Premature birth

Innovations

Statewide Medical Home Program for Low-Income Pregnant Women Enhances Access to Comprehensive Prenatal Care and Case Management, Improves Outcomes 12/06/12

A State-based, public–private partnership adapted its successful primary care medical home model to serve pregnant Medicaid beneficiaries, leading to enhanced access to comprehensive prenatal care (including intensive case management for high-risk pregnancies), better adherence to evidence-based care standards, and reductions in low–birth weight babies and rate of primary Cesarean sections.

Nursing Students Provide Free Doula Care to Underserved Women, Leading to Fewer Preterm Deliveries, Low Birthweight Babies, and Cesarean Sections 02/03/10

Nursing students provide free doula care to underserved women, leading to fewer preterm births, low birthweight babies, and cesarean sections, and generating high levels of patient satisfaction.

Standardized Protocol Reduces Likelihood of Pneumothorax and Death in Low Birthweight Infants 09/04/08

Standardized clinical management of extremely low birthweight infants born at less than 30 weeks' gestational age decreases rates of pneumothorax and mortality through the use of evidence-based medicine.

Noise Alert System Helps Staff and Visitors to Reduce Decibel Levels in Neonatal Intensive Care Unit 08/12/08

A sound monitoring and alert system in a neonatal intensive care unit alerts clinicians and visitors when sound levels are too high.

Program Uses "Pathways" to Confirm Those At-Risk Connect to Community Based Health and Social Services, Leading to Improved Outcomes 03/24/08

The Pathways Model employs community health workers who connect at-risk individuals to evidence-based care through the use of individualized care pathways designed to produce healthy outcomes; implementation of this model in Richland County, OH, resulted in increased services to at-risk women and a decline in the rate of low birth weight babies.

Group Visits Focused on Prenatal Care and Parenting Improve Birth Outcomes and Provider Efficiency 03/19/08

Group prenatal and parenting classes integrate health assessment, education, and support, leading to improved birth outcomes and enhanced provider efficiency.

Telephone-Based Case Management and Periodic Home Visits Reduce Neonatal Intensive Care Unit Utilization and Overall Costs for High-Risk Pregnant Women and Their Babies 03/14/08

The Partners in Pregnancy program combines telephone-based case management with periodic home visits from registered nurses and community-based workers to improve pregnancy outcomes for high-risk pregnancies in a Medicaid managed care population.

Nurse Home Visitation Program Reduces Readmissions, Emergency Department Visits, Child Abuse, and Foster Home Placements for Medically Fragile Infants 02/25/08

Bridge to the Future provides nursing home visits to low-income families with medically fragile infants who have been discharged from the neonatal intensive care unit, thus ensuring a smooth transition to long-term care in the home.

Periodic, Nurse-Initiated Telephone Contact Provides Quality Followup Care to Infants With Lung Disease in Rural Areas 01/22/08

A nurse specialist maintains regular telephone contact with the primary caregivers and health care providers of premature infants with chronic lung disease who are discharged from the hospital.

Remote Viewing of Neonatal Intensive Care Unit Babies by Mother Promotes Bonding, Potentially Improves Infants' Long-Term Outcomes 01/11/08

Remote viewing of neonatal intensive care unit infants reduces maternal anxiety and promotes mother–infant bonding.

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