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Perinatal Quality Collaborative of North Carolina Conservative Management of Preeclampsia (C-MOP)

Problem Statement: Preeclampsia is a leading cause of iatrogenic preterm birth. In the past, severe preeclampsia was treated by timely delivery. Current data suggest improved perinatal outcomes with expectant management of severe preeclampsia and patients with mild preeclampsia should be managed expectantly until ! 37 weeks.!Certain patients with severe preeclampsia can be managed expectantly until an antenatal corticosteroid course is completed or until 34 weeks. PQCNC Labor and Delivery PQITs will share strategies and lessons learned while working over a 9month period to develop potentially better practices and employ QI methodologies to establish a standard of care within North Carolina hospitals. Mission: Provide the education and support necessary to develop standards of care in NC hospitals for the patient with preeclampsia Aim: Create a multidisciplinary hospital based community focused on providing a standardized approach to diagnosis and management of patients with preeclampsia by 30 September 2014, Scope: Working with perinatal quality improvement teams in participating centers the initiative will focus on women diagnosed with preeclampsia and from the time between admission and discharge of those patients. Method: Invite teams from Labor & Delivery Units to participate in the collaborative organized by PQCNC to include learning sessions, web conferencing and coaching to support perinatal quality improvement teams (PQITs) to use quality improvement strategies to implement elements of the action plan. Outcome: Eliminate all infants delivered before 37 weeks in mild preeclampsia.

C-MOP Charter