The issue in Missouri is we've had many community hospitals that did provide maternal services shut down through COVID, and we have an increasing access issue. "I do think they have put a lot of thought in this, and if they can really run with this, it can make a difference. "I appreciate the initiative that they're trying to make a difference because here we are in 2023 and our pregnancy-related mortality and morbidity is at a crisis level," Stovern told the Globe. Stovern said the same review cited by Parson in announcing this initiative also says 84% of the deaths among mothers are preventable with adequate care. Mercy Hospital Joplin in a statement said one reason she was selected was "her persistent lobbying" for better care for mothers in Missouri. Stovern was selected recently as the winner in the March of Dimes' annual "Heroes in Action" program, which celebrates nurses and maternal and infant health providers. Kristin Stovern, DNP and FACNM, an advanced practical nurse at Mercy Hospital Joplin specializing in women's health and obstetrical care, said she's happy to see the initiative but that it is just a start and that the state needs to maintain the momentum from this push. "By recognizing the need to do better for Missouri mothers," he said, "this funding will help us implement a new plan to provide needed support and save lives." Contributing factors include challenges with access to care, missed clinical interventions to manage conditions like heart disease, and unaddressed or unresolved mental health conditions, including substance use disorders, which are the leading cause of death and long-term harm.
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