Clinical Issues
Post-Partum Hemorrhage
Challenge:
One OB team used insights from a second year MOREOB workshop to conclude that the disbursement of equipment for Post-Partum Hemorrhage (PPH) was making it challenging to effectively respond to emergencies. Given that a swift response time would be required for an emergency of that nature, a swift solution was needed.
Solution:
Through the MOREOB workshop, the interdisciplinary team considered a range of solutions and eventually proposed using a cart to centralize emergency equipment and mobilize it. Development of the cart involved the interprofessional collaboration of Nursing, Obstetricians, Family Physicians and Respiratory Therapists, ensuring all equipment required for maximum efficiency would be included.
Results:
C-sections
Challenge:
One OB team in a fast-growing community recognized that the influx of new babies was resulting in an increase in C-sections and that this trend would continue unless measures were taken to reduce the number of procedures. In fact, C-sections from 25% in 2005 to 29.6% in 2010, higher than the Canadian average
Solution:
In 2010, the MOREOB Core Team created a specific Cesarean Reduction Strategies Task Force to examine the reasons for these trends and to identify, implement and evaluate a range of evidence-based interventions, with a long-term goal of reducing C-section rates by 5%.