Improving #POSTBIRTH Discharge Education
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Key Facts about POST-BIRTH:

  1. Over 50% of maternal deaths occur in the postpartum period compared to 16.8% on the day of delivery
  2. 18% of these maternal deaths occurred 1-6 days postpartum and 21% occurred 7-41 days postpartum
  3. It is impossible to predict with any certainty which women will have a postpartum complication
  4. All women need education on which signs and symptoms are emergencies and which require urgent care
  5. RN's who provide discharge education are in a key role to educate women about the signs & symptoms of potential postpartum complications



August 2018, NPR and ProPublica Interview


Resources for Professionals:

PQI 10.3.17 Teleconference presented by Dr. Debra Bingham: Improving Discharge Education About Potential #POSTBIRTH Complications

Bingham, D. & Cornell, A. (2016). Expert panel to track nurses’ effect on maternal morbidity and mortality.  Journal of Obstetric, Gynecologic, and Neonatal Nursing:  JOGNN/NAACOG. Referred

Centers for Disease Control and Prevention Pregnancy Mortality Surveillance System.

Creanga, A.A., Syverson, C., Seed, K., & Callaghan, W.M. (2017). Pregnancy-related mortality in the United States, 2011-2013. Obstetrics & Gynecology. 130(2), pp. 366-373.

Kleppel, L., Suplee, P. D, Stuebe, A. D., & Bingham, D.  (2016).  National initiatives to improve systems for postpartum care. Maternal and Child Health Journal. Refereed.

Seacrist, M. & Noell, D. (2016). Development of a tool to measure nurse clinical judgement during a maternal mortality case review. Journal of Obstetric, Gynecologic, and Neonatal Nursing. Refereed.

Suplee, P. D., Kleppel, L., Santa-Donato, A., & Bingham, D.  (2016). Improving postpartum education about maternal morbidity and mortality warning signs. Nursing for Women’s Health. Refereed.

Suplee, P. D., Kleppel, L., and Bingham, D.  (2016).  Discharge education on maternal morbidity and mortality provided by nurses to women during the postpartum period.  Journal of Obstetric, Gynecologic, and Neonatal Nursing. Refereed. 

Suplee, P.D., Bingham, D, & Kleppel, L. (2017). Nurses' knowledge and teaching of possible postpartum complications.The American Journal of Maternal Child Nursing.


For moms and families:

Kleppel, L. (2016). Learn these POST-BIRTH warning signs. Healthy Mom&Baby



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