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Week of January 13, 2022
JEFFERSON COUNTY, COLORADO
A publication of
INSIDE: VOICES: PAGE 12 | LIFE: PAGE 14 | CALENDAR: PAGE 11 | SPORTS: PAGE 16
VOLUME 17 | ISSUE 30
Lutheran OB Hub creating better outcomes JCPH gives for moms and babies update on county COVID-19 stats Wheat Ridge Council hear COVID numbers, new isolation and quarantine protocols. BY BOB WOOLEY BWOOLEY@COLORADOCOMMUNITYMEDIA.COM
believe we’re starting to meet some of our metrics on this and we’re starting to have babies that come out better. So, it really makes our hospitals a safer place for a mom to have a baby.” As an example of what increased monitoring might find, Lowery said it can be common for babies to have the umbilical cord around their neck in the womb. Usually, she said, that situation doesn’t create a problem. But there can be instances where it could cause a huge drop in heart rate. In this scenario, if the bedside nurse didn’t see the change on the fetal heart rate strip, the more experienced nurse in the hub would be able to call her and make her aware of the situation. That allows for an appropriate intervention to be weighed and acted upon if necessary. The intervention could be as simple as turning the mom-to-be over to keep her in the optimal position, or, it could mean rushing the patient in for an emergency cesarian section to deliver the baby before the
Head of Jefferson County Public Health’s (JCPH) Office of Pandemic Response Christine Billings gave an update on the County’s latest COVID stats during the Jan. 3 Wheat Ridge City Council meeting. Billings said with a base population of 586,579, Jeffco had an 18.8% positivity rate on a 7-day average as of Dec. 30. “That means approximately one in five individuals who are testing for COVID-19 are testing positive,” she said. “This is not unexpected considering we are dealing with the Omicron variant. It is estimated that over 90% of the circulating virus in the state of Colorado can be attributed to Omicron.” Billings said the strain is highly contagious and infectious, but Jeffco’s 14-day average hospitalization rate of 1.2 per 100,000 persons for Dec. 14-27 is encouraging. Jeffco’s seven-day COVID-19 case counts as of Jan. 2 were 953.5 per 100,000 persons. According to Billings, that seven-day count greatly exceeds the highest number the county saw at the peak of the surge in Nov. 2020. For seven-day case incidents as of Dec. 25, Billings said adults aged 20 or older accounted for 473.8 cases, while those aged 12 - 19 accounted for 422.3. Five to 11-year olds, who recently became eligible to receive the vaccine, accounted for 259 cases and children aged 0 - 4 made up 274.3 cases. Billings said the positive amid all of the disease currently circulating through the county is that hospitalizations are on a slight decline, as of Dec. 30, compared to the steady climb the county saw from summer through early
SEE OB HUB, P2
SEE UPDATE, P2
Deb Lowery, Senior Director, Women’s Services, and nurse, Jessie Sanchez, in the new OB Hub at Lutheran Medical Center in Wheat COURTESY OF SCL HEALTH Ridge.
Innovative program puts second set of eyes on moms-to-be. BY BOB WOOLEY BWOOLEY@COLORADOCOMMUNITYMEDIA.COM
Necessity, as they say, is the mother of invention. Don’t believe it? Just look at the changes to daily life the pandemic has brought to the last two years — many of which are here to stay. The need to find new ways of doing things with the potential to create even better outcomes was a driving force in an innovative new program rolled out at SCL’s Lutheran Medical Center and St. Joseph’s Hospital over the past nine months. The program — a new way of monitoring fetal heartbeat during labor, is already drawing interest from other medical institutions. According to Deb Lowery, senior director of Women’s Services at both hospitals, it’s also starting to create better, healthier births
for moms and babies. Lowery said when babies are born, the delivery is typically scored using something called an APGAR (appearance, pulse, grimace, activity and respiration) scoring system. For example, a score of 10 indicates a great birth with a healthy baby. Lowery said the hospitals started the OB Hub concept to do better surveillance on babies before they’re born. She said it often takes more experienced nurses to watch fetal heartbeat patterns and look for nuances a more inexperienced nurse might not catch. But staffing shortages, especially pertaining to more experienced nurses, were making it difficult to make sure every mom-to-be was paired with a nurse with that kind of expertise. So, drawing from the concept of telemetry floors, her department created the idea of an OB Hub staffed by more experienced nurses 24-hours per day to watch babies’ heartbeats. “You can actually improve outcomes tremendously if you catch any kind of alteration in the heart rate early,” she said. “And I do