissions for elective inductions. Hospitals have noted a decrease in NICU admissions and newborn complications. Several hospitals discussed the importance of having a peer review mechanism in place to address deliveries performed before 39 weeks without clear medical indication. The data collected for this initiative also showed an increase in the presence of evidence in the chart to support medical indications for non-elective early deliveries, and an approximate 12% decrease in scheduled deliveries (both inductions and c-sections) at gestational ages between 36.0 and 38.6 weeks.
Through our partnership with March of Dimes for this initiative, a press release was issued in conjunction with the final learning session, and the 39 Weeks Project received coverage from the Raleigh News & Observer and WUNC, the local National Public Radio affiliate.
In addtion to reviewing data, the learning session included a web-based presentation by Kathleen Rice Simpson, RN, PhD, FAAN on safety and best practices in labor induction.  Two panel presentations focused on the role of physician leadership in achieving quality improvement in maternity centers and the importance of transparent communication between patients and providers to ensure decisions about scheduled delivery remain focused on what is safest for mother and baby.  Two patients shared stories about physicians who built trust with them by sharing information and taking time to talk with them about making decisions about their pregnancies.  These stories highlight the best practices which already exist in North Carolina and which PQCNC can disseminate through collaborative learning sessions such as our meeting on August 31.
We also took time to recognize the hospital teams who worked so hard to collect data on all inductions and scheduled c-sections between 36.0 and 38.6 weeks of gestation over a nine month period and who continue to strive to deliver high quality maternity care.  On a lighter note, PQCNC bestowed various awards of recognition, including the Most Data Entered between the Hours of 1:00 and 4:00am, the Dog Ate My Homework Award (for best excuses for missing data entry deadlines), and the Healthiest Wrists Award (to the hospital that so few scheduled deliveries <39 weeks they entered almost no data).




August 29, 2010

PQCNC is pleased to have been able to partner with the March of Dimes and we're grateful for their support in our work in reducing elective deliveries less than 39 weeks. 

This initiative was of particular interest to them as both the March of Dimes and the American College of Obstetricians and Gynecologists have been urging all pregnant women and their health care providers to go to 39 weeks of pregnancy whenever possible unless there is a medical necessity to deliver early - a baby’s brain and lungs are still growing in the last weeks of pregnancy. Babies born just a few weeks too early are more likely to die during their first week of life; and those who survive are more likely to suffer breathing problems, feeding difficulties, temperature instability (hypothermia), jaundice, and delayed brain development. 

A March of Dimes analysis of births between 1992 and 2002 suggests that increasing rates of Cesarean section deliveries and induced labor have contributed to a 12 percent increase in births occurring between 34 and 36 weeks, known as late preterm births.

Working together, we have begun to reverse this trend in North Carolina...

MOD logo

July 24, 2010

While formal data collection for the 39 Weeks Project wrapped up on June 30, 2010, several teams expressed interest in continuing to collect data either to ensure they hold the gains made over the past year or to measure ongoing improvement as they continue to implement changes to reduce elective deliveries <39 weeks.  PQCNC has created a new data entry program to support the collection of this data through June 2011 and will continue to prepare monthly and quarterly reports for all hospitals entering "continuation data.

June 15, 2010

What - Final learning session for the PQCNC 39 Weeks Project.  Kathleen Rice Simpson, PhD, RNC, FAAN will speak by webinar about induction safety, panels made up of representatives of North Carolina hospitals will share their work, and teams will have time to learn from each other and to develop long-term plans to prevent elective deliveries <39 weeks.
When - Tuesday August 31, 9:30-3:30
Where - Sheraton Chapel Hill
Who - 2-4 members of your 39 Weeks Project team, including your nurse champion, physician champion and hospital administration representative

All 39 Weeks Project participating teams are encouraged to attend at no cost; CME Category I credits (applicable for MDs, CNMs, NPs and RNs) will be provided free of charge.

Register here