CURRENT PERINATAL COLLABORATIVE INITIATIVES FOR IMPROVING PERINATAL CARE
- Reduce OB hemorrhage: Standardizing readiness and approaches to postpartum hemorrhage to reduce the number of maternal complications and deaths related to obstetric hemorrhage, a leading cause of preventable maternal mortality. Obstetric hemorrhage is one of the leading causes of severe maternal morbidity and mortality in New Mexico. We are working with hospitals to standardize care and improve readiness, recognition, response and reporting of obstetric hemorrhage. We are working to help hospital initiate a postpartum hemorrhage safety bundle, modeled on that of the California Maternal Quality Care Collaborative.
- Improve access to long-acting reversible contraception (LARC): Expanding access to immediate postpartum LARC in hospitals statewide through training focused on the clinical skills and administrative processes necessary to implement this evidence-based option. Medicaid covers LARC during the hospital stay but most hospitals in NM have not initiated postpartum LARC insertion. NMPC is a core member of the New Mexico state team participating in the Association of State and Territorial Health Officials (ASTHO) Learning Communities for Increasing Access to Contraception.
- Improve care to infants with neonatal abstinence syndrome: Improving outcomes for babies by developing standardized structured guidelines for recognition and intervention for neonatal abstinence syndrome (NAS).
Long-acting reversible contraception (LARC)
NMPC is a core member of the New Mexico state team participating in the Association of State and Territorial Health Officials (ASTHO) Learning Communities for Increasing Access to Contraception.
Long-Acting Reversible Contraception (LARC)LARC Immediately Postpartum
Other LARC Resources
LARC Statement of Principles to which NMPC is a signatoryAmerican College of Obstetrics and Gynecologists– Long-acting Reversible Contraceptive ProgramEvidence based payer and provider opportunities to prevent unintended pregnanciesUse of LARC to reduce teen pregnancy; CDC Vital Signs reportBeyond The Pill, Bixby Center at University of California San Francisco
Care for babies with neonatal abstinence syndrome (NAS)
CDC Public Health Grand Rounds Primary Prevention and Public Health Strategies to Prevent Neonatal Abstinence Syndrome 2016.Neonatal Opioid Withdrawal SyndromeSubstance Abuse Reporting and Pregnancy: The Role of the OB/GYNSubstance Abuse Disorder and Pregnancy: Unique Needs of Pregnant Women
Postpartum hemorrhage morbidity and mortality reduction
Obstetric Hemorrhage and Maternal Mortality, NMPC Conference 2016Postpartum Hemorrhage: A Continuing ChallengeThree Keys to Avoiding Postpartum Hemorrhage