MCHbest. NPM 3: Risk-Appropriate Perinatal Care
Strategy. Continuing Education of Hospital Providers
Approach. Develop a continuing medical education (CME) module on transport guidelines of high-risk pregnant women for obstetric and neonatal healthcare providers.
Overview. Very Low Birth Weight (VLBW) infants born in level III centers leads to improvement in survival rate and reduction in neurological morbidity. Training hospital providers as part of a comprehensive approach has shown to improve delivery in risk-appropriate settings.1
Evidence. Emerging. There is no evidence description for hospital only interventions. However, research on continuing education has been incorporated into studies that trend positive overall in VLBW deliveries at risk-appropriate settings. In these studies, this strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Hospital Providers.
Outcome. VLBW births that occur in risk-appropriate settings and maternal transfer to risk-appropriate setting. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently 16 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Develop a CME module on transport guidelines of high-risk pregnant women for obstetric and neonatal healthcare providers,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4):
1Victorian Infant Collaborative Study Group (VICSG). Improvement of outcome for infants of birth weight under1000 g. Arch Dis Child. 1991;66:765-769.