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Ann: Sheba Expands Pilot to include High-Risk Pregnancies, page-74

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  1. 13,540 Posts.
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    Yes - great move by V/President Harris to take the lead on this 'Call to Action'.

    It picks up and runs with the recent Call to Action, made by the American Heart Association.
    Note the recommendations by the AMA – which have presumably been assumed by Harris’s Call to Action, including that:


    “Infrastructure to facilitate uptake of telemedicine and remote patient monitoring in maternal care and mitigation of risk factors should be expanded.”

    Call to Action: Maternal Health and Saving Mothers: A Policy Statement From the American Heart Association


    Laxmi S. Mehta, Garima Sharma, Andreea A. Creanga, Afshan B. Hameed, Lisa M. Hollier, Janay C. Johnson, Lisa Leffert, Louise D. McCullough, Mahasin S. Mujahid, Karol Watson, Courtney J. White, and on behalf of the American Heart Association Advocacy Coordinating Committee

    Originally published 8 Sep


    Abstract
    The United States has the highest maternal mortality rates among developed countries, and cardiovascular disease is the leading cause. Therefore, the American Heart Association has a unique role in advocating for efforts to improve maternal health and to enhance access to and delivery of care before, during, and after pregnancy.

    Several initiatives have shaped the time course of major milestones in advancing maternal and reproductive health equity in the United States. There have been significant strides in improving the timeliness of data reporting in maternal mortality surveillance and epidemiological programs in maternal and child health, yet more policy reforms are necessary.

    To make a sustainable and systemic impact on maternal health, further efforts are necessary at the societal, institutional, stakeholder, and regulatory levels to address the racial and ethnic disparities in maternal health, to effectively reduce inequities in care, and to mitigate maternal morbidity and mortality.

    In alignment with American Heart Association’s mission “to be a relentless force for longer, healthier lives,” this policy statement outlines the inequities that influence disparities in maternal outcomes and current policy approaches to improving maternal health and suggests additional potentially impactful actions to improve maternal outcomes and ultimately save mothers’ lives.

    Recommendations to Improve Maternal Health
    Column 1 Column 2
    1
    Table 2. AHA Policy Recommendations to Improve Maternal Health

     
    2 Modernizing health care delivery infrastructure and expanding care coordination
    Collaborative relationships between hospitals with differing levels of maternal care should be developed through regionalization of care.
    3 Tools to assess maternal and neonatal care capabilities of facilities should be used by the cardio-obstetrics team to coordinate plans for safe labor and delivery.
     
    4 Infrastructure to facilitate uptake of telemedicine and remote patient monitoring in maternal care and mitigation of risk factors should be expanded.
     
    5 Individuals experiencing pregnancy should have access to services related to maternal health and well-being consistent with published guidelines from nationally recognized medical organizations and societies.
     
    https://www.ahajournals.org/doi/10.1161/CIR.0000000000001000
    Last edited by vintage: 09/12/21
 
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