EARLY ELECTIVE DELIVERIES
2010 – 2013 MPQC, in conjunction with the March of Dimes and ACOG, initiated the hard stop policy for elective deliveries prior to 39 weeks. Over the course of 12 months, working with all Massachusetts birthing hospitals, this project contributed towards the reduction of early elective deliveries by 50% in one year. By 2013, the state’s rate was 1.3%. This is a decrease of approximately 1400 babies born “too early.” These babies have decreased risk of NICU admission and morbidity.
2012— 2015 MPQC focused on the dissemination of best practices and toolkits regarding obstetrical hemorrhage. 21 hospitals underwent formal QI training and contributed outcomes data from 2013 – 2016. The below graphs show a sustained decrease in maternal transfusions and maternal ICU admission. A possible decrease in 8 per 1000 deliveries in transfusions across the state would show a decrease in approximately 560 fewer women transfused.