Citrus Memorial Hospital
November 22, 2021

INVERNESS, FL (Nov. 19, 2021) – Citrus Memorial Hospital, as an affiliate of HCA Healthcare, and March of Dimes, a leading nonprofit fighting for the health of all moms and babies, this week announced a unique partnership that focuses on improving maternal mortality and morbidity outcomes through postpartum discharge education and by lowering hospital caesarian rates among low-risk, first-time mothers, head first position or NTSV (Nulliparous, Term, Singleton, Vertex) rates. 

“NTSV c-section rate is a quality metric that is monitored by several entities for hospital quality and outcomes. The reason for this is that Cesarean births can lead to an increased rate of uterine rupture, post-partum bleeding and adhesions,” said Citrus Memorial Hospital Chief Medical Officer Dr. Joseph Maslak. “HCA Healthcare’s partnership with March of Dimes is an important initiative for patient and provider education regarding the NTSV c-section rate and potential adverse outcomes.”

Citrus Memorial Hospital has been recognized by the Agency for Healthcare Administration and Florida Department of Health for exceptional care provided to mothers and infants in its Women and Baby Center. One of 15 delivery hospitals in Florida to achieve the Healthy People 2020 goal of cesarean section deliveries for first-time mothers with low-risk pregnancies, Citrus Memorial has been featured in a Florida Hospital Association webinar titled Reducing Unnecessary C-Sections: Successful Florida Strategies.

Pregnancy-related deaths in the US have more than doubled over the past 25 years, and more women in the US die from pregnancy-related complications than in any other developed country in the world. HCA Healthcare and the March of Dimes identified mission areas that are expected to have the greatest clinical impact on maternal mortality and help reduce that gap, including:

  • NTSV Quality Initiatives: As part of the partnership, HCA Healthcare will partner with March of Dimes to improve maternal outcomes by assessing provider cultural influences and valuable practices. Physician vignettes and consumer education materials will be created to educate/bring awareness to maternal mortality and morbidity, as well as postpartum depression. 
  • Postpartum Education: Additionally, a goal of the partnership is to improve maternal outcomes through postpartum education. According to the American College of Obstetricians and Gynecologists (ACOG), as many as 40 percent of women do not attend a postpartum visit after giving birth. HCA Healthcare will work with March of Dimes to educate providers and patients via a vignette on postpartum health complications, including high blood pressure, hemorrhage and perinatal depression. The video will discuss the importance of the postpartum follow-up visit and encourage new mothers to schedule their postpartum visit prior to leaving the hospital. Postpartum care is important because new moms are at risk of serious and sometimes life-threatening health complications in the days and weeks after giving birth. Too many new moms experience, or have even died from, health problems that may be prevented by getting postpartum care.

“In the US each day, one woman dies every 12 hours from pregnancy-related causes while tens of thousands of others nearly lose their lives, which is simply unacceptable,” said March of Dimes President and CEO Stacey D. Stewart. “HCA Healthcare is committed to reversing these statistics, and we’re proud to work with them to help every mom and baby get the best possible start.” 

Citrus Memorial Hospital is part of HCA Healthcare that uses data from the more than 215,000 babies it delivers each year to learn and implement new policies and practices to improve pre-natal, natal and post-natal care. This has resulted in HCA Healthcare using standardized protocols for managing hypertension during pregnancy, preventing leg blood clots for C-section patients, decreasing deliveries prior to 39 weeks and controlling postpartum hemorrhage.