What is the New Mexico Perinatal Collaborative and how did it get started?
The New Mexico Perinatal Collaborative is a nonprofit organization developed by a coalition of stakeholders with the goal of improving the health of New Mexico women and children.
We aim to identify best practices in the care of women and children and share those best practices with hospitals around the state.
What was the impetus for forming the collaborative?
The driving force was the need for improvement in maternal and child health outcomes statewide.
Based on the 2013 Maternal Child Health Indicators report, New Mexico has high rates of:
- Perinatal mortality: Infant deaths increased from 5.9/1,00 to 6.9/1,000 infant deaths/live births. 19.4% of these deaths were due to preterm delivery (less than 37 weeks) and low birth weight.
- Maternal mortality: Maternal deaths occur at a rate of 16.5/100,000 live births for the same time period, placing us 41st in the nation in maternal outcomes.
- Unintended pregnancy and high rates of teen pregnancy.
- Maternal substance use disorders with high rates of neonatal abstinence syndrome in the postpartum period. For these conditions, initiation of care, and care guidelines vary widely by facility. Best practices could improve outcomes for women and infants.
What are current New Mexico Perinatal Collaborative’s initiatives for improving perinatal care?
Reduce Early Elective Deliveries (EED prior to 39 completed weeks of pregnancy, with both vaginal and cesarean birth.
- Ensuring no elective deliveries prior to 39 weeks will reduce complications of prematurity.
- Reduce morbidity and mortality from postpartum hemorrhage complications, a leading cause of preventable maternal mortality.
Improve access to long acting reversible contraceptive (LARC).
- Standardizing readiness and approaches to postpartum hemorrhage will reduce the number of maternal complications and deaths related to OB hemorrhage.
- Medicaid covers long-acting reversible contraception during the hospital stay but most hospitals have not initiated postpartum LARC insertion.
- Assisting hospitals in training providers and reimbursement methodologies will expand access to use of these methods.
Improve care to neonates of mothers with substance use disorders.
- Improving outcomes for babies by developing standardized structured guidelines for recognition and intervention for neonatal abstinence.
Which stakeholders are represented?
The board of directors of our Perinatal Collaborative consists of local representatives from the following agencies:
- The American Congress of Obstetricians and Gynecologists (ACOG)
- American College of Nurse-Midwives (ACNM)
- The New Mexico Department of Health
- Insurers, including but not limited to Medicaid
- March of Dimes
- Indian Health Service
- University and private healthcare personnel and consumers
Board of Directors:
- Samantha Gallegos-Gollihugh
Executive Committee Officers:
- Katie Avery, RN, CNP, Maternal Health Manager, NM Department of Health
- Eve Espey, MD MPH, Chairperson, UNM OB-GYN Department
- Janis Gonzales, MD, Medical Director, Family Bureau DOH
- Jean Howe, MD, Indian Health Service
- Ellen Interlandi, RN, MPH, Clinical Consultant, NM Hospital Association
- Mark Kassouf, NM Bureau Chief of Vital Records and Health statistics
- Larry Leeman, MD MPH, UNM Family & Community Medicine
- Amy Levi, CNM, PhD, Albers Professor of Midwifery, UNM College of Nursing
- Aussy Levi, Statewide Program and Governmental Affairs Director of NM March of Dimes
- Denita Richards, United Healthcare
- Cathy Rocke, Assistant Director, Public Health Division of DOH
- Michael Ruma, MD, Perinatal Associates of NM
- Linda Siegle, Resources for Change
- Brandi Van Pelt-Ramirez, Blue Cross/Blue Shield
Work Group Chairs:
- President – Eve Espey
- Vice President – Janis Gonzales
- Secretary – Amy Levi
- Treasurer – Linda Siegle
- Early elective delivery reduction – Aussy Levi
- Neonatal abstinence syndrome – Larry Leeman
- Improved access to long acting reversible contraceptive (LARC) – Cathy Rocke
- Improved management and reduction of maternal obstetrical hemorrhage – Evelyn Lockhart
How is the Collaborative funded?
Currently, our Collaborative operates through funding from the McCune Foundation.
We also receive a small amount of operational funds from ACOG; we are working to obtain state funding from both the Department of Health and private foundation grants.
Samantha Gallegos-Gollihugh, RNC-OB, BSN, Executive Director, New Mexico Perinatal Collaborative