Posts Tagged ‘high risk pregnancies’

Infant Mortality- the Presidential Challenge

April 19th, 2012

A couple of weeks ago I mentioned that Dr. David Lakey, this year’s President of the Association of State and Territorial Health Officials has  selected the Healthy Babies Project for his national initiative-  challenging each state to implement strategies to reduce prematurity and infant mortality based on successful national, regional, and state efforts to improve the health status of babies.  We’ll be working alongside our partner states over the coming months to help carry some water.  We started on our trek this week. 

We’ll be working with the Arizona Perinatal Trust and our local AZ March of Dimes to implement evidence-based strategies to reduce prematurity like: 1) Expanding home visiting programs to families and pregnant women in high-risk communities; 2) Developing standards for home visiting programs throughout Arizona and professional development of home visitors so that home visits maximize opportunities to reduce risks for premature birth; 3) Expanding awareness of importance of preconception health and implementation of the  Arizona Preconception Health Strategic Plan; 4) Continuing to support the March of Dimes “Healthy Babies are Worth the Wait”  39 Week Toolkit;  5) Renew focus on infant safe sleeping practices to reduce post-neonatal infant mortality; and 6) Use social media and public relations events to promote the overall campaign.

Home Birth Protest

December 6th, 2011

Those of you that were working at our downtown campus last Wednesday afternoon may have seen the 100 or so folks carrying placards in front of our 150 Building.  They were asking us to make it easier to have a home-birth in AZ.  How can we do that, you ask? 

Many of you probably didn’t know that we license the 50 or so Midwives that practice in Arizona.  Our licensing rules for Midwives were last revised in the mid 1990’s, our rules are out of date, and the application is too complicated.  I met with 4 of the community folks upstairs during the demonstration- and we had a productive discussion.  Basically- they asked us to consider revising our Midwife licensing rules to simplify the application process and consider revising their scope of practice.  We talked during our meeting about the rulemaking process (both exempt and regular), gave them a realistic forecast of how quickly we could revise the rules using each approach, and set up a dialog so we could come up with a solution together. 

Coincidently- there was a study published in the British Medical Journal this week regarding the safety etc. of home births. The study basically suggests that there’s little difference in complications among the babies of women with low-risk pregnancies who delivered in hospitals vs. those who gave birth at home with a midwife.  Of course- the article is more complicated than that- so visit the journal article for more info…