内容摘要：A photograph by Margaret Morton entitled “Mr. Lee’s Home” shows a makeshift dwelling that was part of a lower Manhattan homeless encampment in the 1980s and early ‘90s. It and some other shelters were

A photograph by Margaret Morton entitled “Mr. Lee’s Home” shows a makeshift dwelling that was part of a lower Manhattan homeless encampment in the 1980s and early ‘90s. It and some other shelters were

Denise Jones speaks with Dr. Allison Garnett during a prenatal appointment at the Oklahoma State University obstetrics and gynecology clinic. (AP Photo/Mary Conlon)Denise Jones speaks with Dr. Allison Garnett during a prenatal appointment at the Oklahoma State University obstetrics and gynecology clinic. (AP Photo/Mary Conlon)

In the collaborative, hospitals get toolkits full of materials such as care guidelines in multiple formats, articles on best practices and slide sets that spell out what to do in medical emergencies, how to set up medical teams and what supplies to keep on the unit. The collaborative also tackles issues such as improving obstetric care by integrating midwives and doulas – whose services are covered by the state’s Medicaid program.At first, some doctors resisted the effort, figuring they knew best, Williams said, but there’s much less pushback now that the collaborative has proven its value.MemorialCare Miller Children’s & Women’s Hospital Long Beach started participating around 2010. The collaborative helps “vet through all the research that’s out there,” said Shari Kelly, executive director of perinatal services. “It’s just so important to really understand how we as health care providers can make a difference.”

For example, if a woman loses a certain amount of blood after a vaginal delivery, “we know to activate what we call here a ‘code crimson,’ which brings blood to the bedside,” Kelly said. “We can act fast and stop any potential hemorrhage.”She said the collaborative has also helped reduce racial inequities — bringing down the rate of cesarean sections among Black moms, for example.

In July, U.S. Centers for Medicare & Medicaid Services proposed a similar initiative to California’s, focused on the quality of maternal care nationwide: the first baseline health and safety requirements for maternal emergency and obstetric services in hospitals.

Experts said getting maternal mortality under control at a national level requires tailoring solutions to individual communities, which is easier when programs are locally run.“It’s serious, but I’ve started one of the best treatments available (the Nordic protocol), and I’m lucky to be getting absolutely world-class care here in Melbourne,” Szubanski posted.

“I won’t sugar-coat it: it’s rough. But I’m hopeful. I’m being lovingly cared for by friends and family, my medical team is brilliant, and I’ve never felt more held by the people around me,” she added.Szubanski said that she had shaved her head before appearing in a video “in anticipation of it all falling out in a couple of weeks.” That was an apparent reference to undergoing chemotherapy.

Szubanski received international acclaim for her role as the farmer’s wife Esme Hoggett in the 1995 movie “Babe.” The movie that tells the story of a pig that wants the job of a sheepdog was nominated for seven Academy Awards.Szubanski reprised the role in the 1998 sequel: “Babe: Pig in the City.”