Catalano, Cathyjo, MSN, RNC-OB, C-EFM

Davidson, Carolyn L, PhD, RN, CCRN-a, ARNP, CPHQ, NEA-BC

Kupillas, Jaime, MSN, RNC-OB

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing The Role of an Obstetric Navigator in Supporting the Pregnant Adolescent Jaime Kupillas MSN, RNC-OB Carolyn L. Davidson PhD, RN, CCRN-a, ARNP, CPHQ, NEA-BC Cathyjo Catalano MSN, RNC-OB, C-EFM Follow this and additional works at: https://scholarlyworks.lvhn.org/patient-care-services-nursing This Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by an authorized administrator. For more information, please contact LibraryServices@lvhn.org. © 2019 Lehigh Valley Health NetworkLVHN.orgThe Role of an Obstetric Navigator in Supporting the Pregnant AdolescentJaime Kupillas, MSN,1 RNC-OB, Carolyn Davidson, PhD, RN, CCRN-a, ARNP, CPHQ, NEA-BC1 and Cathyjo Catalano, MSN, RNC-OB, C-EFM21Lehigh Valley Health Network, Allentown, Pa., 2Sigma Theta Tau International MCHNLA Faculty AdvisorBACKGROUNDn  Evidence suggests adverse neonatal outcomes are more likely in adolescent pregnancies. •  Increased risk to deliver low birthweight and preterm newbornsn  4.5% of births at our academic Magnet® facility in eastern PA are to adolescent mothers. n  Programs and support services designed for pregnant adolescents are important in improving obstetrical outcomes among adolescents. n  Patient navigators have been identified  as a way to bridge gaps in care across healthcare disciplines. •  Additional research is needed to determine if navigators can help improve outcomes among pregnant adolescents. PURPOSEDemonstrate how an obstetric navigator acts to improve neonatal outcomes by functioning as an integral member of the team caring for pregnant adolescents. METHODSn  Interviewed and hired an obstetric navigator in July 2018 to reach out to pregnant adolescents within the network at predefined intervalsn  Provided services including: •  Facilitating education •  Connecting to community resourcesn  Conducted a retrospective chart review of 13,835 obstetrical patients to determine rates of adolescent, preterm, and low birthweight deliveries pre and post implementation of the obstetric  navigator role.MEASURESn  Preterm delivery – Neonate delivered  at < 37 weeks gestationn  Low birthweight (LBW) – Neonate delivered at greater than 37 weeks gestation with a birthweight  < 2500 gramsDISCUSSIONPROJECT LIMITATIONSn  Number of adolescent deliveries post project implementation was small  (n=192).n  Obstacles presented regarding time and protected health information.n  Unable to establish a difference between the implementation of the OB navigator and outcomes. n  Future study is needed to review project results over time and establish if a correlation exists with outcomes. IMPACT of OB NAVIGATORORGANIZATIONALn  OB navigator now a full-time position at LVHN – Involved in the care of all first-time pregnant patients.COMMUNITY/PATIENT BENEFICIARIESn  OB navigator developed strong community connections and resources for patients. •  Reached out to 262 pregnant adolescents between July 2018 and June 2019 •  Provided 459 resources to pregnant adolescentsn  Positive feedback received about OB navigator role from patients, nursing staff, providers, and community partners.REFERENCES1.  Althabe, F., Moore, J. L., Gibbons, L., Berrueta, M., Goudar, S. S., Chomba, E., et. al. (2015). Adverse maternal and perinatal outcomes in adolescent pregnancies: The Global Network’s Maternal Newborn Health Registry study. Reproductive Health, 12(Suppl 2), S8. http://www.reproductive-health-journal.com/content/12/S2/S8 2.  Chen, X., Wen, S. W., Fleming, N., Demissie, K., Rhoads, G. G., & Walker, M. (2007). Teenage pregnancy and adverse birth outcomes: a large population retrospective cohort study. International Journal of Epidemiology, 36, 368-373. doi: 10.1093/ije/dyl2843.  Ganchimeg, T, Ota, E., Morisaki, N., Laopaiboon, M., Lumbiganon, P., Zhang, J…Mori, R. on behalf of the WHO Multicountry Survey on Maternal Newborn Health Research Network (2014). Pregnancy and childbirth outcomes among adolescent mothers: A World Health Organization multicountry study. BJOG, 121(Suppl. 1), 40-48. doi: 10.1111/1471-0528.12630RESULTSPRE-IMPLEMENTATION: JULY 2016 – JUNE 2018POST-IMPLEMENTATION: JULY 2018 – APRIL 20194.6%ADOLESCENT DELIVERIES10.6%PRETERM DELIVERIES FOR ADOLESCENTS10.6%LBW NEONATES BORN TO ADOLESCENTS4.5%ADOLESCENT DELIVERIES14.1%PRETERM DELIVERIES FOR ADOLESCENTS10.4%LBW NEONATES BORN TO ADOLESCENTSLEADERSHIP JOURNEYLeaders need to build a strong team and understand how others can  help support  their vision.It is difficult to effectively lead, achieve goals,  and realize a  vision without the  support of those  on the team. Challenges are inevitable. Learning to overcome obstacles  builds strength  and resiliency.The leadership journey is dynamic and ongoing. Leaders effectively adapt to changes and accept new challenges.

The Role of an Obstetric Navigator in Supporting the Pregnant Adolescent

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=2222&context=patient-care-services-nursing

The Role of an Obstetric Navigator in Supporting the Pregnant Adolescent

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