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Obstetrical Adverse Events

In 2007, NJHA, the New Jersey Department of Health and Senior Services, the New Jersey Chapter of the American College of Obstetrics and Gynecology, the New Jersey Obstetrical and Gynecological Society, the New Jersey Chapter of the American College of Nurse Midwives and New Jersey Association of Women's Health, Obstetric and Neonatal Nurses began discussions on the state's high rate of caesarean sections and inductions of labor prior to week 39.

After three years, hospital members of the Perinatal Collaborative are now implementing "hard stops" to the scheduling of elective deliveries prior to week 39, have trained staff in the use of SBAR (Situation-Background-Assessment-Recommendation) and TeamSTEPPS™ and have developed training programs around adverse events like maternal hemorrhage, shoulder dystocia and sponge counts for all deliveries.

Work continues to expand partnerships that will focus on fetal heart rate monitoring and standardization of pitocin and magnesium sulfate protocols within each hospital.

Resources

Perinatal Tool Kit