Search Results: MCHLine

Annotation: These resources for clinicians involved in the care of pregnant and postpartum women include position papers, algorithms, toolkits, guidelines for treatment, screening tools, research on perinatal mood and anxiety disorders, professional organizations, training and continuing education, books, and other resources. Information and peer support for pregnant and new moms with postpartum depression and other mental illnesses related to pregnancy and childbirth are also available from the website.

Contact: Postpartum Progress, E-mail: [email protected] Web Site: http://www.postpartumprogress.com Available from the website.

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Keywords: Childbirth, Mental disorders, Mental health, Perinatal bereavement, Perinatal health, Perinatal influences, Postpartum care, Postpartum depression, Postpartum women, Pregnancy, Pregnant women, Puerperal disorders, Resources for professionals, Women', s health

Annotation: This document provides a core set of perinatal clinical care guidelines for the general population. Contents include guidelines for the first prenatal visit (6 to 12 weeks) and at each subsequent prenatal visit (13 to 42 weeks). Topics include initial and interval history; psychosocial assessment; physical examinations; immunizations; laboratory evaluation and additional testing; oral health; genetic counseling, screening, and testing; general counseling, education, and discussion; and the postpartum visit.

Contact: Massachusetts Health Quality Partners, 42 Pleasant Street, Suite 3, Watertown, MA 02472, Telephone: (617) 600-4621 Fax: (617) 393-3433 E-mail: [email protected] Web Site: http://www.mhqp.org Available from the website.

• 2024 Guidelines
• License Required To Access This Material

Keywords: Guidelines, Perinatal health, Perinatal services, Postpartum care, Pregnant women, Prenatal care, Preventive health services

Annotation: This website explains how Perinatal Quality Collaboratives (PQCs) work to improve the quality of healthcare for mothers and babies. PCQs are networks of perinatal health care providers that include hospitals, clinicians, and public health professionals working to improve pregnancy outcomes through quality improvement initiatives and use of best available evidence-based strategies. The site includes a video introduction to PQCs; a webinar series; a guide to help states developed PQCs, success stories, journal articles, and links to additional resources.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: [email protected] Web Site: http://www.cdc.gov

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Keywords: Collaboration, Infant health, Maternal health, Model programs, Perinatal care, Perinatal services, Quality assurance, Regional programs, State initiatives

Annotation: This action brief discusses the importance of prioritizing respectful maternity care, calling attention to the need to support dignity, autonomy, and companionship in pregnancy, birth, and postpartum care. The brief highlights five anti-discriminatory action steps highlighted in the White House blueprint for addressing the maternal crisis and links to a wide variety of programs and resources aimed at improving maternal health outcomes. Statistical data related to maternal maltreatment and a description of factors affecting progress are included

Contact: Maternal Health Learning and Innovation Center , University of North Carolina at Chapel Hill, Chapel Hill, NC Web Site: https://maternalhealthlearning.org/

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Keywords: , Barriers, Federal programs, Health care disparities, Health equity, Initiatives, Maternal health, Models, Perinatal care, Quality improvement, Racial discrimination

Annotation: This website provides tools for framing and understanding racial and ethnic health disparities; conversation starters and hidden bias tests; free online trainings; information databases; reports on health disparities in North Carolina; and examples of promising interventions aimed at closing the gap in health disparities.

Contact: University of North Carolina , Collaborative for Maternal and Infant Health , Room 216 MacNider, Campus Box 7181, Charep Hill, NC 27599-7181, E-mail: [email protected].

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Keywords: Ethnic factors, Health care disparities, Health equity, Infant mortality, Maternal health, Perinatal care, Racial factors

Annotation: This toolkit provides actionable information, algorithms, and clinical guidance to support detection, assessment, and treatment of perinatal mood and anxiety disorders. Included is a summary of perinatal mental health conditions; patient screening and treatment guidance; a how-to guide on integrating mental health care into obstetric practice; and educational resources for providers, patients, and families. The toolkit was developed by the UMass Chan Medical School and reviewed by members of the American College of Obstetricians and Gynecologists' Maternal Mental Health Expert Work Group.

Contact: American College of Obstetricians and Gynecologists, 409 12th Street S.W., P.O. Box 96920, Washington, DC 20090-6920, Telephone: (202) 638-5577 Secondary Telephone: (202) 863-2518 E-mail: [email protected] Web Site: http://www.acog.org

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Keywords: Mental health, Obstetrical care, Perinatal care, Service integration

Annotation: [This issue brief explains how expanding the role of midwives in the U.S. health care system could reduce perinatal health disparities and help address provider workforce shortages. It provides an overview of the midwifery model of care and describes how the integration of midwifery as a standard feature of maternity care varies dramatically across states. It also examines racial/ethnic disparities in midwifery access and use and examines barriers, including inequitable Medicaid reimbursement rates, that limit broad access to midwifery care.

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

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Keywords: Access to health, Barriers, Midwives, Perinatal care, Trends, Work force

Annotation: This brief highlights goal 1 of the White House blueprint for addressing the maternal health crisis, which is to increase access to and coverage of comprehensive high-quality maternal health services, including behavioral health services. The brief outlines the need to strengthen risk-appropriate care in rural and urban areas; improve quality of care provided to pregnant and postpartum women with or at risk for hypertensive disorders of pregnancy; expand capacity to screen, assess, treat, and refer for maternal depression and related behavioral disorders; and Integrate behavioral health supports in community settings. Evidence-informed strategies for improvement, criteria for states to consider when developing strategies, and additional resources are included. Statistics on the percentage of women ages 15-49 with health insurance (by source of coverage); percent of Medicaid coverage by race/ethnicity; and births covered by Medicaid are also provided.

Contact: Maternal Health Learning and Innovation Center , University of North Carolina at Chapel Hill, Chapel Hill, NC Web Site: https://maternalhealthlearning.org/

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Keywords: Access to care, Barriers, Health insurance, Initiatives, Maternal health, Medicaid, Mental health services, Perinatal care, Service integration

Annotation: This action brief describes the need to expand and diversify the perinatal workforce to meet the nation's health care needs. Compounding the limited access to maternal health care professionals, the brief highlights the lack of racial and ethnic diversity in the workforce and recommends increasing the number of nurses, health aids, midwives, doulas, lactation consultants, and community health workers to help bridge the gap. Statistics on maternity care desserts and employment of obstetricians and gynecologists by state are included The brief also describes the numerous factors that influence the lack of maternal health care practitioners in the U.S. and includes a list of innovative projects and programs aimed at addressing the issue.

Contact: Maternal Health Learning and Innovation Center , University of North Carolina at Chapel Hill, Chapel Hill, NC Web Site: https://maternalhealthlearning.org/

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Keywords: Access to care, Barriers, Healtah equity, Initiatives, Maternal health, Perinatal care, Statistics, Work force

Annotation: This report builds upon the 2022 report and continues to identify counties where a woman’s access to maternity health services may be limited or absent. It describes policy solutions and actions; gives summary data about maternity care deserts with a map showing each county in the U.S. and its level of access to maternity care; characteristics of maternity care deserts; information about and maps of hospitals, birth centers, providers, midwives and doulas; health insurance coverage; perinatal regionalization and risk-appropriate levels of care; and the covid-19 pandemic and access to maternity care.

Contact: March of Dimes, 1275 Mamaroneck Avenue, White Plains, NY 10605, Telephone: (914) 997-4488 Secondary Telephone: Web Site: http://www.marchofdimes.com Available from the website.

• 2022
• 2022 Spanish

Keywords: Access to care, Infant health, Maternal health, Perinatal health, Pregnant women, State surveys, Statistics

Annotation: This website presents an overview of the Centers for Disease Control and Prevention's Hear Her campaign, which seeks to raise awareness of potentially life-threatening maternal warning signs during and after pregnancy. The site lists the signs and symptoms to be aware of; offers guidance for friends and family members of people who are pregnant; provides expert perspectives on how health professionals can help prevent pregnancy related deaths; and shares personal stories about pregnancy-related complications from American Indian women and others at risk of not being heard. Hear Her Campaign materials, including posters and handouts, conversation guides, and sample social media posts are also available on the site.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: [email protected] Web Site: http://www.cdc.gov

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Keywords: Maternal mortality, Media campaigns, Perinatal care, Postpartum care, Pregnancy, Prevention, Racial discrimination

Annotation: In this webinar, subject matter experts present on 1) the Alliance for Innovation on Maternal Health’s (AIM) patient safety bundle for perinatal people with substance use disorders, and 2) the role of public health agencies, perinatal quality collaboratives, and community organizations in supporting the implementation of the AIM bundle in their state. Speakers include representatives from the American College of Obstetricians and Gynecologists (ACOG), the Louisiana Department of Health, and the Florida Department of Health.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: [email protected] Web Site: http://www.amchp.org

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Keywords: Guidelines, Perinatal care, Postpartum women, Pregnant women, Preventive health services, Public health , Quality assurance, Safety, State initiatives, Substance abusing pregnant women, Substance use disorders

Annotation: This issue brief highlights current perinatal payment models, including perinatal bundles; outlines where equity can be embedded in payment reforms; and illustrates how payment reforms can be linked to address the needs of the whole person and improve longitudinal health outcomes for birthing people. Included are examples of perinatal bundle models in North Carolina, Colorado, and Tennessee.

Contact: Duke-Margolis Health Policy Center, 1201 Pennsylvania Ave, NW, 5th Floor, Washington, DC 20004, Telephone: (202) 621-2800 Web Site: https://healthpolicy.duke.edu/

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Keywords: Financing, Health care reform, Health equity, Models, Perinatal care, Policy development

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.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: [email protected] Web Site: http://www.cdc.gov

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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 approtriate care, and collaborating with community organizations.

Contact: Association of State and Territorial Health Officials, 2231 Crystal Drive, Suite 450, Arlington, VA 22202, Telephone: (202) 371-9090 Fax: (571) 527-3189 Web Site: http://www.astho.org

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

Annotation: This report describes strategies for implementing regionalized risk-appropriate maternal care across the United States through a levels of maternal care (LoMC) classification system. It examines key implementation components including facility assessment and verification, establishment of regional care networks, maternal transport systems, quality improvement processes, and data monitoring approaches. The report highlights challenges faced by rural facilities, the role of telemedicine, and the importance of addressing health equity in maternal care systems. Using case studies from various states and health systems, it provides specific recommendations for building sustainable LoMC systems nationally, including establishing a coordinating center, expanding funding mechanisms, and improving payment structures for obstetrical care.

Contact: Alliance for Innovation on Maternal Health, 409 12th Street, S.W., Washington, DC 20024, E-mail: [email protected]

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Keywords: Classification, Perinatal care, Reproductive health, Risk appropriate care, Risk factors

Annotation: This course is designed to help pediatric primary care health professionals (PPHPs) recognize the role they play in providing oral health care. Topics include the importance of the dental home, caries risk assessment including examination of teeth and gums, oral health anticipatory guidance, and fluoride varnish application. The course also covers steps to handle oral injuries if they occur and how families can prevent them.

Contact: American Academy of Pediatrics, 345 Park Boulevard, Itasca, IL 60143, Telephone: (630) 626-6000 Secondary Telephone: (847) 434-4000 Fax: (847) 434-8000 Web Site: https://www.aap.org Available at no charge to AAP members; $199 for individual nonmembers.

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Keywords: Children, Continuing education, Dental care, Fluorides, Infants, Maternal health, Oral health, Pediatric care, Perinatal care, Preventive health services, Primary care, Program improvement, Quality assurance, Resources for professionals, Service integration

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) 427-1104 Secondary 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) 427-1104 Secondary 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: In this video presentation, Dr. Nancy Byatt shares information on MCPAP-- the Massachusetts Child Pscychiatry for Moms program--which provides consultation to health care providers regarding behavioral/mental health and safe medications for pregnant or breastfeeding patients. MCPAP also helps to connect people to support groups and community-based services and serves as an example of behavioral and primary care integration that can be replicated.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: [email protected] Web Site: http://www.amchp.org

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Keywords: Behavioral medicine, Depression, Maternal health, Mental health, Model programs, Perinatal health, Primary care, Service integration