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 guide provides information for a pregnant woman’s family about opioid misuse and treatment during pregnancy. The guide explains what an opioid use disorder is and discusses the importance of comprehensive prenatal care and treatment for pregnant women with the disorder, delivery, newborn health, breastfeeding, social supports, and what to expect in the weeks and months after delivery.

Contact: Partnership for Drug-Free Kids, 352 Park Avenue South, 9th Floor, New York, NY 10010, Telephone: (855) 378-4373 Secondary Telephone: (212) 922-1560 Fax: (212) 922-1570 E-mail: [email protected] Web Site: http://www.drugfree.org/ Available from the website.

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Keywords: Consumer education materials, Infant health, Narcotics, Perinatal addiction, Pregnant women, Substance abuse treatment

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

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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]

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

Annotation: This report outlines findings and recommendations from a survey assessing equity practices within Perinatal Quality Collaboratives (PQCs). It presents survey results from the Maternal Child Health Systems Assessment Tool (MSAT), which evaluated how PQC leadership perceives and experiences equity within their work environments. The document examines key findings in demographics, attitudes, behaviors, knowledge, perceptions, characteristics, and experiences of PQC staff, revealing that while most PQCs operate within an ally-designed system, they face challenges in leadership diversity and implementing equity-based approaches. It provides seven major recommendations for improving health equity in PQCs, including increasing leadership diversity, moving beyond basic DEI training to action planning, enhancing community engagement, securing leadership buy-in, strengthening organizational culture, addressing socio-political barriers, and ensuring sustainable funding support. The report includes specific implementation strategies for each recommendation and incorporates visual aids such as a community engagement spectrum diagram and a table of authentic community engagement practices.

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: Collaboration, Cultural diversity, Health equity, Perinatal health, Quality assurance, Surveys, Work force

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/

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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/

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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

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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/

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

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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. 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

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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 synthesizes key learnings from an 8-session virtual learning series held between December 2022 and July 2023 focused on implementing Medicaid coverage for doula and perinatal community health worker services. It presents findings in four main areas: partnerships between payers and providers, administrative supports, training and certification requirements, and workforce development. The document outlines specific recommendations for state Medicaid agencies and managed care organizations to create sustainable benefits that center community-based perinatal support providers' needs and advance birth equity. The report includes detailed speaker quotes, examples from multiple states' implementation efforts, and links to full session materials and recordings from the learning series.

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

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Keywords: Community health workers, Doulas, Medicaid, Perinatal services, Professional education, State agencies

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/

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

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

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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: 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