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TODAY’S PRESENTATION
Initiative and Project Overviews Doulas and Services Provided DPH Support Training Opportunities Client Eligibility & How to Make Referrals Q&A Who to contact
AFRICAN AMERICAN INFANT AND MATERNAL MORTALITY (AAIMM) PREVENTION - - PowerPoint PPT Presentation
AFRICAN AMERICAN INFANT AND MATERNAL MORTALITY (AAIMM) PREVENTION - - PowerPoint PPT Presentation
AFRICAN AMERICAN INFANT AND MATERNAL MORTALITY (AAIMM) PREVENTION INITIATIVE DOULA PILOT PROJECT WEBINAR FEBRUARY 4, 2020 NAKEISHA ROBINSON, MA, LMFT Initiative and Project Overviews Doulas and Services Provided DPH Support TODAYS
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WHY ARE WE HERE? INFANT MORTALITY
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WHY ARE WE HERE? MATERNAL MORTALITY
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WHY ARE WE HERE? PRETERM BIRTHS
% Preterm 2003 – 2005 (95% CI) % Preterm 2006 – 2008 (95% CI) % Preterm 2009 – 2011 (95% CI) % Preterm 2012 – 2014 (95% CI) % Preterm 2015-2017 (95% CI) White 9.8 (9.6 – 10.0) 9.9 (9.7 – 10.1) 8.6 (8.4 – 8.8) 7.9 (7.7 – 8.1) 7.9 (7.7 – 8.0) Hispanic 10.8 (10.7 – 10.9) 10.5 (10.4 – 10.7) 8.4 (8.3 – 8.5) 8.6 (8.5 – 8.7) 9.2 (9.0 – 9.3) African American 15.0 (14.6 – 15.4) 15.1 (14.7 – 15.4) 12.6 (12.2 – 12.9) 12.1 (11.7 – 12.5) 12.2 (11.8 – 12.6) Asian 9.7 (9.4 – 9.9) 9.4 (9.1 – 9.6) 8.1 (7.9 – 8.3) 7.2 (7.0 – 7.4) 7.6 (7.3 – 7.8) Los Angeles County 10.8 (10.7 – 10.9) 10.7 (10.6 – 10.8) 8.8 (8.7 – 8.8) 8.6 (8.5 – 8.6) 8.9 (8.8 – 9.0)
Notes: Preterm births are defined as births occurring from 17-36 weeks gestation. Gestational age calculated based on first date of last menstrual period for 2002-2007 and based on
- bstetrical estimation for 2008-2016. Data not shown for Native American, Pacific Islander, Other and Unknown races. Three-year averages used to account for random annual rate
fluctuations. Data Source: 2003-2017 California Department of Public Health, Birth Statistical Master File
Figure & Table 15. Percent Preterm Births (17-36 weeks) by Mothers' Race, 3-Year Averages, Los Angeles County 2003-2017
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PILOT PROJECT OVERVIEW
Whole Person Care funding Doula Pilot Project goals/outcomes Project timeline
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WHAT IS A DOULA
Doulas are not medical professionals. They do not:
Perform clinical tasks such as vaginal exams or fetal heart monitoring Give medical advice or diagnose conditions Make decisions for the client (medical or
- therwise)
Pressure the birthing person into certain choices just because that’s what they prefer Take over the role of the partner, support person,
- r family member
Catch the baby Change shifts (although some doulas may call in their back-up after several, several hours of continuous labor)
A birth doula is a companion who supports a birthing person during labor and birth. Birth doulas are trained to provide continuous, one-on-one care, as well as information, physical support, and emotional support to birthing persons and their partners.
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WHY DOULAS
Access to continuous labor support from a doula is especially vital for birthing people of color. Black women experience higher rates of poor birth
- utcomes, including higher rates of
Cesarean, preterm birth, low birth weight, and infant death (Thomas et al., 2017). Evidence shows that continuous support can decrease the risk of Cesarean, the use of medications for pain relief. Labor support also increases breastfeeding initiation/retention rates; satisfaction with the birth experience; and the chance of a spontaneous vaginal birth. Continuous support may also shorten labor and decrease the use of Pitocin.
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AAIMM DOULAS
Currently have a cohort of 12 experienced Black/African American doulas Experienced = 6+ births Doulas reside all over the county (SPAs 1, 2, 3, 6, 8)
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OUR AAIMM DOULAS
Felicia Francis-Edwards Maryam Abdul Karim Monique Cowan Bethany Benson Mercedez Johnson Jordan Smith Keisha Smith-Spears Syreeta Staples Latrice Matthews Tamara Robertson T
- nya Michelle
Carla Clark
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DOULA SUPPORT PROVIDED
Prenatal visits (3)
Preparing for birth Signs of labor Navigating the medical system/staff Infant feeding
Available to clients througout pregnancy
Questions; Information Provide support outside of scheduled visits
Continuous labor and delivery support
On-Call 24/7 Golden hour
Postpartum visits (3)
Infant feeding/breastfeeding Infant daily care & safety Bonding activities Connecting to local resources/peer support Maternal mental health (screening, referral
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DPH SUPPORT TO DOULAS
Stipends Doula kits Print materials Client incentives Media campaign Peer-mentor support and technical assistance Training
- pportunities
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TRAINING
Lactation Educator Specialist (45 hours)
Spring and Fall 2020 (60 participants)
Trauma-informed Care (9 hours)
Spring and Fall 2020 (80 participants)
CPR/AED/First Aid Other/Additional (newborn care, full spectrum doula, business T echnical Assistance) New Doula (2020)
Spring and Fall/Winter (80 participants)
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CLIENT ELIGIBILITY
➢ Clients must self-identify as Black/African American and be pregnant. ➢ We are accepting clients from: ➢ SPAs 1, 3, 6, & 8. Medi-Cal eligible clients are priority, but clients with other insurance is accepted. ➢ SPAs 2 and 4, Medi-Cal eligible only. ➢ There is no gestational requirement. *There will be incentives for participating clients*
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HOW TO REFER CLIENTS
Self-referrals are accepted Doula, agency, clinic, hospital, and
- rganization referrals accepted
T
- make a referral please contact
program staff: Michelle Sanders at: msanders@ph.lacounty.gov or Ariana White at: awhite@ph.lacounty.gov or by phone at: (213) 639-6448
Client name, phone number, zip code, and estimated due date (EDD)
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QUESTIONS/FEEDBACK
➢EVIDENCEBASEDBIRTH.COM ➢A PATHWAY TO EQUITY: THE 5-YEAR PLAN TO CLOSE THE BLACK-WHITE GAP IN INFANT MORTALITY, CENTER FOR HEALTH EQUITY, LA COUNTY DEPARTMENT OF PUBLIC HEALTH: HTTP://PUBLICHEALTH.LACOUNTY.GOV/CENTER FORHEALTHEQUITY/PDF/AAIM-ACTIONPLAN.PDF
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