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Carter MC, Corry M, Delbanco S, Foster T, Friedland R, Gabel R, Gipson T, Jolivet RR, Main E, Sakala C, Simkin P, Simpson K.. 2020 Vision for a High-Quality, High-Value Maternity Care System. Women's Health Issues 20: S7-S17.

A concrete and useful way to create an action plan for improving the quality of maternity care in the United States is to start with a view of the desired result, a common definition and a shared vision for a high-quality, high-value maternity care system. In this paper, we present a long-term vision for the future of maternity care in the United States.We present overarching values and principles and specific attributes of a high-performing maternity care system. We put forth the "2020 Vision for a High-Quality, High-Value Maternity Care System" to serve as a positive starting place for a fruitful collaborative process to develop specific action steps for broad-based maternity care system improvement.

Louie JK, Jamieson DJ, Rasmussen SA. 209 pandemic influenza A (H1N1) virus infection in postpartum women in California. AM J Obstet Gynecol 204: 144.e1-6.

OBJECTIVE: The objective of the study was to characterize severe illness because of the 2009 pandemic influenza A (H1N1) infection in postpartum women.
STUDY DESIGN: We reviewed case reports of infected hospitalized postpartum (6 months from delivery) women identified through statewide surveillance in California. From April 23 through August 11, 2009, all hospitalizations and/or deaths were reported. After August 11, reporting was limited to cases requiring intensive care or deaths.
RESULTS: From April 23 to December 31, 2009, 15 cases were reported; 11 (73%) had symptom onset within 7 days postpartum. Of 10 hospitalized cases reported through August 11, 4 required intensive care, 3 required mechanical ventilation, and 2 died. Of 5 cases requiring intensive care reported after August 11, all required mechanical ventilation and 1 died. Overall, 6 (43%) received antivirals
within 48 hours of symptom onset.
CONCLUSION: The 2009 H1N1 can cause severe illness in postpartum women, especially in the first week following delivery.

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<39 Weeks. <39 Week Toolkit Section: Data Collection/QI Implementation.
<39 Weeks. <39 Week Toolkit Section: Implementation Strategy.
<39 Weeks. <39 Week Toolkit Section: Making a Case.
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<39 Weeks. <39 Weeks: Clinical Education.
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