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]

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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.

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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.

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• Program Website

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 report provides information from a pilot project conducted to test guidance developed by the American Academy of Pediatrics (AAP) to support the implementation of silver diamine fluoride (SDF) application in pediatric settings. The report describes the pilot, presents evaluation results, and discusses obstacles to and facilitators of successful implementation, workflow changes to support implementation, early outcomes, use of AAP guidance to inform and support implementation, and the SDF pilot experience.

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Keywords: Dental caries, Oral health, Pilot projects, Prevention, Silver diamine fluoride, Treatment outcomes

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.

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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.

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• Overview

Keywords: Data, Data analysis, Data collection, Data sources, Ethnic factors, Health equity, Massachusetts, 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.

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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.

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

Annotation: This online resource presents data and interactive maps focused on state perinatal innovations and policy gaps organized into three categories: coverage and benefits; care delivery transformation; and data and oversight.

• Web Portal And Report
• Interactive Maps

Keywords: Data, Family planning, Health care delivery, Interactive media, Maps , Models, Outcome and process, Perinatal care, Policy development, State initiatives

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.

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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.

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

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.

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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.

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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.

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• Program Website

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: These resources for oral health professionals provide guidance on immediate and urgent care for traumatic oral injuries, including fractures and luxations of permanent teeth, avulsion of permanent teeth, and traumatic injuries to primary teeth. Topics include diagnosis, treatment planning, follow-up care, and outcomes. Special considerations for trauma to primary teeth, immature versus mature permanent teeth, avulsion of permanent teeth, and patient/parent instructions are included. The guidelines are available in Arabic, Bahasa, Croatian, English, Farsi, French, German (Austrian), Greek, Hebrew, Hindi, Italian, Korean, Lithuanian, Mandarin Chinese, Nepali, Portuguese, Romanian, Spanish, Russian, Tamil (India), Turkish, Ukranian, Urdu, and VIetnamese.

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Keywords: Critical care, Emergency medical services, International health, Non English language materials, Oral health, Oral health care, Outcome and process assessment, Resources for professionals, Trauma care

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.

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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.

• Action Plan
• Summary

Keywords: Cesarean section, Childbirth, Hypertension, Maternal health, Perinatal care, Plans, 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.

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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.

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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.

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• Program Website

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