Petition: State Wide
We want Hawaii Heath Services Corporation and Bay Clinic Inc. to work toward establishing a model of maternity care that brings excellence in obstetrics and nurse midwifery together in the safest setting possible, a hospital. We would like HHSC and Bay Clinic Inc. to investigate the option of having in house birthing centers as well as having an RNICU.
Hawaii Health Services Corporation manages 12 hospitals across Hawaii.
Maui Memorial Medical Center, Kula Hospital, Lanai Community Hospital, Hilo Medical Center, Yukio Okutsu State Veterans Home, Hale Ho'ola Hamakua, Ka'u Hospital, Kauai Veteran Memorial Hospital, Samuel Mahelona Medical Hospital, Kona Community Hospital, Kohala Hospital, Leahi Hospital, Maluhia, Kahuku Medical Center.
Bay Clinic Inc. manages numerous clinics around the Big Island, including:
Hilo Family Health Center, Ka’u Family Health Center, Pahoa Family Health Center, Kea’au Family Health Center, Hilo Woman’s Health Center, and Pahoa Woman’s Health Center.
There is much room for improvement in striving for "best practices" in maternity care. Women deserve to be nurtured, accurately educated, informed, supported, and most importantly safe during all phases of maternity care and regardless of care provider or location. We are aiming for appreciation of the inherent value in natural birth, a staff that can genuinely support it, and simultaneously cultivating an appreciation for the fact that birth doesn’t always work as we plan. In the event of the latter, we aim to have seamless transfer of care with obstetricians that are experts when birth deviates from being normal or safe.
Collaborative Care should model Evidenced Based Maternity Care. This represents the best practices according to research. When done well, outcomes improve, cesarean rates decreases, interventions decrease, VBAC’s are permitted, and greater satisfaction for mothers comes to fruition. ACOG and ACNM have issued a joint statement advocating for Collaborative Care models:
“Health care is most effective when it occurs in a system that facilitates communication across care settings and among providers,” according to the joint statement. “Ob-gyns and CNMs/CMs are experts in their respective fields of practice and are educated, trained, and licensed, independent providers who may collaborate with each other based on the needs of their patients. Quality of care is enhanced by collegial relationships characterized by mutual respect and trust, as well as professional responsibility and accountability.” Effective Collaborative Care offers both responsible education and appropriate options in a safe environment. We must find a way to offer more competent, responsible, personal care as people who have concerns for the welfare of and respect for those in our community.
Most hospitals in Hawaii offering the before mentioned model of Collaborative Care with Evidence Based Maternity Care are on Oahu. That means most of Hawaii does not have access to this type of care. The only Collaborative Care birthing facility in the on the Big Island of Hawaii is highly successful. So successful that it is now barred to women outside of the North Hawaii due to overflow. All of Hawaii’s Families deserve better options that represent best practices in maternity care!
Please sign our petition and tell HHSC that that we need birthing centers, starting with Hilo Medical Center that would:
- Create a place where professionals nurture mothers and babies
- Bring excellence in obstetrics and nurse midwifery together
- Pratice Evidence Based Maternity Care
Hold safety & patient care in the highest regard
Thank you for supporting better options and best practices in maternity care for Hawaii’s Families!
Please forward all hard Copies to Deva Bott PO BOX 319 Pahoa HI, 96778 (808) 345-4733