<39 Weeks Toolkit

CMQCC, the March of Dimes, and the <39 Weeks Toolkit Development Task Force have developed a Quality Improvement Toolkit, "Elimination of Non-medically Indicated (Elective) Deliveries Before 39 Weeks Gestational Age" to decrease deliveries before 39 weeks in California and to help disseminate and determine best practices for prevention of early deliveries and to outline the most effective strategies for supporting California health care providers in implementing those practices.

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The toolkit has the following sections which can be downloaded separately by clicking on the links below. Please note: the links open new windows, which will open a document from an outside website. Each linked document is a PDF. To view a PDF, please download Adobe Reader from the link provided below.

Please note: The appendices and references are downloadable in one section. The references are not repeated in other sections. Resources for the toolkit are available here.

The History of the Toolkit

The Toolkit Development Task Force, with co-chairs Brenda Chagolla, RNC, MSN, CNS, Elliott Main, MD and Bryan Oshiro, MD worked collaboratively with the March of Dimes, CMQCC and the California Department of Public Health, Maternal, Child and Adolescent Health Division to develop and disseminate this Toolkit. Academic and clinical leaders in California and across the United States contributed as writers and reviewers. The goal of the toolkit is to provide guidance and support to obstetric providers, clinical staff, hospitals, and health care organizations to develop efficient and successful quality improvement programs to eliminate elective deliveries <39 weeks gestation.


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