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Strategies to Promote Maternal Health Equity: The Role of Perinatal Quality Collaboratives
Audra R Meadows1, Renée Byfield, Debra Bingham
1Department of Obstetrics, Gynecology, and Reproductive Sciences, UC San Diego School of Medicine, La Jolla, California; the Perinatal-Neonatal Quality Improvement Network of Massachusetts (PNQIN), and the Division of Maternal and Child Health Research and Analytics, Massachusetts Department of Health, Boston, and the Institute for Perinatal Quality Improvement, Quincy, Massachusetts.
Abstract:
Perinatal quality improvement is a method to increase obstetric safety and promote health equity. Increasing trends of maternal deaths, life-threatening complications of pregnancy, and persistent racial inequities are unacceptable. This Narrative Review examines the role and strategies of perinatal quality initiatives and collaboratives to deliver safe and equitable maternity care and the evidence of demonstrated success. Key strategies to promote maternal equity through perinatal quality include communicating equity as a priority through leadership, leveraging data and enhancing surveillance, engaging in strategic partnerships, engaging community, educating clinicians, and implementing practice recommendations through collaboration.
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