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Protecting Our Maternity Patients

YRMC's life-saving program helps to decrease maternal deaths 

While hospitals around the country battle increasing maternal deaths, mothers giving birth at YRMC are in excellent hands, thanks to a life-saving program created by our Labor, Delivery, Recovery and Postpartum (LDRP) team more than a decade ago.

Across the U.S., post-partum hemorrhages claim the lives of 26.4 women per every 100,000 live births. Sadly, that trend is worsening nationally and represents the most common cause of maternal death in
developed nations.

Mothers at YRMC are experiencing high-quality care that remains completely untouched by the Maternity Staffnational trend. “At YRMC, we have had only one maternal death in more than 20 years. Our rate
is not even statistically reportable,” said Dorie Rush, RN, Director, LDRP.

She credits her staff, physicians, and partnerships with numerous other departments within YRMC, for the success of the program, which was launched in 2009.

The team created special carts they place in the room with a mother or take to an operating room or the Emergency Department. The carts include equipment, supplies and a checklist for nurses, covering everything from warning signs to vital signs and blood loss. LDRP also created a high-risk hemorrhage team staffed with care providers from their department, the blood bank, anesthesiology, obstetrics and interventional radiology. The team also developed and participates in regular drills to keep their skills current.

Three years into the program, the statistics showed a 70 percent reduction in the number of mothers being admitted to ICU for post-partum hemorrhages. “A contributing factor for this reduction is the proactive approach in identifying patients at risk for hemorrhage that is done at the time of admission, ” Dorie said, “This allows early preparation and intervention in these high-risk cases.”

LDRP’s program recently earned the honor of Grand Champion during the 2018 QUALITY Hall of Fame at YRMC. “It feels absolutely wonderful to be recognized for providing the quality care that I believe our department has delivered for so many years,” Dorie said. “With our continued vigilance, I know these are incredible trends that will continue at YRMC. It takes a lot of work to achieve this level of quality care for our mothers, but they are definitely worth absolutely everything we can do for them and their babies.”

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