Search Results: MCHLine

Annotation: The goal of this project was to reduce the incidence of low birthweight by improving the preconceptional health of women who were at high risk for delivering a low birthweight infant. High-risk women were identified at delivery and were followed for 2 years. Client services were then provided by community health workers, who made home visits and developed a risk reduction plan for each client. Intervention protocols were developed for each risk factor and involved referral to the appropriate resource, followup to ensure client compliance, and reinforcement of professional counseling or supplemental teaching. [Funded by the Maternal and Child Health Bureau]

Keywords: Community-Based Health Services, Florida, High risk groups, High risk mothers, High risk pregnancy, Indigent Patients, Infant Mortality, Intervention, Low Birthweight, WIC Program

Annotation: This project aimed to reduce postneonatal mortality rates associated with inadequate parenting skills and poor utilization of prenatal and child health care services. Activities included establishment of a resource mothers program in which church women were trained to assist pregnant women in negotiating the health care and social services systems, and implementation of a teen peer counselor program. The project also established self-sustaining local coalitions to monitor and address problems that contribute to poor pregnancy outcomes. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Adolescents, Blacks, Clergy, Community-Based Health Services, High risk groups, High risk pregnancy, Infant Mortality, Low income groups, Postneonatal Mortality, Pregnant Women, Prenatal Care, Religious organizations, Rural Populations

Annotation: This project surveyed 3000 postpartum Massachusetts women in order to identify barriers to, components of, and levels of participation in prenatal care, and to collect data on the social context of women's lives during pregnancy. Various interventions with high risk women at four demonstration sites were evaluated and compared. [Funded by the Maternal and Child Health Bureau]

Keywords: High risk pregnancy, Hispanics, Infant Mortality, Low Birthweight, Pregnant Women, Prenatal Care

Annotation: This project sought to reduce infant morbidity and mortality due to low birthweight, and to demonstrate a cost-effective prenatal care program which was integrated into the existing system and can be duplicated in other states. Project objectives included: reducing the incidence of low birthweight newborns in the project; reducing the incidence of women who engage in high-risk behaviors during their pregnancy; instituting a model prenatal education, counseling, referral, and followup program in physicians' offices and other sites; and enhancing the education and counseling skills of prenatal care providers. [Funded by the Maternal and Child Health Bureau]

Keywords: Counseling, Education of Health Professionals, Education of Patients, High risk pregnancy, Infant Morbidity, Infant Mortality, Low Birthweight, Pregnant Women, Prenatal Care, Referrals

Annotation: This report presents the results of the Levels of Care Assessment Tool (LOCATe) implemented in Montana in 2021 to assess maternal and neonatal care capabilities in birthing facilities and support strategies to improve risk-appropriate care. LOCATe aligns with guidelines from the Society for Maternal-Fetal Medicine, the American College of Obstetricians and Gynecologists, and the American Academy of Pediatricsto match hospital capabilities with patient risk. The report summarizes Montana's LOCATe results, with 96% of birthing facilities participating. Key findings include: 80% of facilities assessed at Level I or II for neonatal care; 68% assessed at Level I or lower for maternal care; facilities had discrepancies between self-reported and assessed levels; 44% lacked maternal transport plans; and protocols existed for maternal emergencies but drills were lacking. The report provides five recommendations to improve risk-appropriate care: 1) Develop perinatal regionalization through stakeholder coordination; 2) Cultivate relationships between facilities through education and learning collaboratives; 3) Establish maternal transport plans and agreements; 4) Enhance care through evidence-based practices and statewide safety bundles; 5) Measure impact through data and review committees.

• PDF

Keywords: Gestational age, High risk pregnancy, Montana , Perinatal care, Reproductive health, Risk appropriate care, Rural health, State initiatives, Statistical data

Annotation: This web-based tool helps states and other jurisdictions create standardized assessments of levels of maternal and neonatal care. CDC LOCATeSM is based on the most recent guidelines and policy statements issued by the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine.

• Link

Keywords: Gestational age, High risk pregnancy, Perinatal care, Reproductive health, Risk appropriate care, Statistical data

Annotation: This report discusses how the Departments of Health of three states (Alaska, New Mexico, and Montana) are strengthening access to risk-appropriate care for American Indian / Alaska Native (AI/AN) communities. Initiatives and recommendations include increased data collection, promoting people-centered and culturally appropriate care, and collaborating with community organizations.

• Link

Keywords: Alaska natives, High risk pregnancy, Native Americans, Perinatal care, Racism, Reproductive health, Risk appropriate care, Social bias

Annotation: This systematic review was conducted to support the United States Preventive Services Task Force in updating its 2014 recommendation on daily low dose aspirin use during pregnancy for individuals at increased risk for preeclampsia. The report reviewed updated evidence on the effectiveness and potential harms of daily aspirin use during pregnancy to prevent morbidity and mortality associated with preeclampsia. Data sources included MEDLINE, PubMed, Embase, and the Cochrane Collaboration Registry of Controlled Trials; results were limited to studies published between January 2013 and July 2019. The reviewed studies showed that daily aspirin use in pregnancy for individuals at increased risk for preeclampsia consistently led to beneficial effects on perinatal mortality, preterm birth, fetal growth restriction, and preeclampsia diagnosis.

• Link

Keywords: Pregnant women, Drugs, Evidence based medicine, High risk groups, Literature reviews, Maternal health, Perinatal care, Preeclampsia, Pregnancy, Pregnancy complications, Pregnancy outcomes, Preventive health services

Annotation: This brief identifies evidence-informed strategies that state Title V programs may consider implementing to increase the percentage of very low birth weight (<1500 gm) infants born in hospitals with a level III or higher neonatal intensive care unit. Contents include information about the methods and results of the evidence review, key findings, and implications. The full review is also available. [Funded by the Maternal and Child Health Bureau]

• PDF

Keywords: Block grants, Childbirth, Evidence-based practice, High risk pregnancy, Hospitals, Infant mortality, Intervention, Literature reviews, Low birthweight, Measures, Model programs, Neonatal intensive care units, Newborn infants, Perinatal care, Policy development, Program planning, Protective factors, Regional medical centers, Regional planning, Resources for professionals, State MCH programs, Systems development, Title V programs

Annotation: This document identifies evidence-informed strategies that state Title V programs might consider implementing to increase the percentage of very low birth weight (<1500 gm) infants born in a hospital with a level III or higher neonatal intensive care unit. Contents include an introduction and background; review methods and results, including search results, characteristics of studies reviewed, intervention components, summary of study results, and evidence rating and evidence continuum; and implications of the review. [Funded by the Maternal and Child Health Bureau]

• Review
• Brief

Keywords: Block grants, Childbirth, Evidence-based practice, High risk pregnancy, Infant mortality, Intervention, Literature reviews, Low birthweight, Measures, Model programs, Neonatal intensive care units, Newborn infants, Perinatal care, Policy development, Program planning, Resources for professionals, State MCH programs, Title V programs

Annotation: This fact sheet describes national and state initiatives to scale up and implement programs that encourage and facilitate first trimester prenatal care and help at-risk mothers commit to behaviors that reduce the numbers of low birthweight infants. Topics include a group prenatal care model called CenteringPregnancy®, smoking cessation programs, quality improvement initiatives related to the elimination of early elective deliveries, and Healthy Babies Are Worth the Wait Community Programs®.

• Link

Keywords: Childbirth, Collaboration, Community based programs, Community based services, Evidence based medicine, Financing, Health behavior, Health promotion, High risk infants, High risk mothers, High risk pregnancy, Low birthweight, Models, National initiatives, Peer support programs, Prenatal care, Preterm birth, Prevention programs, Smoking cessation

Annotation: This brochure describes a program to prevent and/or reduce the risk of maternal alcohol and drug abuse by providing home visitation and intervention over a 3-year period by trained and supervised case managers. Contents include a description of the program goals, approach, client outcomes, and eligibility criteria. Topics include helping mothers build and maintain healthy independent family lives, assuring that children are in safe and stable homes, and preventing future births of alcohol and drug-exposed children.

• PDF
• Program Website

Keywords: Alcohol abuse, Alcohol use during pregnancy, Case management, Child safety, Drug abuse, Family support programs, Fetal alcohol effects, High risk children, High risk mothers, Home visiting, Postpartum care, Pregnancy, Pregnant women, Prenatal care, Program descriptions, Referrals, Risk factors, Substance abuse prevention programs, Substance abuse treatment services, Washington, Women

Annotation: This webcast focuses on reducing adolescent pregnancy in the United States. The speakers discuss ramifications of adolescent pregnancy and ways of preventing it and the roles of public health programs, parents, and health professionals in the effort. Progress in reducing adolescent pregnancy rates worldwide as well as the Centers of Disease Control and Prevention's efforts are discussed. The speakers also provide statistics related to adolescent pregnancy in the United States.

• Link

Keywords: Access to health care, Adolescent parents, Adolescent pregnancy, Communication, Contraception, Costs, Education, High risk adolescents, Low income groups, Parent child relations, Prevention, Programs, Public health, Statistical data

Annotation: This report presents findings from an analysis of contraceptive use and pregnancy patterns among low-income adolescents on Medicaid in South Carolina. Conducted by the South Carolina Campaign to Prevent Teen Pregnancy and the South Carolina Budget and Control Board, the report reveals the percentage of teens who became pregnant who used no birth control, or less reliable forms of birth control, and suggests that offering a different type of birth control to teens on Medicaid might help delay pregnancy and childbirth. Based on longitudinal data from one to five years for each teen, the report compares and contrasts contraceptive use, birth control methods, and rates of pregnancy according to the participants' age and race. The report concludes with recommendations to help reduce the teen pregnancy rate among low-income adolescents. in South Carolina.

• PDF

Keywords: Adolescent pregnancy, Comparative analysis, Contraceptive use, Data, High risk adolescents, Low income groups, Prevention, South Carolina, State initiatives

Annotation: The purpose of this final report is to describe the impact study component of the Evaluation of Adolescent Pregnancy Prevention Approaches—a response to persistent concerns about the consequences of adolescent sexual activity. The purpose of this 8-year (2008-2016) evaluation is to expand available evidence on effective ways to prevent and reduce pregnancy and related sexual risk behaviors among U.S. adolescents. The report provides an overview of the impact evaluation, including its policy context and goals, selection and key features of program models and sites, the impact study design, and the approach to estimating impacts and reporting results. The report also provides information on the seven individual sites to be evaluated and on the program model, evaluation design, and analytic approach for each site.

• Posted By Mathematica
• Posted By Dept. Of Health And Human Services

Keywords: Adolescent behavior, Adolescent pregnancy, Adolescent sexuality, Evaluation, High risk adolescents, Prevention, Programs, Public policy, Research

Annotation: This fact sheet about preventing and reducing adolescent pregnancy in the United States provides an introduction to the issue; presents the latest findings on adolescent pregnancy prevention; discusses who is at the highest risk; provides information about adolescent birthrates by state; explains what the government is doing to address the problem, what parents can do, and what adolescents can do; and provides code that allows users to place Centers for Disease Control and Prevention buttons to web pages.

• PDF

Keywords: Adolescent attitudes, Adolescent behavior, Adolescent pregnancy, Adolescent sexuality, High risk groups, Mass media, Parents, Prevention, Research

Annotation: This Web site for adolescents, created by the organization Reach Out, is designed to help adolescents cope with mental health problems and to help prevent adolescent suicide. The site presents information about issues such as suicide and self-harm; drugs, alcohol, and tobacco; relationships; loss and grief; and sexuality. Stories told by adolescents in their own voices are also included, and opportunities for adolescents to share their own stories and become involved with Reach Out are provided. Resources for getting help and support are included, as well.

• Link

Keywords: Adolescent behavior, Adolescent health, Adolescent pregnancy Grief, Adolescent sexuality, Adolescents, Alcohol consumption, Friendships, HIgh risk adolescents, Mental health, Prevention, Relationships, Resource materials, Substance abuse, Suicide prevention, Tobacco use, Violence prevention

Annotation: This state plan describes the activities of Nebraska's State Abstinence Education Grant Program for 2010. The document discusses the problem and need associated with Nebraska adolescents and presents an implementation plan. Topics discussed in relation to the implementation plan include existing programs and gaps in services, challenges and barriers, mechanisms for implementation, monitoring, coordination, service recipient involvement, referrals, objective performance and efficiency measures, programmatic assurances, and budget.

• Plan Report
• Program Site With Plan Report And Appendices

Keywords: Abstinence, Adolescent attitudes, Adolescent behavior, Adolescent parents, Adolescent pregnancy, Adolescent sexuality, Adolescents, Budgets, Education, High risk adolescents, High risk groups, Nebraska, Poverty, Program coordination, Referral, Service delivery, State grants, State programs

Annotation: This fact sheet is written for women who have had a premature infant and are concerned about having another. It provides information about what women and their health professionals can do to help ensure that women remain pregnant for a full 9 months.

• Link

Keywords: Consumer education materials, High risk pregnancy, Pregnant women, Premature infants, Prematurity, Prevention, Risk factors, Treatment

Annotation: This final report focuses on Project WIN, a project whose purpose was to close gaps related to prenatal health, infant health, and safety in Omaha County and Douglas County in Omaha, Nebraska. The report discusses the project purpose; goals and objectives; methodology; evaluation; results, outcomes, and lessons learned; publications and products; dissemination and utilization of results; and sustainability. [Funded by the Maternal and Child Health Bureau]

Keywords: Breastfeeding, Cultural competence, Families, Final reports, High risk groups, Home visiting, Infant health, Low income groups, Nebraska, Parenting skills, Pregnant women, Prenatal care, Prevention, Programs, Safety, Smoking during pregnancy, Woman's health