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Related Experiment Video

Updated: Mar 16, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Implementation of the POST-BIRTH Warning Signs Program in Varied Clinical Sites.

Carrie Morgan Eaton, Eileen Magri, Jessica Irrobali

    Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
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    Summary

    Implementing the POST-BIRTH Warning Signs (PBWS) program revealed systemic challenges and solutions for improving postpartum safety. Key themes included overcoming implementation hurdles and ensuring timely patient education for better maternal outcomes.

    Keywords:
    POST-BIRTH Warning Signsfocus groupsmaternal morbidity and mortalitypostpartum discharge educationpostpartum periodqualitative research

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    Area of Science:

    • Nursing Education
    • Maternal Health
    • Patient Safety

    Background:

    • Postpartum complications remain a significant concern, necessitating effective patient education.
    • The Association of Women's Health, Obstetric and Neonatal Nurses developed the POST-BIRTH Warning Signs (PBWS) program to address this gap.

    Purpose of the Study:

    • To explore factors influencing the implementation of the PBWS education program.
    • To identify challenges and facilitators for successful PBWS program adoption across diverse healthcare settings.

    Main Methods:

    • Qualitative study utilizing six online focus groups with 23 registered nurses across 17 states.
    • Data were analyzed using Krippendorff's method for qualitative content analysis to identify emergent themes.

    Main Results:

    • Five key themes emerged: "Mountains to Climb in Achieving PBWS Implementation Success," "Getting It Right Before They Go Home," "The Cost of Unrecognized Warning Signs," "Bridging the Gap Between Emergency Department and Obstetric Divides," and "The Forgotten Year."
    • Implementation success was influenced by systemic challenges and required overcoming various barriers.

    Conclusions:

    • Implementing the PBWS program highlighted systemic issues and offered strategies for improvement.
    • Collaboration, timely education, and ongoing support are crucial for successful PBWS implementation and enhancing postpartum safety.