Michigan AIM program reducing pregnancy complications

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MICHIGAN -- Michigan’s participation in a national effort to reduce preventable maternal deaths and severe maternal illness is showing early signs of improvement in reducing pregnancy complications.

In 2015, the Michigan Department of Health and Human Services, Michigan Health & Hospital Association and Wayne State University joined the Alliance for Innovation in Maternal Health (AIM), a national maternal safety and quality improvement initiative.

AIM’s goal is to implement maternal safety bundles in hospitals to improve care, prevent complications during labor and delivery and reduce maternal deaths.

Michigan was one of the first states to implement safety bundles in early 2016, with five hospitals currently participating and 45 others in various planning stages.

“This effort is a wonderful, collaborative initiative to ensure that every woman has access to best practices and the best chance for a safe and healthy birth experience,” said Dr. Eden Wells, chief medical executive with MDHHS. “Maternal death is preventable, and we encourage all birthing hospitals and physicians to join us in implementing these safety bundles statewide.”

From 2011 to 2015, around 2,000 or 1.9 percent of women experienced severe maternal morbidity in Michigan. Since birthing hospitals in Michigan began participating in MI AIM, there has been a 10.5 percent decrease in severe maternal morbidity, reducing the rate to 1.7 percent.

In addition, complications during labor and delivery among women who experience hemorrhage have decreased by 17.9 percent and a there has been a 5 percent decrease among women who experience hypertension.

The safety bundles help fully equip hospitals with actionable protocols, necessary equipment, staff education and drills to prevent and adequately treat these severe maternal events. Michigan hospitals are using the bundles to address obstetric hemorrhage and severe hypertension.

Birthing hospitals and their staff members and physicians interested in implementing the safety bundles in their hospitals should contact laura.houdeshell@hc.msu.edu.

“Our goal is to eliminate all preventable maternal deaths and reduce severe pregnancy-related maternal complications,” said Robert J. Sokol, M.D., chair of the MMMS Committee and Emeritus Dean and Emeritus Distinguished Professor of Obstetrics and Gynecology and Physiology at Wayne State University. “Pregnancy, labor and delivery should be safe and healthy for all Michigan women.”

For every maternal death, there are about 100 episodes of severe life-threatening injury, infection or disease. Chronic conditions such as high blood pressure, heart disease, obesity and diabetes are some of the leading causes of poor outcomes for women during childbirth.

For more information about AIM, visit Safehealthcareforeverywoman.org/alliance-for-innovation-on-maternal-health-program.


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