Search Results: MCHLine

Annotation: This summary report is from a focus group convened to discuss issues related to the use of ACTG 076 to treat HIV-infected pregnant women. The chief issues covered are: women's attitudes about health care providers and the health care system; information and informed decision making; and counseling and testing. Implications, conclusions and recommended are included. [Funded by the Maternal and Child Health Bureau]

Contact: Institute for Patient and Family-Centered Care, 7900 Wisconsin Avenue, Suite 405, Bethesda, MD 20814, Telephone: (301) 652-0281, ext. 16 Fax: (301) 652-0186 E-mail: [email protected] Web Site: http://www.familycenteredcare.org Available from the website.

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Keywords: Attitudes, Counseling, HIV, HIV infected patients, Pediatric HIV, Pregnant women, Testing, Treatment outcome, Treatment refusal

Annotation: This document describes seven science-based approaches in adolescent pregnancy, HIV, and sexually transmitted infection prevention. Topics include assessment, health education and behavior change theory, logic models, science-based programs, adaptation and fidelity, characteristics of promising programs, and process and outcome evaluation. Additional topics include the benefits of using science-based approaches, ten steps for getting to outcomes, and training and technical assistance.

Contact: Healthy Teen Network, 1501 Saint Paul Street, Suite 124, Baltimore, MD 21202, Telephone: (410) 685-0410 Fax: (410) 687-0481 E-mail: [email protected] Web Site: http://www.healthyteennetwork.org Available from the website.

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Keywords: Adolescent pregnancy prevention, Assessment, Behavior modification, HIV, Health behavior, Health education, Methods, Models, Outcome evaluation, Prevention programs, Process evaluation, Sexually transmitted diseases

Annotation: This document for recipients of the federal Maternal and Child Health Bureau's Discretionary Grant Program contains instructions and forms for submitting performance measure data. Contents include information about the goals, definitions, benchmark and grantee data sources, and significance for each measure by domain; instructions and forms for collecting budget and expenditure data and project abstract and summary data; and forms for tracking project performance and outcome measures.

Contact: U.S. Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 443-2170 Web Site: https://mchb.hrsa.gov Available from the website.

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Keywords: Data collection, Federal grants, Forms, MCH programs, MCH research, MCH training, Measures, Outcome and process assessment, Program evaluation, Program improvement, Program planning, Progress reports

Annotation: This summary discusses changes to the Title V Maternal and Child Health Services Block Grant application, needs assessment, and reporting process and resulting opportunities to promote oral health in states. It describes the national performance measure on oral health, a national outcome measure for oral health, and recommended strategies for action. State performance measures are also discussed.

Contact: Association of State and Territorial Dental Directors, 3858 Cashill Boulevard, Reno, NV 89509, Telephone: (775) 626-5008 Fax: (775) 626-9268 E-mail: [email protected] Web Site: https://www.astdd.org Available from the website.

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Keywords: Block grants, Community action, Measures, Needs assessment, Oral health, Outcome and process assessment, Program improvement, Quality assurance, Title V programs

Annotation: This road map outlines how data can be used as a tool to help end structural racism. It consists of a collection of guiding questions, tools, and resources to assist programs in taking concrete steps to better identify, understand, and act to address racial inequities. The road map contains seven sections: (1) Looking at health issues with a focus on the impact of racism; (2) Determining if a program is ready to use data to address racism; (3) Understanding what the data says about differences in health outcomes by race and ethnicity; (4) Using other sources of data to uncover causes of the differences; (5) Making plans to act on differences that are unjust or avoidable; (6) Presenting data in ways that help people make sense of the numbers; and (7) Moving from data to action.

Contact: Massachusetts Department of Public Health, Office of Health Equity, 250 Washington St., 5th Floor, Boston, MA 02108, Telephone: (617) 624-5590 Web Site: https://www.mass.gov/orgs/office-of-health-equity

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Keywords: Data, Data analysis, Data collection, Data sources, Ethnic factors, Health equity, Outcome evaluation, Racial factors, Racism, State initiatives

Annotation: This clinical practice guideline provides information about the relationships between various care options and health outcomes in the management of pregnancy. Topics include approaches to care of pregnant women in the Department of Veterans Affairs and the Department of Defense; recommendations, including for oral health care during pregnancy; routine pregnancy care; referral indications; emerging topics; and research priorities.

Contact: U.S. Government Publishing Office, 732 North Capitol Street, N.W., Washington, DC 20401, Telephone: (202) 512-1800 Secondary Telephone: (866) 512-1800 Fax: (202) 512-2104 E-mail: [email protected] Web Site: http://www.gpo.gov Available from the website.

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Keywords: Health care, Oral health, Pregnant women, Referral, Research, Treatment outcomes

Annotation: This brief provides information about the role of oral health in maternal mortality and preterm birth. It includes statistics on the number pregnant women who died of pregnancy-related causes and on the percentage of infants born prematurely in 2019 and in 2020. Background information on both issues is presented, and comparisons by race and ethnicity and educational attainment are offered.

Contact: CareQuest Institute for Oral Health, 465 Medford Street, Boston, MA 02129-1454, Telephone: (617) 886-1700 Web Site: https://www.carequest.org Available from the website.

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Keywords: Educational factors, Ethnic factors, Oral health, Pregnancy outcome, Pregnant women, Preterm birth, Racial factors

Annotation: This policy brief examines the rates of singleton preterm births by rurality and census region across the United States for the years 2012-2018. It also presents variations by maternal characteristics, including race and ethnicity, payment method, and participation in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) during pregnancy among women who live in counties with different levels of rurality. The study findings indicate that the preterm birth rate for singleton pregnancies in the United States from 2012-2018 was 7.9% and had increased every year since 2014 in both rural and urban areas. The singleton preterm birth rate was higher for women residing in rural areas compared to women residing in urban areas. The report presents implications for these findings.

Contact: Southwest Rural Health Research Center, Texas A&M Health Science Center, Department of Health Policy and Management, 1266 TAMU, College Station, TX 77843-1266, Telephone: (979) 862-4238 Fax: (979) 458-0656 Web Site: http://sph.tamhsc.edu/srhrc/index.html

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Keywords: Pregnancy outcomes, Pregnant women, Preterm birth, Rural heatlh, Rural populations

Annotation: This issue brief identifies nine maternal morbidity conditions, such as hypertensive disorders, and 24 maternal and child outcomes, such as cesarean section delivery and preterm birth, and uses an economic model to calculate the financial costs of maternal morbidity in the United States. The authors advocate for affordable, continuous health insurance coverage, including extending postpartum Medicaid coverage to ensure that key physical and mental health needs following birth are identified and met.

Contact: Commonwealth Fund, One East 75th Street, New York, NY 10021, Telephone: (212) 606-3800 Fax: (212) 606-3500 E-mail: [email protected] Web Site: http://www.commonwealthfund.org Available from the website.

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Keywords: Maternal health, Maternal morbidity, Pregnancy, Pregnancy outcomes, Pregnant women

Annotation: This systematic review assesses the benefits and potential harms of pharmacologic interventions for pregnant, postpartum, and reproductive-age women with a new or preexisting diagnosis of a mental health disorder. Based on data extracted from 164 studies that met the eligibility criteria, the review explores whether the benefits for the mother outweigh the potential risks that pharmacologic interventions pose to the fetus, including the risk of congenital anomalies. The document was prepared by the RTI International--University of Northat Carolina at Chapel Hill Evidence-based Practice Center for the U.S. Agency for Healthcare Research and Quality.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov Available from the website.

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Keywords: Comparative analysis, Congenital abnormalities, Literature reviews, Maternal health, Mental disorders, Mental health, Outcome evaluation, Perinatal care, Pharmacology, Risk factors, Women', s health

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.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov

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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 systematic review updates the 2012 evidence review used to inform the United States Preventive Services Task Force recommendations on the benefits and harms of screening for gestational diabetes mellitus. Since gestational diabetes mellitus is mostly asymptomatic, screening for it during pregnancy could identify women who could benefit from treatments to reduce the adverse consequences of this condition. Data sources included MEDLINE, Embase, and CINAHL between 2010 and May 2020; other sources included ClinicalTrials.gov, reference lists of primary studies and systematic reviews through June 2021. The results of this review showed that screening tests can identify women with gestational diabetes at or after 24 weeks of gestation and treatment is associated with improvement in various maternal and neonatal outcomes without serious harms.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov

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Keywords: Diabetes mellitus, Evidence based medicine, Gestational diabetes, Literature reviews, Pregnancy, Pregnancy complications, Pregnancy outcomes, Pregnant women, Screening

Annotation: This fact sheet describes a systematic review of home visiting research to determine which home visiting program models have sufficient evidence to meet U.S. Department of Health and Human Services (DHHS) criteria for an "evidence-based early childhood home visiting service delivery model." The brief also summarizes the evidence of effectiveness for the 20 program models that met DHHS criteria. Topics include favorable and sustained program impacts on primary and secondary outcome measures and whether or not the model has been replicated.

Contact: U.S. Administration for Children and Families, Office of Planning, Research, and Evaluation, 370 L'Enfant Promenade, S.W., Seventh Floor West, Washington, DC 20447, Web Site: http://www.acf.hhs.gov/opre Available from the website.

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Keywords: Child health, Early childhood development, Family support programs, Home visiting, Maternal health, Measures, Model programs, Outcome evaluation, Parenting, Research, School readiness, Sustainability, Young children

Annotation: This report describes opportunities for improving maternal and infant health outcomes among Medicaid and CHIP beneficiaries. The document reports on the work of the Expert Workgroup on Maternal and Infant Health, convened in 2019 and 2020. In addition, the report demonstrates the use of three of the Maternal and Perinatal Health Core Set measures: cesarean sections for low-risk pregnancies, attendance at postpartum care visits, and number of well-child visits in the first 15 months of life.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (800) 633-4227 Secondary Telephone: (877) 267-2323 Fax: Web Site: https://www.cms.gov

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Keywords: Child health, Health equity, Infants, Maternal health, Maternal morbidity, Pregnancy, Pregnancy outcomes, Pregnant women

Annotation: This action plan lays out specific steps that the U.S. Department of Health and Human Services is taking to address the high maternal mortality rate in the United States. The document targets the following actions: reduce the maternal mortality rate by 50 percent in five years; reduce the low-risk cesarean delivery rate by 25 percent in five years; achieve blood pressure control in 80 percent of women of reproductive age with hypertension. In addition to describing the challenges of maternal mortality and the specific action steps, the report also provides a detailed list of current maternal health programs and initiatives with links for more information.

Contact: U.S. Department of Health and Human Services, 200 Independence Avenue, S.W., Washington, DC 20201, Telephone: (877) 696-6775 Web Site: http://www.hhs.gov Available from the website.

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Keywords: Cesarean section, Childbirth, Hypertension, Maternal health, Perinatal care, Pregnancy, Pregnancy complications, Pregnancy outcomes, Pregnant women, Public policy

Annotation: This consensus study report reviews and evaluates maternal and newborn care in the United States; the epidemiology of social and clinical risks in pregnancy and childbirth; research on birth settings; and access to and choice of birth settings in America. Maternal and neonatal interventions and health outcomes are compared across birth settings, including hospitals, birthing centers, and home birth environments.

Contact: National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, 500 Fifth Street, N.W., Washington, DC 20001, Telephone: (202) 334-2000 Fax: E-mail: [email protected] Web Site: https://www.nationalacademies.org/hmd/health-and-medicine-division Available from the website.

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Keywords: Access to care, Birthing centers, Cesarean section, Childbirth, Health facilities, Home childbirth, Hospitals, Infant care, Maternal health, Maternal morbidity, Maternity hospitals, Measures, Midwifery, Policy , Pregnancy, Pregnancy outcome, Risk factors, Social factors, Statistics, Trends

Annotation: This brief uses data from the State of Babies Yearbook: 2020 to examine state-level differences in how infants and toddlers living in rural areas are faring. It includes key findings on health care utilization among pregnant women and select infant/toddler outcome measures such as infant mortality, preterm birth, breastfeeding, vaccine uptake, and preventive checkups) Several recommendations for policy makers to help ensure equitable health care access for infants and toddlers living in rural areas are also provided.

Contact: Child Trends , 7315 Wisconsin Avenue, Suite 1200 W, Bethesda, MD 20814, Telephone: (240) 223-9200 E-mail: Web Site: http://www.childtrends.org

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Keywords: Access to health care, Birthing centers, Data, Health insurance, Home births, Infant health, Outcome evaluation, Policy development, Prenatal care, Rural health, Toddlers

Annotation: This document provides an overview of the Home Visiting Evidence of Effectiveness (HomVEE) review process and a summary of the review results. Contents include a summary of evidence of effectiveness by model and outcome domain, a summary of implementation guidelines for program models with evidence of effectiveness, and a discussion of gaps in the home visiting research literature. The appendix contains a list of the program models reviewed.

Contact: U.S. Administration for Children and Families, Office of Planning, Research, and Evaluation, 370 L'Enfant Promenade, S.W., Seventh Floor West, Washington, DC 20447, Web Site: http://www.acf.hhs.gov/opre Available from the website.

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Keywords: Home visiting, MCH research, Model programs, Outcome and process assessment, Treatment effectiveness evaluation

Annotation: This brief provides state-national comparisons on families and children in Arizona, with a focus on three key areas: Healthy children, prepared students, and strong families. Included are child health statistics and trends and a description of the ways in which Things First and its partners in Arizona’s early childhood system are working to support healthier children and promote early learning at the state and local level.

Contact: First Things First, 4000 North Central Avenue, Suite 800, Phoenix, AZ 85012, Telephone: (602) 771-5100 Secondary Telephone: (877) 803-7234 E-mail: [email protected] Web Site: http://www.firstthingsfirst.org Available from the website.

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Keywords: Arizona, Arizona , Child health, Early childhood development, Early childhood education, Families, Family health, Family support, Infant health, Infants, Learning, Oral health, Outcome and process assessment, School readiness, Screenings, State surveys, Statistical data, Statistics, Trends, Vulnerability, Young children

Annotation: This resource presents the Community Preventive Services Task Force recommendations on exercise programs for pregnant women to reduce the development of gestational hypertension. In addition to describing interventions aimed to engage women in regular exercise during pregnancy, the website offers information from a systematic review that included 17 studies published through February 2017. The review assessed the effectiveness of exercise programs in preventing gestational hypertensive disorders, defined as new onset high blood pressure during pregnancy.

Contact: Community Preventive Services Task Force, Centers for Disease Control and Prevention, Community Guide Branch, 1600 Clifton Road, N.E., MSE69, Atlanta, GA 30329, Telephone: (404) 498-6595 E-mail: [email protected] Web Site: https://www.thecommunityguide.org/task-force/community-preventive-services-task-force-members

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Keywords: Exercise, Hypertension, Maternal health, Physical fitness, Pregnancy, Pregnancy complications, Pregnancy induced hypertension, Pregnancy outcomes, Pregnant women, Prevention