Development and Implementation of the Orange Bracelet Program to Increase Recognition of Women Who Recently Gave Birth.

Authors

Linnette Carter, Cynthia Mitchell, Keri Schubert, Danielle Wittig, Jenni Wolf

Published in

Journal of obstetric, gynecologic, and neonatal nursing : JOGNN. Nov 07, 2026. Epub Nov 07, 2026.

Abstract

To describe the development and implementation of the orange post-birth alert bracelet program and provide related resources for clinicians and emergency personnel.
Quality improvement project.
Two rural community hospitals in the United States: west central Florida and northwest Illinois.
We included all patients who gave birth, support persons, maternity staff, emergency department (ED) personnel, and local emergency medical services (EMS) personnel.
An orange silicone bracelet labeled "Post-Birth Alert" was created. Immediately after birth, women and their support persons were educated on warning signs of postpartum complications using the Association of Women's Health, Obstetric and Neonatal Nurses POST-BIRTH Warning Signs program. The women were encouraged to wear the orange bracelet for 12 weeks as a way for emergency personnel to quickly recognize their postpartum status. We educated maternity staff, ED, and EMS personnel. We measured bracelets distributed and the time patients arrived in the ED to the time they were assessed by the emergency care team before and after the implementation. We tracked the number of regional EMS departments that provided education about postpartum emergencies and the orange bracelet program.
Data indicated that the use of the orange bracelet increased the proportion of women recognized as postpartum by ED personnel within 15 min in both hospitals.
The educational campaign and use of the orange post-birth alert bracelet improved the timeliness of recognition of postpartum status. We successfully educated and enhanced collaboration among maternity staff, ED, and EMS personnel about risks to women in the postpartum period.

PMID:
42998671
Bibliographic data and abstract were imported from PubMed on 08 Nov 2026.

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