Go the Full 40

Updated: Aug 28, 2018


Nurses please don't forget to continue to encourage your patients to go to www.gothefull40.com . This will link them to Awhonn's reparable website on evidence-based positive   messages about waiting until their baby is ready for delivery.


We Can Change This: Role in Maternal Mortality see www.safehealthcareforeverywomen.com for more detailed information!

For the Patient Safety Bundle on Reduction of Peripartum Racial/Ethnic Disparities click https://safehealthcareforeverywoman.org/patient-safety-bundles/reduction-of-peripartum-racialethnic-disparities/


Every Health System

  • Establish systems to accurately document self-identified race, ethnicity, and primary language.

  • Provide system-wide staff education and training on how to ask demographic intake questions.

  • Ensure that patients understand why race, ethnicity, and language data are being collected.

  • Ensure that race, ethnicity, and language data are accessible in the electronic medical record.

  • Evaluate non-English language proficiency (e.g. Spanish proficiency) for providers who communicate with patients in languages other than English.

  • Educate all staff (e.g. inpatient, outpatient, community-based) on interpreter services available within the healthcare system. Provide staff-wide education on:

  • Peripartum racial and ethnic disparities and their root causes.

  • Best practices for shared decision making.

  • Engage diverse patient, family, and community advocates who can represent important community partnerships on quality and safety leadership teams.


Every patient, family, and staff member

  • Provide staff-wide education on implicit bias.

  • Provide convenient access to health records without delay (paper or electronic), at minimal to no fee to the maternal patient, in a clear and simple format that summarizes information most pertinent to perinatal care and wellness.

  • Establish a mechanism for patients, families, and staff to report inequitable care and episodes of miscommunication or disrespect.


Every Clinical Encounter

  • Engage in best practices for shared decision making.

  • Ensure a timely and tailored response to each report of inequity or disrespect.

  • Address reproductive life plan and contraceptive options not only during or immediately after pregnancy, but at regular intervals throughout a woman’s reproductive life.

  • Establish discharge navigation and coordination systems post childbirth to ensure that women have appropriate follow-up care and understand when it is necessary to return to their health care provider.

  • Provide discharge instructions that include information about what danger or warning signs to look out for, whom to call, and where to go if they have a question or concern.