Local Access to Labor & Obstetrical Delivery and Prenatal Care


Original Presentation Date: 11/30/2017

Facilitator Lesson Plan

This team-based, active-learning event features John Waits, MD, Chief Executive Officer and Faculty Physician at Cahaba Medical Services in Alabama. Over fifteen years after the labor and delivery unit closed, Bibb Medical Center bucked the statewide trend of rural labor and delivery closings by opening a new unit. Dr. Waits will share the process of this reopening which he believes can be replicated in many rural communities.

Learning Objectives

Participants will be able to:

  • Articulate a definition for generally recognized measures of obstetric outcomes and their community health applications.
  • Discuss the nuances of rural access to obstetrical and prenatal care, as it relates to infant mortality and other measures of rural well-being and health care infrastructure.
  • Discuss the clinical and community health pitfalls in the delivery of care to women and children in the community when the in-patient labor and delivery infrastructure closes.
  • Strategize hurdles and opportunities for providing obstetrical delivery in communities where labor and delivery has closed.


Before your TBL Session
  1. Recruit your teams. Ideally, 4 teams of 3-5 participants.
  2. Schedule a room that can accommodate all your participants and AV to play the presentation.
  3. Distribute the Pre-Session link
  4. Download the Presentation Slide Deck.
  5. Review the Slide Deck. Be sure to look at the presenter notes.
During your TBL Session
  1. Arrange your participants into teams within the room.
  2. Facilitate your TBL session by following the prompts in the presenter notes of the Slide Deck.
  3. Facilitate general discussion with the full group. Go over any lingering thoughts.
  4. Evaluate the TBL materials on your experience.
Click to download the presentation slide deck

You will be asked to provide your name, email, and organization prior to accessing the download.

This product was supported by the Bureau of Health Workforce (BHW), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS) under cooperative agreement #UH1HP29966. The information, conclusions and opinions expressed in this presentation are those of the authors and no endorsement by BHW, HRSA, or HHS is intended or should be inferred.