Welcome to Your 2015 Summit! Working together for West Virginia - - PowerPoint PPT Presentation

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Welcome West Virginia Perinatal Partnership

Welcome to Your 2015 Summit!

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Total WV Births

2013 21,127 2014 20,553 (preliminary)

Data Source: WV Health Statistics Center, Vital Statistics System

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Locations of WV Birth Facilities

Locations of Level I and II

• bstetric services

Level III Perinatal Referral Centers Location of free standing birthing ctr.

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

2014 (Preliminary) WV Occurrence Births by Hospital

Hospital # Births Hospital # Births Berkeley Medical Center 979

• St. Joe’s (Buckhannon) Hospital

299 Bluefield Regional 518

• St. Mary’s Medical Center

368 Cabell HunHngton 2,752 Stonewall Jackson Memorial 263 Camden-Clark Medical Center 1,483 Summersville Regional 298 CAMC – Women’s & Children’s 2,728 Thomas Memorial Hospital 1,121 Davis Memorial 315 United Hospital Center 1,036 Fairmont General 265 University Hlthcare. (Jefferson) 277 Grant Memorial 215 WVU Hospitals, Inc. 1,496 Greenbrier Valley Medical Ctr 495 Weirton Medical Center 346 Logan Regional 294 Welch Emergency Hospital 57 Monongalia General 1,161 Wheeling Hospital 1,219 Ohio Valley Medical Center 323 Williamson Memorial Hospital 97 Pleasant Valley 87 Woman Care 21 Princeton Community Hospital 658 Raleigh General Hospital 1,226 Other Hospitals and Places 15

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Low Birth Weight (<2,500 GMS) Among WV Residents

2006-2014

Data Source: WV Health StaHsHcs Center, Vital StaHsHcs System 9% 9% 9% 9% 10% 10% 2006 2010 2011 2012 2013 2014

Percent of total births

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Percentage of Very Low Birth Weight Infants (450-1,499 grams) by Place of Birth, WV Occurrences 2010-2014

81.6 18.4 10 20 30 40 50 60 70 80 90 TerHary Hospitals Non-TerHary Hospitals Data Source: WV Health StaHsHcs Center, Vital StaHsHcs System

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Percentage of Very Low Birth Weight Infants (450-1,499 grams) Born at Non-Tertiary Hospitals, WV Occurrences 2010-2014

22.3 19.1 20.2 12.8 15.8 5 10 15 20 25 2010 2011 2012 2013 2014 Data Source: WV Health StaHsHcs Center, Vital StaHsHcs System

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

C-Section Rates 2006-2014 Number of VBAC

2006 2011 2012 2013 2014

(Preliminary)

Total C- Sections 34.4% 36.8% 36.0% 36.5% 35.4% Total VBAC 139 155 150 135 238 Data Source: WV Health StaHsHcs Center, Vital StaHsHcs System

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Initiation of Prenatal Care West Virginia Resident Births

Trimester Care Began

2006 2012 2013 2014

(Preliminary)

1st 81.5% 84.1% 81.5% 77.3% 2nd 14.7% 12.9% 14.9% 17.0% 3rd 3.1% 2.5% 3.0% 4.7% No Care 0.7% 0.5% 0.6% 1.0% Data Source: WV Health StaHsHcs Center, Vital StaHsHcs System

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Smoking Status During Pregnancy West Virginia Resident Births

Smoking Status During Pregnancy

2006 2012 2013 2014

(Preliminary)

Smoked 27.4% 26.4% 25.6% 28.2% Did Not Smoke 72.6% 73.6% 74.4% 71.8% Data Source: WV Health StaHsHcs Center, Vital StaHsHcs System

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Data Source: WV Health Statistics Center, Vital Statistics System

41.5% 42.3% 12.3% 12.9% 25.9% 31.8%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45%

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Non- Medicaid Smokers Unknown/Unlisted Coverage Smokers Medicaid Smokers

Incidence of Smoking Among Pregnant Women by Payor Source

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Distribution of Birth Scores (High/Low) and Tobacco Use among WV Mothers

Tobacco Use No Tobacco Use High Score 1,706 1,717 Low Score 3,354 11,924 Total 5,060 13,641 Overall, 27% of all mothers reported using tobacco. Of the infants who had high birth scores, half of them were from mothers who smoke Source: WEST VIRGINIA BIRTH SCORE PROGRAM DEVELOPMENTAL RISK AND NEWBORN HEARING SCREEN INITIATIVE 2012 ANNUAL REPORT

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Infant Mortality Rates

Mortality Rates by Cause,* 2010-2013

12% 12% 11% 11% 12% 21% 12% 12% 18% 17% 15% 17% 20% 23% 18% 21% 12% 16% 18% 19% 18% 22% 19% 20% 54% 45% 42% 36% 34% 20% 36% 30% 0.0 100.0 200.0 300.0 400.0 500.0 600.0 700.0 800.0 900.0 DC DE MD PA VA WV Region III Total U.S. Total Infant Deaths per 100,000 Preterm-related Other Perinatal CondiHons Congenital Anomalies SUID InfecHon Injury All other Causes

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Maternal Risk Screening

2011 2012 2013 2014 Prenatal Risk Screens Received by OMCFH 11,082 11,572 11,355 12,179

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

MATERNAL RISK SCREENING – UNPLANNED PREGNANCY Percent of PRSI Forms Submibed to WV OMCFH 2011 2012 2013 2014

Unplanned Pregnancy

38.0 37.6 39.8 37.8

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

MATERNAL RISK SCREENING – UNEMPLOYMENT Percent of PRSI Forms Submibed to WV OMCFH

2011 2012 2013 2014

Unemployed/ Inadequate Income

25.7 25.6 24.7 20.9

Partner Unemployed

16.7 22.7 38.6 36.2

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Pulse Oximetry Screening 2014

High Birth Score 1,820 4 Low Birth Score 13,808 25 Total 15,628 *29 PASS FAIL *During 2014, 29 infants failed the pulse oximetry screening.

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Hearing Screening Update

2014 WV Infant Hearing Screen Results

Passed Failed Not Recorded

3.5% 2.4% 94%

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

WV Breastfeeding Improvements

Exclusive BF at 3 Months

• 2007
• 2012
• 2014

21.3 23.3 28.3

CDC.gov/breastfeeding US Breastfeeding Report Card, Maternity Practices in Infant Nutrition & Care (mPINC) Survey 2007-2013

mPINC Scores WV average US average 2007 54 63 2013 69 75 Exclusive BF at 6 months

• 2007

5.2

• 2013

9.1

• 2014 12.2

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Exclusive Breastfeeding

In October 2014, all hospitals transitioned to online Birth Score data entry (online form or EMR upload) From October 1, 2014-May 1, 2015:

– Among 10,254 mothers, 5,617 (55%) INTENDED to exclusively breastfeed. – Among the 5,617 mothers who intended to breastfeed, 3,514 (63%)were successful with exclusive breastfeeding (35% 35% exclusive breastfeeding exclusive breastfeeding).

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Questions?

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Perinatal Outreach Education

Kangaroo Care Initiative Kangaroo Care Initiative Labor Support Training Labor Support Training Advanced Fetal Monitoring Advanced Fetal Monitoring Tobacco Cessation Training for Providers Tobacco Cessation Training for Providers

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

NAS Inter-observer Reliability Training Obstetrical Harm: Preeclampsia and Hemorrhage Progesterone and cervical length screening STABLE Course

Perinatal Outreach Education

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Other Perinatal Projects

Safe Sleep – a collaboration with “Our Babies Safe and Sound” Breastfeeding education for providers – a collaboration with the “WV Breastfeeding Alliance” CCHD Webinar –a collaboration with WVU Department of Pediatrics

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Substance Use in Pregnancy

Drug Free Mother Baby - 4 Pilot Projects are in years 2 & 3 Neonatal Abstinence Syndrome Screening and Treatment Guidelines Long Acting Reversible Contraception (LARC) Educational Project

• St. Joseph's Hospital, Buckhannon

Stonewall Jackson Memorial Hospital, Weston Davis Memorial Hospital , Elkins

WVU Children’s Hospital

Summersville Regional Medical Center, Summersville

CAMC Women’s and Children’s Hospital

Greenbrier Valley Medical Center, Ronceverte

Cabell Huntington Hospital

Williamson Memorial Hospital

WV Tertiary Perinatal Referral Centers Telemedicine sites WV Obstetric Hospitals Telemedicine sites Prenatal Clinics Telemedicine sites

Connect To Care

West Virginia Perinatal T elehealth Project

Valley Health Systems, Mill Creek Primary Care Systems, Clay Community Health Foundation Of Man, Inc Valley Health Care, Wayne Valley Health Care, Fort incoln PG ria my ary Care Center, Inc FamilyCare, Madison Grant Memorial Hospital, Petersburg Roane County Family Health Care

Prepared by Ann Dacey (All locations are approximate)

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Questions about Perinatal Projects?

West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Someone’s having a birthday!