Improving Maternal Mortality


After exploring my question “whether the lack of attention or lack of access to health care is the cause of maternal mortality,” I came to the conclusion that both contribute towards the increasing maternal mortality rates within the United States. I believe that with the new reforms being brought forth by Republicans that include making budget cuts to health programs, the lack of access to health care will only increase and potentially put more mothers at risk from suffering from maternal mortality. Therefore, it is important that hospitals prepare for the worst. Although both factors contribute towards the increasing rates of maternal mortality, I believe the best way to approach the issue is by creating guidelines that will help nurses address common maternal complications, this will help nurses improve their care within maternity.




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I believe that as nurses are well guided and prepare for maternal complications, they will help prevent further maternal deaths from occurring. For example, California Maternal Quality Care Corballotion created a “toolkit” built like a guideline in order to teach health professionals how to improve their care and how to manage life threatening complications that arise within childbirth. Each toolkit designed was made with various forms of information such as care guidelines and  hospital level implementation guides. CMQCC’s main goal in creating the toolkits is to improve health care responses in order to help prevent deaths among pregnant and postpartum women.



CCMQC has created the most efficient method for helping decrease maternal deaths. They have created individual guidelines for the most common maternal death complications. For example, they created a toolkit for maternal hemorrhage as they believe that in order to prevent deaths for this complication, “one key… was to make sure hospitals were armed with all the best protocols and necessary tools that might save those mom’s lives in the event of a bleed.” St Joseph Hospital in California contains “the hemorrhage cart, ”which is filled with the necessary tools needed to treat a hemorrhage. The cart contains medicines that slow the flow of blood and instruments that repair a tear or laceration as well as intrauterine balloons that can control bleeding from a uterus. The hemorrhage provides all the necessary tools to help save a mother’s life.


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In addition to encouraging having hemorrhage carts within hospitals, the CMQCC emphasized that it’s important for nurse to measure blood loss during pregnancy. In order to ensure that the nurses know how to do measure blood loss carefully CMQCC suggested that nurse does “quantitative blood loss” practices, which can be done by weighing dry sponges or pads on blood before surgery and after in order to calculate how much blood the mother lost. As nurses improve their techniques and expand their knowledge on how to treat maternal complications they’ll be able to prevent more maternal deaths from occurring.


I believe that this solution will be the best towards decreasing maternal deaths because CMQCC has proven that by creating guidelines (toolkits) nurses can help prevent maternal deaths in California. Stanford Medicine states that CMQCC’s toolkits have made a great difference in decreasing maternal deaths within California and “have led on-the-ground efforts to prepare California hospitals for obstetric emergencies.” Through the use of the toolkits California has succeeded in spreading awareness on the issue of maternal mortality and has taught many nurses how to prepare for maternal complications. Not only will the lack of attention be addressed through the usage of guidelines as nurses expand their knowledge on how to improve their care, but this will also help prepare for the worst as many more mother will lack affordable health care through the Republicans new reforms.



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