SIVB II Learning Session - Save the Date!
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 The first learning session for SIVB Phase II is scheduled for Tuesday, May 22nd, 2012 at the McKimmon Center in Raleigh - registration information will be available soon...
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| Neonatal outcomes after implementation of guidelines limiting elective delivery before 39 weeks of gestation |
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 OBJECTIVE: To evaluate the association of a new institutional policy limiting elective delivery before 39 weeks of gestation with neonatal outcomes at a large community-based academic center.
METHODS: A retrospective cohort study was conducted to estimate the effect of the policy on neonatal outcomes using a before and after design. All term singleton deliveries 2 years before and 2 years after policy enforcement were included. Clinical data from the electronic hospital obstetric records were used to identify outcomes and relevant covariates. Multivariable logistic regression was used to account for independent effects of changes in characteristics and comorbidities of the women in the
cohorts before and after implementation.
RESULTS: Click here to read more
RESPONSES TO THE ARTICLE: Click here and here to read responses and the authors response to this article
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| What is a Maternity Care Home? |
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 Earlier this year, the Center for Medicare and Medicaid Innovation (CMMI) announced Strong Start, a major federal initiative to improve birth outcomes among Medicaid enrollees. (Letters of Intent are now due May 11, 2012.) The initiative includes a funding opportunity for three innovative models of prenatal care delivery that show promise for reducing preterm births. Two of the three models have national organizations that define and promote them: group prenatal care models like CenteringPregnancy and prenatal care in birth centers, a model promoted by the American Association of Birth Centers. The third model has left some people scratching their heads: Maternity Care Homes. What is a Maternity Care Home and, more importantly, what changes do practices have to make to become one?
Click here to read more...
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Contact
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Keith M Cochran
PQCNC Debrouillard
Keith_Cochran@unc.edu
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