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Framework for Critical Care in Obstetrics

Baird, Suzanne McMurtry, DNP, RN; Martin, Stephanie, DO

The Journal of Perinatal & Neonatal Nursing: July/September 2018 - Volume 32 - Issue 3 - p 232–240
doi: 10.1097/JPN.0000000000000348
Feature Articles

In 2015, The American College of Obstetricians and Gynecologists and the Society for Maternal Fetal Medicine issued a joint care consensus document intended to develop standards for designations of levels of maternal care that are complimentary to, but distinct from, neonatal levels of care. Level III and Level IV centers must be prepared to provide obstetric intensive care services. Developing a critical care obstetric program is a resource-intensive process that requires a carefully planned strategic effort essential for successful program implementation and sustainability. In this article, a framework utilizing key components of program development is discussed including environment, scope, model, education and training, maternal transport, and unique aspects of care for women who become critically ill during pregnancy or the postpartum period.

Clinical Concepts in Obstetrics, LLC, Brentwood, Tennessee (Drs Baird and Martin); and Tennessee Initiative for Perinatal Quality Care, Nashville (Dr Baird).

Corresponding Author: Suzanne McMurtry Baird, DNP, RN, Clinical Concepts in Obstetrics, LLC, 101 Creekside Crossing, Ste 1700-136, Brentwood, TN 37027 (

Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Each author has indicated that he or she has met the journal's requirements for Authorship.

Submitted for publication: February 13, 2018; accepted for publication: May 7, 2018.

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