Implementation Science is Imperative to the Optimization of Obstetric Care

Rebecca F. Hamm; Brian K. Iriye; Sindhu K. Srinivas

doi:10.1055/s-0040-1721728

American Journal of Perinatology, Table of Contents

Am J Perinatol 2021; 38(07): 643-648
DOI: 10.1055/s-0040-1721728

SMFM Fellowship Series Article

Implementation Science is Imperative to the Optimization of Obstetric Care

Rebecca F. Hamm

¹Department of Obstetrics and Gynecology, Maternal and Child Health Research Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania

,

Brian K. Iriye

²High Risk Pregnancy Center, Las Vegas, Nevada

,

Sindhu K. Srinivas

¹Department of Obstetrics and Gynecology, Maternal and Child Health Research Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania

› Author Affiliations

Abstract

In an effort aimed at improving outcomes, obstetric teams have enacted comprehensive care bundles and other clinical tools. Yet, these practices have had limited degrees of success on a national scale. Implementation science aims to bridge the divide between the development of evidence-based interventions and their real-world utilization. This emerging field takes into account key stakeholders at the clinician, institution, and health policy levels. Implementation science evaluates how well an intervention is or can be delivered, to whom, in which context, and how it may be up-scaled and sustained. Other medical disciplines have embraced these concepts with success. The frameworks and theories of implementation science can and should be incorporated into both obstetric research and practice. By doing so, we can increase widespread and timely adoption of evidence and further our common goal of decreasing maternal morbidity and mortality.

Key Points

Evidence-based practices have been implemented in obstetrics with variable success.
Implementation science aims to bridge the divide between the development of evidence-based interventions and their real-world utilization.
The methodologies of implementation science may be helpful to obstetric research and practice.

Keywords

obstetrics - implementation science - evidence-based practices - maternal morbidity

Full Text

References

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