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South Carolina Birth Outcomes Initiative

Long Acting Reversible Contraceptives (LARCs) Webinar
Postpartum Contraceptive Access in South Carolina


Supporting Vaginal Birth Webinar #1
Should we worry about C-section rates in SC?

Supporting Vaginal Birth Webinar #2 
An ounce of prevention is worth a pound of cure: Antepartum strategies to prevent primary cesarean delivery

Supporting Vaginal Birth Webinar #3
The role of the labor and delivery patient care team in the safe prevention of the primary cesarean delivery.


SCBOI Core Objectives

South Carolina Birth Outcomes Initiative (BOI) is an effort by the South Carolina Department of Health and Human Services (SCDHHS), South Carolina Hospital Association, March of Dimes, Blue Cross Blue Shield of South Carolina and over 100 stakeholders to improve the health outcomes for newborns not only in the Medicaid program but throughout the state’s population. Launched in July 2011, SCBOI has these core objectives:

  • Elimination of elective inductions for non-medically indicated deliveries prior to 39 weeks gestation
  • Reducing the number of admissions and the average length of stay in neonatal intensive care units
  • Reducing health disparities
  • Making 17P, a compound that helps prevent pre-term births, available to all at-risk pregnant women with no “hassle factor”
  • Implementing a universal screening and referral tool (SBIRT) in the physician’s office to screen pregnant women and 12 months post-delivery for tobacco use, substance abuse, alcohol, depression and domestic violence
  • Promoting Baby Friendly Certified Hospitals and Breast Feeding

Additional areas of focus since inception include:

  • Promote healthier moms and babies by supporting the Centering Pregnancy Model
  • Allowing inpatient insertion of Long Acting Reversible Contraceptive (LARCs)
  • Supporting Innovative Program Development for the Management of Neonatal Abstinence Syndrome (NAS) in the Level 1 Nursery


Workgroups and Chairpersons:

  • Quality and Safety-Dr. Rick Foster, SCHA
  • Data-Dr. Ana Lopez Defede, IFS
  • Behavioral Health-Bob Toomey, DAODAS
  • Care Coordination-Dr. Charles Rittenberg, MUSC
  • Health Disparities-Dr. Amy Picklesimer, GHS
  • Baby Friendly-Dr. Jennifer Hudson, GHS


Vision Team

  • Dr. Marion Burton, SCDHHS
  • Dr. Teresa Buschor, Tuomey Healthcare System  
  • Mona Carter, March of Dimes
  • Dr. Rick Foster, SC Hospital Association
  • Dr. Tom Gailey, Greenville Hospital System
  • Ms. Melanie "Bz" Giese, RN, SCDHHS
  • Dr. Donna Johnson, MUSC
  • Breana Lipscomb, March of Dimes
  • Dr. Laura Long, Blue Cross Blue Shield
  • Dr. Amy Picklesimer, Greenville Hospital System
  • Dr. Charles Rittenberg, MUSC
  • Dr. Sarah Taylor, MUSC    
  • Dr. Lisa Waddell, DHEC

Support And Questions

BZ Giese, Director of South Carolina Birth Outcomes Initiative
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Monty Robertson, Senior Consultant, South Carolina Birth Outcomes Initiative

Lisa Hobbs, Perinatal Consultant