Page 19 - 2017 Nursing Annual Report | Summa Health
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This highlights the importance of all patients being Access to care
educated about the “ABCs” of safe sleep - Alone, on their
Back in a Crib. Summa has been awarded the Ohio Health Summa Health Women’s Institute has collaborated with
Association’s Gold Standard Safe Sleep Award for our our community partners to increase access to care and
intensive patient education and modeling of safe sleep target the at-risk populations in our zip codes with the
practices. We also provide a “safe sleep sac” as a home- highest infant mortality. We started with key team members
going gift to families at both our Akron and Barberton participating in the Everyday Democracy national campaign
Campuses. We partner with Cribs for Kids® and the Ohio with focus groups, called Race Dialogue Circles, to
Department of Health (ODH), Bureau of Maternal, Child and identify ways to address racism and infant mortality in our
Family Health, to provide free cribs for families in need. community and care delivery settings.
Safe Sleep Incident Location Data We also created a Centering® pregnancy group prenatal
care model at two locations for African American women
2% in the highest risk zip codes, led by two African American
Summa Health obstetricians. The benefits of Centering
15% 44% Adult bed prenatal care are that women are more engaged, create
Crib relationships, receive more time with their provider and
10% Bassinet more education, and have more “fun” than traditional
11% Couch care. Summa also received grant funding from Medicaid
Other to support Project Ujima/Summa Center for Health Equity
18% Unknown which provides weekly wellness circles for expectant
and new parents; the coordination of facilitators’ training
for Everyday Democracy ongoing racism dialogues;
and coordinating and facilitating support for pregnancy
centering circles for the Summa Center for Health Equity.
Safe spacing Unique population health
A contributing factor to prematurity is a short interval Summa Health Women’s Institute also has taken the
between pregnancies. Recommendations include at Centering model of prenatal care and created groups
least 18 months between children. In 2017, all maternity for both our Nepali population and our nurse-led
hospitals were state mandated to offer a Long-Acting Maternal Opiate Medical Home (MOMH) patients. Our
Reversible Contraceptive (LARC). Summa Health Women’s MOMH patients have less incidence of preterm labor
Institute teamed up with our Pharmacy colleagues and their babies have shorter stays in the NICU for
and created a program to offer both intradermal and newborn withdrawal. Additionally, our work with the
intrauterine LARCs and all providers were trained Opiate Taskforce Committee has led county jails to
in insertion. Other steps include community-based provide higher quality prenatal care for pregnant women
programs to create “Life Plans,” a structured format to in withdrawal (medication- assisted treatment instead
think about life goals and circumstances and preferences of Tylenol-3), established relationships with judges to
about whether/when to have children. Patients then recommend the MOMH program in sentencing and began
choose a contraceptive method to fit best with the life probation officers enforcing prenatal care attendance.
plan to reduce unplanned pregnancies.
While long-term data demonstrates a
Breastfeeding decreasing trend in infant mortality, there
is still work to be done. Recommendations
The American Academy of Pediatrics (AAP) position include contraception to prevent unplanned
statement says that “Breastfeeding and human milk are pregnancy, early entry into prenatal care
the normative standards for infant feeding and nutrition. (in the first trimester) and routine follow up,
Given the documented short- and long-term medical smoking cessation, alcohol avoidance, exclusive
and neurodevelopmental advantages of breastfeeding, breastfeeding for the first six months of life, and
infant nutrition should be considered a public health issue the ABCs of safe sleep.
and not only a lifestyle choice.” AAP further recommends
that organizations adopt the “10 steps” criteria set forth
by the World Health Organization to promote optimum
infant feeding practices. Summa Akron Campus has been
designated as Baby Friendly® hospital for demonstrating
and providing ongoing quality metrics to evidence our
“best fed” practices. In spring 2018 our Barberton Campus
achieved its first gold star on its Baby-Friendly® journey
from the Ohio “First Steps” program.
2017 Nursing Annual Report 19
