To reaffirm that the goal of levels of maternal care is to reduce maternal morbidity and mortality, including existing disparities, by encouraging the growth and maturation of systems for the provision of risk-appropriate care specific to maternal health needs. To reaffirm the need for levels of maternal care, as initially presented in the 2015 Obstetric Care Consensus, which includes uniform definitions, a standardized description of maternity facility capabilities and personnel, and a framework for integrated systems that addresses maternal health needs. This document is a revision of the original 2015 Levels of Maternal Care Obstetric Care Consensus, which has been revised primarily to clarify terminology and to include more recent data based on published literature and feedback from levels of maternal care implementation. These relationships enhance the ability of women to give birth safely in their communities while providing support for circumstances when higher level resources are needed. State and regional authorities should work together with the multiple institutions within a region, and with the input from their obstetric care providers, to determine the appropriate coordinated system of care and to implement policies that promote and support a regionalized system of care. The determination of the appropriate level of care to be provided by a given facility should be guided by regional and state health care entities, national accreditation and professional organization guidelines, identified regional perinatal health care service needs, and regional resources. To standardize a complete and integrated system of perinatal regionalization and risk-appropriate maternal care, this classification system establishes levels of maternal care that pertain to basic care (level I), specialty care (level II), subspecialty care (level III), and regional perinatal health care centers (level IV). The goal of levels of maternal care is to reduce maternal morbidity and mortality, including existing disparities, by encouraging the growth and maturation of systems for the provision of risk-appropriate care specific to maternal health needs. Although specific modifications in the clinical management of some of these conditions have been instituted, more can be done to improve the system of care for high-risk women at facility and population levels. The leading medical causes of maternal mortality include cardiovascular disease, infection, and common obstetric complications such as hemorrhage, and vary by timing relative to the end of pregnancy. government.ĪBSTRACT: Maternal mortality and severe maternal morbidity, particularly among women of color, have increased in the United States. The findings, conclusions, and views in this Obstetric Care Consensus do not necessarily represent the official position of the Centers for Disease Control and Prevention or the U.S. Zahn, MD and the Centers for Disease Control and Prevention’s representative William M. This document was developed jointly by the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine in collaboration with Sarah J. The American Society of Anesthesiologists has reviewed this document. The American Academy of Family Physicians and the American Hospital Association support this document. The American Association of Birth Centers the American College of Nurse-Midwives the Association of Women's Health, Obstetric and Neonatal Nurses the Commission for the Accreditation of Birth Centers and the Society for Obstetric Anesthesia and Perinatology endorse this document. Number 9 (Replaces Obstetric Care Consensus Number 2, February 2015. A correction notice has been issued for this document on the Obstetrics & Gynecology website.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |