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.

• Link

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: These perinatal clinical care guidelines for the general population include guidelines for the first prenatal visit (6–12 weeks) and each subsequent prenatal visit (13–42 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, 1380 Soldiers Field Road, Floor 3, Brighton, MA 02135, 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: https://www.cdc.gov/cdc-info/forms/contact-us.html Web Site: http://www.cdc.gov

• Link

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

Annotation: This article from Health Affairs Forefront examines lessons learned from California's experience with perinatal community health workers (CHWs) and provides recommendations for policy makers designing similar programs. It discusses how perinatal CHWs can help address disparities in maternal health outcomes by providing culturally appropriate support throughout pregnancy and postpartum periods. The authors, drawing from 15 years of experience in California's Medicaid system, outline key considerations including adequate reimbursement rates, payment flexibility for services provided in both clinical and community settings, program coordination to prevent inefficiencies, standardized data collection methods, and support systems to prevent CHW burnout. The document includes specific examples from programs at San Francisco General Hospital and Los Angeles County, and discusses implications for state Medicaid programs participating in CMS's new Transforming Maternal Health Model.

Contact: Health Affairs, 1220 19th Street, NW, Suite 800, Washington, DC 20036, E-mail: [email protected]

• Link

Keywords: Barriers, California, Community health workers, Maternal health, Models, Payment, Perinatal care, Policy development, Postpartum care, Reimbursement, State programs

Annotation: In this podcast episode, host Christie Allen sits down with Dr. Andrea Greiner, a maternal-fetal medicine specialist at the University of Iowa, to discuss the unique challenges of rural maternity care. Dr. Greiner shares her experiences working at a perinatal regional center, offering insight into how larger facilities can support rural hospitals and providers. Together, they explore the importance of individualized care, the complexities of coordinating care across diverse healthcare settings, and the logistical hurdles rural patients face. The episode is part of the AIM for Safer Birth series of podcasts that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.

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

• Link
• Series Link

Keywords: Access to health care, Barriers, Coordination, Maternal health, Perinatal health, Regional factors, Regional medical centers, Rural health

Annotation: in this podcast episode, host Christie Allen talks with Audra Summers and Ashley Rainey about Indiana's innovative use of the AIM Patient Safety Bundles to drive sustainable change in maternal care. Audra and Ashley share their experiences implementing and maintaining quality improvements across Indiana's 75 delivery facilities. They discuss the importance of collaboration, the integration of safety measures into daily practices, and how sustainability is achieved through data-driven methods and cultural shifts. Listeners will learn how Indiana's approach to quality improvement can inspire and inform efforts nationwide. The episode is part of the AIM for Safer Birth series of podcasts that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.

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

• Link
• Series Link

Keywords: Indiana, Maternal health, Perinatal care, Resources for professionals, Safety, State initiatives

Annotation: This report examines the critical impact of mental health and substance use disorders on maternal mortality and morbidity in the United States, highlighting how suicide and substance use-related overdoses account for over 20 percent of postpartum deaths. It presents promising approaches from states including Massachusetts, New Jersey, Oregon, New Hampshire, and California that integrate maternity care with behavioral health services and social supports. The report outlines six key recommendations for improving care: supporting dedicated multidisciplinary care teams, centering people with lived experience to drive health equity, normalizing substance use care, training all staff on bias and stigma, expanding the community-based workforce including doulas and peer recovery specialists, and implementing harm reduction and street medicine approaches. The authors emphasize that with nearly every state now providing 12 months of postpartum Medicaid coverage, there are unprecedented opportunities to implement integrated, trauma-informed, non-punitive care models that can significantly reduce maternal mortality and improve outcomes for families.

Contact: Center for Health Care Strategies, 300 American Metro Boulevard, Suite 125, Hamilton, NJ 08619, Telephone: (609) 528-8400 Fax: (609) 586-3679 Web Site: http://www.chcs.org

• Link

Keywords: Substance abusing pregnant women, Community participation, Disorders, Health care reform, Initiatives, Maternal morbidity, Maternal mortality, Medicaid, Mental health, Model programs, Perinatal addiction, Perinatal care, Postpartum care, Quality improvement, Risk factors, Service integration, Substance use disorders

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/

• Link

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, Web Site: https://www.mombaby.org/

• Link

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. DC 20024-2188 (street address), P.O. Box 96920, Washington, DC 20024-9998, Telephone: (202) 638-5577 Secondary Telephone: (800) 673-8444 E-mail: [email protected] Web Site: http://www.acog.org

• Link

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

• Link

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/

• Link

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/

• Link

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

Annotation: This issue brief highlights Action 2.6 from the White House Blueprint for Addressing the Maternal Health Crisis, focusing on training healthcare providers on implicit biases, culturally and linguistically appropriate care, and behavioral health needs of pregnant and postpartum women. The document examines how racism, bias, and structural inequities contribute to maternal health disparities, particularly for people of color, and presents evidence about the effectiveness of different approaches to addressing implicit bias and providing respectful maternity care. It outlines specific state-level innovations and evidence-based strategies being implemented across the United States, including mandated training programs, cultural competency initiatives, and tools for measuring and evaluating bias reduction efforts. The brief includes data on racial disparities in maternal health outcomes and provider-patient racial concordance, while providing recommendations for developing more equitable and culturally responsive care systems.

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

• Link

Keywords: Cultural competency, Health care disparities, Implicit bias, Maternal health, Perinatal care, Racial factors, State initiatives, health equity

Annotation: This issue brief highlights Action 1.4 from the White House Blueprint for Addressing the Maternal Health Crisis, which focuses on strengthening risk-appropriate care in rural and urban areas through implementation of the CDC Levels of Care Assessment Tool (LOCATe). The document examines how this standardized assessment tool helps states evaluate and improve the distribution of maternal care capabilities across birthing facilities. It presents current data on maternal mortality rates and disparities across populations, discusses the challenges of providing appropriate levels of care particularly in rural areas, and outlines specific state-level innovations being implemented to strengthen perinatal regionalization. The brief includes detailed examples of successful LOCATe implementation in states like Montana and North Carolina, along with evidence-based measures for tracking progress in establishing risk-appropriate care systems.

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

• Link

Keywords: Access to care, Data, Evaluation methods, Perinatal addiction, Perinatal care, Risk assessment, Rural populations, State initiatives, Substance use disorders, model programs

Annotation: This report examines innovative approaches to perinatal and child health services within Medicaid programs to support communities and advance health equity. The document profiles various initiatives focused on improving maternal and child health outcomes through the prenatal-to-three framework. Key areas covered include advancing a culturally congruent perinatal workforce through doula programs, partnering with maternal and child home visiting programs, integrating community input in program design, coordinating care for mothers with opioid use disorder, and investing in high-quality perinatal and child healthcare services. The research was supported by the Pritzker Children's Initiative and developed with input from a national advisory committee comprising clinical, scientific, and policy experts representing diverse healthcare organizations, academic institutions, and policy centers.

Contact: Institute for Medicaid Innovation, 1250 Connecticut Ave., Suite 700, PMB 5135, Washington, DC 20036, E-mail: [email protected] Web Site: http://www.medicaidinnovation.org

• PDF

Keywords: Child health services, Community based services, Health equity, Initiatives, Medicaid, Outreach, Perinatal care, Perinatal services, Research

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: https://www.cdc.gov/cdc-info/forms/contact-us.html Web Site: http://www.cdc.gov

• Link

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

• Link

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/

• PDF

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