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This issue of the journal is focused on the social, emotional, and physical health of the birthing person, before, during, and after the delivery, through the fourth trimester and beyond.
The January/February 2023 issue of the NCMJ highlights various programs and initiatives aimed to improve maternal health outcomes; strategies to enhance the birthing person’s experience and satisfaction with the care received during the perinatal period; efforts to build a diverse perinatal workforce; and several innovative maternal health programs that adapted to meet the needs of pregnant and postpartum persons during COVID-19.
Policy Forum: Introduction
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The utilization of shared decision-making practice in maternal health care has the potential to improve the overall pregnancy, birth, and postpartum experience.
- Policy Forum: Invited Commentaries & Sidebars
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Pregnancy-associated deaths due to overdose are a maternal health crisis facing the nation. One of four pregnancy-associated deaths in North Carolina is related to opioid overdose. - Policy Forum: Invited Commentaries & Sidebars
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Drug-related morbidity and mortality are worsening in the nation and require providers to refine and improve the diagnosis-referral-treatment pathway. - Policy Forum: Invited Commentaries & Sidebars
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Numerous strategies in Western North Carolina are being leveraged to maintain a robust, well-trained, and diverse perinatal work force. - Policy Forum: Invited Commentaries & Sidebars
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North Carolina’s maternal mortality rates for Black women are significantly higher than those for White women.
The “I Gave Birth” initiative educates communities to improve outcomes in Perinatal Region VI and across North Carolina.
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Strategically placing Pathway 2 programs at historically Black colleges and universities (HBCUs) will cause breastfeeding rates to rise for all.
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The interpregnancy interval is a critical time to optimize health outcomes, and pregnancy spacing improves future birth outcomes. Long-acting reversible contraception may lengthen this interval.
- Policy Forum: Invited Commentaries & Sidebars
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The Health Equity and Racism Lab centers an analysis of racism, deepening understanding of the historical and contextual ways that “race” has structured society and outcomes, and of antiracist solutions. - Policy Forum: Invited Commentaries & Sidebars
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In this interview, Managing Editor Kaitlin Ugolik Phillips talks with Duke OB/GYN residency Director Dr. Beverly Gray about the need for policy changes in medical education to improve workforce well-being. - Policy Forum: Columns
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While in-person classes have resumed, telehealth continues to provide many unique opportunities for those with limited access to childbirth education. - Policy Forum: Columns
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A patient-centered collaborative health care model using telehealth and health technologies was developed by professionals at ECU and implemented in Carteret, Duplin, Chowan, and Dare counties. - Policy Forum: Columns
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“We are intentional on focusing our work upstream with the understanding that systems change takes time and investment in cross-sector partnerships and strong leadership.” - Original Research
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This evaluation summarizes regional trends of CLI-related ED visits across North Carolina during the first 9 months of the COVID-19 pandemic. - Original Research
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Pathway programs can shape career paths, increase self-awareness, and build self-confidence for success. - Original Research
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This model serves as a tool to guide postpartum glucose intolerance screening protocols, minimizing missed opportunities for diagnosis and early intervention.