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Improvement Stories
Increasing Use of Skin to Skin Immediately After Birth At Henry Ford Hospital a team of three, a nurse, a neonatal nurse practitioner and a nurse midwife changed practice to make skin to skin the standard of care after all vaginal births.
Delayed Cord Clamping for Selected Cesarean Sections The High River Hospital Community Maternity Program adopted recommended delayed cord clamping practice for vaginal births, then extended the practice to C/S patients as well, when appropriate.
Audit Tools
Mother Baby Dyad Care Audit Tool
Dyad Care Audit Tool Measure and track your progress using evidence-based process and outcome measures.
Model Policies
Support After a Severe Maternal Event
MEWS Protocol
Skin to skin contact care procedure
Delayed Cord Clamping Clinical Guideline- Baystate Medical Center This is a policy for term infants and use of delayed cord clamping from Baystate Medical Center.
Daily Care Assessment of Baby After Birth Hospital policy example focused on how to complete newborn assessments in the immediate period after birth. Assessments include bathing, vitamin K administration, umbilical cord care, etc.) Developed by Calgary Health Region.
Infant Feeding Policy-USCF An Infant Feeding Policy from San Francisco General Hospital, a Baby-Friendly Hospital.
Algorithms
Postpartum Hemorrhage: A Suggested Approach
Unicef Baby-friendly initiative Research on Skin-to-Skin Contact
An implementation algorithm to improve skin to skin practice in the first hour after birth
Delayed Cord Clamping and S25 Protocol- Baystate Medical Center This algorithm compliments the policy for delayed cord clamping in term infants from Baystate Medical Center.
Clinical Education/Staff Training Resources
Healthy Birth Practice #6: Keep Mother and Baby Together
The First Hour After Birth: A Baby’s 9 Instinctive Stages
Quantification of Blood Loss (video)
AWHONN Postpartum Hemorrhage Project
Council on Patient Safety in Women's Health Care: Safety Action Series
Clinical Challenges To Maintaining Intact Cord This power point presentation outlines potential challenges to the implementation of delayed cord clamping, highlighting management options.
Placental Transfusion FAQ Common questions regarding placental transfusion and the relationship to delayed cord clamping are provided in this resource from experts in newborn cord management.
Innovative Approaches to Promoting Breastfeeding This link provided by the Agency for Healthcare Research and Quality and includes multiple resources and links to assist hospitals and their staff to promote breastfeeding.
Patient Education
Recovering From a Traumatic Birth
When Things Don't Go To Plan
Save Your Life Warning Signs
Advocate for Yourself: Lifesaving Tips for a Safer Birth
Skin to Skin Clinic Handout for Clients A prenatal education handout promoting skin to skin care for families developed by Henry Ford Hospital.
Position Statements/Related Guidelines/Toolkits
Improving Health Care Response to Maternal Venous Thromboembolism
Evaluation and Treatment of Antepartum and Postpartum Preeclampsia and Eclampsia in the Emergency Department
Improving Healthcare Response to Cardiovascular Disease in Pregnancy and Postpartum
Implementing TJC Care Core Measure Toolkit This tool kit is provided by the U.S. Breastfeeding Task Force to aid hospitals in implementing the Joint Commission Core Measure on exclusive breastfeeding measure.
Improving Health Care Response to Obstetric Hemorrhage Toolkit Toolkit resource for improving health care response to obstetric hemorrhage. Developed by the California Maternal Quality Care Collaborative.
Implementing TJC Measure on Exclusive Breastfeeding Toolkit Link to PDF toolkit that helps to implement the Joint Commission Core Measure on Exclusive Breast Milk Feeding, including evidence-based recommendations, documentation guidelines, and sample audit tools. Created by the United States Breastfeeding Committee (USBC).
Mother-Baby Dyad Care Implementation Toolkit (PMCH) This toolkit from includes evidence-based clinical guidelines, pre-test, training program slide deck, and audit tool. Created by the Provincial Council for Maternal and Child Health (PMCH). BROKEN LINK. Tool made inactive until replacement link is given.
Baby-Friendly Hospital Initiative (BFHI) The Baby-Friendly Hospital Initiative (BFHI) recognizes and awards birthing facilities that successfully implement the "Ten Steps to Successful Breastfeeding" and the International Code of Marketing of Breast-milk Substitutes. Settings providing maternity care throughout the US and US Territories may earn designation as a Baby-Friendly Hospital by successfully completing a designation program and passing an on-site assessment.
Bundles
Mother Baby Dyad Care Implementation Toolkit
Depression in Mothers: More Than the Blues
Perinatal Mental Health Toolkit Overview and Primer