As part of the Maternal Health ED Toolkit, one of the Critical Success Factors is displaying a sign in your ED that alerts patients that they should inform ED staff of their pregnancy or postpartum status. The sample ED sign is a provided sign that you may display in your ED.
Module A: Introduction to Maternal Mortality: How Emergency Departments Can Help
IDPH MMR Report Data 2016-2017_Published April 2021
Maternal mortality (death) is an important measure for assessing the overall health of a community. Using a variety of data sources, the Illinois Department of Public Health (IDPH) identifies all deaths of women while pregnant or within one year of pregnancy (pregnancy-associated deaths). IDPH convenes two maternal mortality review committees (MMRCs), which review specific cases of maternal death to identify the causes of death, determine whether the deaths were pregnancy-related, determine whether the deaths were preventable, and develop recommendations to prevent future deaths. The two MMRCs reviewed 129 maternal deaths that occurred during 2016-2017 to develop the recommendations in this report.
Module B: Acuity Assessment and Management of Perinatal Emergencies Resources
AWHONN Maternal Fetal Triage Index
The Maternal Fetal Triage Index (MFTI) is an evidence-based flow diagram developed by Association of Obstetrics Women’s Health and Neonatal Nurses (AWHONN). The MFTI has a five-level system to facilitate the care of pregnant women seeking care in an obstetrical triage unit, with 1 being the highest acuity and priority 5 being the lowest acuity. The development and structure of the Emergency Severity Index informed the intiial draft of the MFTI.
Ruhl, C., Scheich, B., Onokpise, B., Bingham, D. (2015). Content validity testing of the maternal fetal triage index. JOGNN, 44(6), 701-709. https://doi.org/10.1111/1552-6909.12763
Content Validity Testing of the Maternal Fetal Triage Index
A multidisciplinary working group convened by the National Partnership for Maternal Safety used a consensus-based approach to define The Maternal Early Warning Criteria, a list of abnormal parameters that indicate the need for urgent bedside evaluation by a clinician with the capacity to escalate care as necessary in order to pursue diagnostic and therapeutic interventions. This commentary reviews the evidence supporting the use of early-warning systems, describes The Maternal Early Warning Criteria, and provides considerations for local implementation.
Mhyre, J., D’Oria, R., Hameed, A., Lappen, J., Holley, S., Hunter, S., Jones, R., King, J. (2014). The maternal early warning criteria: A proposal from the national partnership for maternal safety, JOGNN, 43(6), pg 771-779 DOI:https://doi.org/10.1111/1552-6909.12504
Emergency Severity Index (ESI): A Triage Tool for Emergency Departments
The Emergency Nurses’ Association (ENA) and the American College of Emergency Physicians (ACEP) formed a joint triage taskforce where they developed the emergency severity index scale. This algorithm is based on acuity and resources and stratifies the patient into five categories from least to most urgent.
Gilboy, N., Tanabe, P., Tracers, D., Rosenau, A. (2011). Emergency Severity Index (ESI): A triage, tool for emergency department care. AHRQ publication No. 12-0014
HTN and Cardiomyopathy Algorithm
The HTN and Cardiomyopathy Algorithm was created to guide in the care of a perinatal patient that presents with the signs and symptoms of HTN and cardiomyopathy.
The Perinatal Triage Algorithm combines the Emergency Deverity Index (ESI), the Maternal Early Warning System Triggers, and the AWHONN Maternal Fetal Triage Index into one algorithm for the care of perinatal patients.
Postpartum Hemorrhage Management Checklist
The Postpartum Hemorrhage Checklist was created to guide in the management of a patient that presents with postpartum hemorrhage.
The Sepsis Algorithm was created to guide in the care of a perinatal patient that presents with the signs and symptoms of sepsis.
Module B – Optional Case Studies
Module B – Optional Case Studies provides additional case studies that move through the Perinatal Triage Diagram.
Module C: Screening for Perinatal Mental and Behavioral Health Issues Resources
Drug Overdose Prevention Program – Illinois Department of Human Services Flyer
This brochure gives guidance to anyone who might come into contact with a person who has the potential to experience Opioid Overdose.
Illinois Helpline Information Flyer
The Illinois Helpline for Opioids & Other Substances flyers guides pregnant and postpartum patients to proper support for potential substance abuse disorder.
Is Opioid Use Causing Problems For You?
This is a resource flyer for patients that summarizes treatment types for OUD, as well as where patients can seek care for OUD.
MAR NOW Factsheet- Medication Assisted Recovery Information Sheet
MAR NOW is a new service offered by the Illinois Helpline for Opioids and Other Substances. The MAR NOW factsheet gives cirtical information on the new service.
MOMS Hotline Flyer (English)/ MOMS Hotline Flyer (Spanish)
The MOMS Hotline flyer gives critical help information for pregnant and postpartum individuals who are seeking mental health support. The MOMS Hotline Flyer should be placed in areas where patients can easily see it.
Neonatal Abstinence Syndrome (NAS): What You Need to Know
This informational sheet can be printed front and back and gives parents guidance on how to spot and actively help treat NAS.
Nasal Narcan Spray Quick Start Guide
This opioid Overdose Response instruction sheet can be made available to any person who may know or come into contact with a person suffering from Opioid Use Disorder.
Pregnant/Postpartum Patient OUD Algorithm For EDs
The Pregnant/Postpartum Patient OUD Algorithm for Emergency Departments gives step by step guidance on pregnant/postpartum patients who prevent to the ED with a positive OUD screen.
Prescpription Pain Medicine, Opioids, and Pregnancy: What All Pregnant Women Need to Know – Flyer
This flyer gives pregnant and postartum patients critical information about prescription paid medicine and opioids.
Save A Life Narcan/Naloxone Administration Flyer – Providers
The Narcan-Naloxone flyer is a great resource for healthcare providers to reference for establishing the need and dosage of this life-saving drug.
Save a mother’s life – Opioid Use Disorder and Medicated Assisted Treatment (MAT) – poster – Providers
This poster gives guidance on Opioid Use Disorder and Medicated Assisted Treatment (MAT) for healthcare providers.
Screening For Anxiety Algorithm
The “Screening for Anxiety Flowchart” gives step by step instructions for screening all pregnant and postpartum patients who present to the ED for Anxiety.
Screening For Depression Algorithm
The “Screening for Depression Flowchart” gives step by step instructions for screening all pregnant and postpartum patients who present to the ED for Depression.
What every OB Provider needs to know to save a mother’s life – Poster – Providers
The ILPQC created this poster to give OB and health care provider guidance for treating pregnant and postpartum patients who screen positive for opioids in their care.
Module D: Trauma in Pregnancy and Postpartum Resources
Cardiac Arrest In Pregnancy In Hospital ACLS Algorithm
The Cardiac Arrest in Pregnancy In-Hospital ACLS Algorithm gives step by step instructions for process in care for pregnant/postpartum patients in cardiac arrest.
Module E: Best Practices for Pregnant and Postpartum Patients Being Discharged from the Emergency Department Resources
Discharge Flow Chart To Determine Follow Up Time
The ED Discharge Flow Chart helps ED providers determine follow-up time for a perinatal patient in the ED.
Local Resources Worksheet-Fill In The Blank
The Local Resource Worksheet is a fill-in-the-blank document for each hospital to list their local resources. Complete this document to provide easy access for providers and staff to support perinatal patients in the ED. This document also includes a list of general resources available in Illinois.
The ED Discharge Checklist should be completed for each patient prior to discharge from the ED. This brief checklist includes questions such as whether prenatal care is established, identifying barriers to care, and family planning.
The ED Discharge Resource Packet is ready to print and provider this brief resource packet to perinatal patients upon discharge from the ED. This packet includes resources for obtaining prenatal care, substance use support and maternal health warning signs. Remember to provider additional patient-specific resources as needed.
Health Choices Healthy Futures
This is a summary document for Health Choics Health Futures Toolkit (HCHF) resource guide for perinatal patients. HCHF Toolkit was created by EverThrive IL.