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Antenatal Corticosteroids Treatment (ACT)

Florida Perinatal Quality Collaborative


Since 2007, perinatal champions from five of the most populous states, CA, FL, IL, NY, and TX, which represent nearly 40% of the births in the U.S., have been working together to improve birth outcomes. Following the initial success of the Big 5 State early elective delivery pilot, (results published in Obstetrics and Gynecology Vol. 121, No. 5, May 2013) leaders have been planning the launch of the next Big 5 State initiative, improving the utilization of antenatal corticosteroids. 

11 Florida hospitals were involved in the March of Dimes ACT pilot.

March of Dimes

Big 5 ACT Pilot Fact Sheet

Why ACT?

  • Proven reduction in neonatal morbidity and mortality
  • Goal of 100% administration to at-risk mothers 23-34 weeks gestational age not being met
  • Optimal timing of ACT 24 hours – 7 days prior to preterm delivery often not achieve
  • Lack of standardized ACT protocols leads to inconsistent medical practice
  • Poor documentation of ACT
  • ACT is a PC-03 Joint Commission National Quality Measure


Materials

For ACT initiative resources, including the educational slide deck, algorithm, and key driver diagram, please visit PrematurityPrevention.org. You must create an account to download materials. 

March of Dimes ACT Passport

March of Dimes Big 5 ACT Pilot Data Collection and Display Spreadsheet (Plan B)

March of Dimes Big 5 ACT Hospital Transfer/Receiving Form


Questions: FPQC@health.usf.edu



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