• Introductory Materials
  • Smooth Transitions Information Sheet (2023)
  • Smooth Transitions Infographic – Licensed Midwifery in Washington State (2022)
  • Smooth Transitions Hospital PPT Presentation (September 2023)
  • Improving Hospital Transfers from Planned Community-based Birth (2023)
  • Scope of Practice for Licensed Midwives in Washington State (2020)
  • MAWS Indications for Discussion, Consultation, and Transfer of Care in a Home or Birth Center Midwifery Practice (Revised 2021)
  • MAWS Shared Decision-Making Position Statement (Revised September 2022)
  • Recommendations for Implementing a Program in Your State to Improve Hospital Transfers from Planned Community Births (2023)

• Start-up Packet
  • Perinatal Transfer Committee Initial Meeting – Sample Agenda (2020)
  • Transfer Protocol – Template
  • Transfer Algorithm – Template (Utah Women and Newborns Quality Collaborative)
  • SBAR Nursing Script (Home Birth Summit)
  • Maternal Transfer Form (Home Birth Summit)
  • Newborn Transfer Form (Home Birth Summit)
  • Preparing Clients for Hospital Transfers: A Guide for Community Midwives (2022)
  • 911 Protocol for Licensed Midwives (2022)

• Data Packet
  • • • Smooth Transitions Survey Card (with all the QR codes)
        • Survey Link for Receiving Providers
        • Survey Link for EMS Providers
        • Survey Link for Nursing Staff
        • Survey Link for Community Midwives
        • Survey Link for Midwifery Clients
        • Survey Link for Birth Doula
      • Smooth Transitions Audit Form – Facilities
      • Smooth Transitions Audit Form – Community Midwives

If you like the work that is being done
and would like to make a donation to
the Smooth Transition program,
click on the donate button.

Useful Websites:

• • Midwives Association of Washington State (MAWS) – www.washingtonmidwives.org
    • MAWS Indications for Discussion, Consultation, and Transfer of Care in a Home or Birth Center Midwifery Practice
    • MAWS Quality Management Program – Incident and Peer Review
  • Home Birth Summit – www.homebirthsummit.org
    • Best Practice Guidelines: Transfer from Planned Home Birth to Hospital
    • Model Maternal Transfer Form
    • Model Infant Transfer Form
    • SBAR Nursing Script 
  • The Birth Place Lab – www.birthplacelab.org – Numerous relevant studies about integration, collaboration, and the provision of respectful maternity care:
    • Mapping integration of midwives across the United States: Impact on access, equity, and outcomes (2018)
    • Giving Voice to Mothers: inequity and mistreatment during pregnancy and childbirth in the United States (2019)
  • Northern New England Perinatal Quality Improvement Network – www.nnepqin.org/initiatives 
    • Multistate Collaboration to Confidentially Review Unanticipated Perinatal Outcomes – Describes NNEPQIN’s Confidential Review and Improvement Board (CRIB)
  • Utah Women and Newborns Quality Collaborative – Out-of-Hospital Birth Project – www.health.utah.gov/uwnqc
    • Transfer Toolkit
    • Midwife Infographic
  • Uplift Lab – www.upliftlab.org
  • Pronto International – www.prontointernational.org
  • Ariadne Labs – www.ariadnelabs.org/delivery-decisions-initiative/teambirth
  • California Maternal Quality Care Collaborative – www.cmqcc.org
    • Toolkit to Support Vaginal Birth and Decrease Primary Ceseaeans PDF Version (2023) – specifically part v. the next step: integrating midwives, doulas, and community-based care
      
  • Oregon Community Birth Transfer Partnership – www.oregonperinatalcollaborative.org
    • Transfer Improvement Toolkit (2021)

• • Additional Resources:
    • • • Smooth Transitions: Enhancing Interprofessional Collaboration when Planned Community Births Transfer to Hospital Care (2022)
        • Improving Our Maternity Care Now Through Community Birth Settings (2022)
        • Quality Improvement in Community Birth A Call to Action (2022)
        • Are Perinatal Quality Collaboratives Collaborating Enough? How Including All Birth Settings Can Drive Needed Improvement in the United States Maternity Care System (2021)
        • Birth Outcomes for Planned Home and Licensed Freestanding Birth Center Births in Washington State (2021)
        • Webinar on the National Academies Report: Birth Settings in America – Lessons for Home Birth and Birth Centers (2020)
        • Webinar: Best Practices for Community Birth Transfers – Transfer Tools for Midwives, EMS, and Hospital Providers (2020)
        • Trends and State Variations in Out-of-Hospital Births in the United States, 2004-2017 (2019)
        • Home and Birth Center Birth in the United States: Time for Greater Collaboration Across Models of Care (2019)
        • WHO Recommendations: Intrapartum Care for a Positive Childbirth Experience (2018)
        • Rural community birth: Maternal and neonatal outcomes for planned community births among rural women in the United States, 2004-2009 (2017)
        • Informed consent and refusal in obstetrics A practical ethical guide (2017)
        • Outcomes of Care for 16,924 Planned Home Births in the United States: The Midwives Alliance of North America Statistics Project, 2004 to 2009 (2014)
        • The Lancet Series on Midwifery (2014)
        • ACOG Committee Opinion on Planned Home Birth (2017; reaffirmed 2020)
        • Washington State Hospital Association Safe Deliveries Roadmap