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.

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

• PrematurityPrevention.org - Visit this website for ACT initiative resources, including the educational slide deck, algorithm, and key driver diagram, please visit. 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