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 Reduce barriers to access to prenatal care through the use of telemedicine in perinatal consultations and the use of community health workers to enhance medical workforce capacity.  Utilize social media, such as text4baby, Facebook, and Twitter, to deliver health care messages and promote access to resources.

 Promote use of evidence-based patient practices.  Work with all birthing hospitals to pledge to stop non-medically indicated inductions and cesarean deliveries prior to 39 weeks.  Promote smoking cessation among pregnant women through use of evidence-based interventions and the Tobacco Quit Line.  Eliminate preventable harm to mothers and babies through quality care and consistent delivery of evidence-based practices within the healthcare system.  Work with non-primary infant caregivers such as child care providers, churches, and baby sitters to assure they practice and promote safe sleep recommendations.  Standardize provision of Safe Sleep education and training for providers, including OB, Pediatrics, nursing staff, discharge planners, home visitors, and clinic staff.  Develop strategic alliances and cooperative partnerships to endorse AAP safe sleep recommendations, promote safe sleep and prenatal smoking cessation (AARP, sororities, civic groups, students, volunteers, Girl Scouts and others).  Increase access to and utilization of immunizations recommended by the Advisory Committee on Immunization Practices (ACIP) for pregnant women.  Expand Centering Pregnancy Programs.  Increase utilization of folic acid and/or multivitamins to impact birth defects.  Strengthen, support and promote breastfeeding efforts in the state by: 1) Increasing access to lactation consultants and peer counselors; 2) Increasing the number of hospitals working toward Baby Friendly certification; 3) Implementing a Breastfeeding Strategic Plan to improve breastfeeding rates; and 4) Increasing the number of employers designated as Mother-Friendly Workplaces.  Conduct pulse oximetry screening for critical congenital heart defects (CCHDs) in all state birthing hospitals.  Provide culturally-appropriate consumer educational materials about 17P, a medication that can prevent premature births in women who have previously had a preterm birth, to this target population.  Expand access to evidence-based home visitation programs for pregnant women and infants that focus on risk factors for maternal, infant, and child morbidity and mortality.  Promote use of South Carolina Oral Health Coalition’s “Oral Health Care for Pregnant Women” guidelines.