Search Results: MCHLine

Annotation: This volume presents a joint project of the March of Dimes and the Future Homemakers of America, which trains adolescent to provide peer education to other adolescents on the subject of preventing birth defects. It discusses reports from peer educators, the problem of birth defects, facts about preventable problems and project possibilities, suggestions for getting started, communication techniques, and a list of do's and don'ts. The volume is illustrated with photographs and drawings.

Keywords: Adolescent parents, Adolescent pregnancy, Communication, Congenital abnormalities, Peer education

Annotation: The goal of this project was to reduce the incidence of low birthweight by improving the preconceptional health of women who were at high risk for delivering a low birthweight infant. High-risk women were identified at delivery and were followed for 2 years. Client services were then provided by community health workers, who made home visits and developed a risk reduction plan for each client. Intervention protocols were developed for each risk factor and involved referral to the appropriate resource, followup to ensure client compliance, and reinforcement of professional counseling or supplemental teaching. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB93-196848.

Keywords: Community-Based Health Services, Florida, High risk groups, High risk mothers, High risk pregnancy, Indigent Patients, Infant Mortality, Intervention, Low Birthweight, WIC Program

Annotation: This project aimed to reduce postneonatal mortality rates associated with inadequate parenting skills and poor utilization of prenatal and child health care services. Activities included establishment of a resource mothers program in which church women were trained to assist pregnant women in negotiating the health care and social services systems, and implementation of a teen peer counselor program. The project also established self-sustaining local coalitions to monitor and address problems that contribute to poor pregnancy outcomes. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB93-196889.

Keywords: Access to Health Care, Adolescents, Blacks, Clergy, Community-Based Health Services, High risk groups, High risk pregnancy, Infant Mortality, Low income groups, Postneonatal Mortality, Pregnant Women, Prenatal Care, Religious organizations, Rural Populations

Annotation: This project surveyed 3000 postpartum Massachusetts women in order to identify barriers to, components of, and levels of participation in prenatal care, and to collect data on the social context of women's lives during pregnancy. Various interventions with high risk women at four demonstration sites were evaluated and compared. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB93-144236.

Keywords: High risk pregnancy, Hispanics, Infant Mortality, Low Birthweight, Pregnant Women, Prenatal Care

Annotation: This project sought to reduce infant morbidity and mortality due to low birthweight, and to demonstrate a cost-effective prenatal care program which was integrated into the existing system and can be duplicated in other states. Project objectives included: reducing the incidence of low birthweight newborns in the project; reducing the incidence of women who engage in high-risk behaviors during their pregnancy; instituting a model prenatal education, counseling, referral, and followup program in physicians' offices and other sites; and enhancing the education and counseling skills of prenatal care providers. [Funded by the Maternal and Child Health Bureau]

Contact: National Technical Information Service, O.S. Department of Commerce, 5301 Shawnee Road, Alexandria, VA 22312, Telephone: (703) 605-6050 Secondary Telephone: (888) 584-8332 E-mail: customerservice@ntis.gov Web Site: http://www.ntis.gov Document Number: NTIS PB92-103258.

Keywords: Counseling, Education of Health Professionals, Education of Patients, High risk pregnancy, Infant Morbidity, Infant Mortality, Low Birthweight, Pregnant Women, Prenatal Care, Referrals

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: postpartumprogress@gmail.com 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 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: info@healthyteennetwork.org 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 report explores the maternal health crisis in the United States and offers real-world examples and solutions designed to eliminate disparities in maternal health and reduce maternal mortality rates. The areas of focus include: dynamics in maternal care that lead to disparities; policies that facilitate change; utilizing technology to increase health equity; and recommendations for the future.

Contact: Executives for Health Innovation, One Thomas Circle, NW, Suite 700, Washington , DC 20005, Telephone: 202-624-3270 E-mail: info@ehidc.org Web Site: https://www.ehidc.org

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Keywords: Access to health care, Health care disparities, Health equity, Health status disparities, Maternal health, Maternal morbidity, Policy development, Pregnancy, Pregnant women, Telehealth, Telemedecine

Annotation: This Medicaid Policy Cheat Sheet explores new initiatives for maternity and reproductive health care in California. The state of California is seeking to advance more whole-person care for pregnant and birthing people, and to ensure and expand access to reproductive health care. The programs described in the document can serve as models for other states.

Contact: Center for Health Care Strategies, 200 American Metro Boulevard, Suite 119, Hamilton, NJ 08619, Telephone: (609) 528-8400 Fax: (609) 586-3679 Web Site: http://www.chcs.org

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Keywords: Health equity, Maternal health, Medicaid, Policy development, Pregnancy, Pregnant women

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 resource guide includes tools and other resources that can be used to improve the oral health status of women of childbearing age, pregnant women, infants, and young children in Illinois. It provides an introduction and background and discusses health information for women of reproductive age and pregnant women; the role of health professionals in improving the oral health of pregnant women, infants, and young children; prescribing opioids for women of reproductive age; and progress toward improving oral health in Illinois. State guidelines for policy and practice are included. [Partially funded by the Maternal and Child Health Bureau]

Contact: Illinois Department of Public Health, 525-535 West Jefferson Street, Springfield, IL 60603, Web Site: http://www.dph.illinois.gov Available from the website.

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• Related Publications

Keywords: Guidelines, Illinois, Infants, Oral health, Pregnancy, State materials, Women’s health, Young children

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: info@cmwf.org Web Site: http://www.commonwealthfund.org

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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.

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: 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) 427-1104 Secondary 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 publication explores the link between interpersonal and community-level racism and its impact on preterm birth, lower gestational age at birth, and infant low birth weight. Rather than focusing on individual behaviors that put pregnant people of color at higher risk of poor health outcomes, the authors describe how the toxic stress of racism affects physiological processes. One in a ten-part series of publications titled Saving the Lives of Mothers and Babies produced jointly by the National Partnership for Women and Families and the National Birth Equity Collaborative.

Contact: National Partnership for Women and Families, Childbirth Connection Programs, 1875 Connecticut Avenue, N.W., Washington, DC 20009, E-mail: info@childbirthconnection.org Web Site: http://www.childbirthconnection.org

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Keywords: Blacks, Infant health, Low birthweight, Maternal health, Pregnancy, Preterm birth, Racial factors, Racism, Risk factors

Annotation: This series includes four handouts: (1) Keeping Baby Teeth Healthy, (2) Protecting Young People’s Teeth, (3) Protecting Your Teeth for a Lifetime, and (4) Protect Your Teeth Later in Life. Each tip sheet provides information about how to keep the mouth and teeth healthy during different life stages (e.g., pregnancy,infancy, childhood, adolescence, later years) as well as for a lifetime. The handouts are available in English and in Spanish.

Contact: American Academy of Pediatrics, Campaign for Dental Health, 345 Park Boulevard, Itasca, IL 60143, Telephone: (847) 434-4000 Fax: (847) 434-8000 E-mail: fluoride@aap.org Web Site: http://www.ilikemyteeth.org Available from the website.

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Keywords: Adolescent health, Consumer education materials, Health promotion, Infant health, Older adults, Oral health, Pregnancy, Prevention, Spanish language materials

Annotation: This Surgeon General’s report examines the effectiveness of various smoking cessation tools and resources; reviews the health effects of smoking and catalogues the improvements to health that can occur when smokers quit; highlights important new data on populations in which the prevalence of smoking is high and quit rates are low; and identifies gaps in the availability and utilization of programs, policies, and resources that can improve cessation rates and help smokers quit.

Contact: U.S. Office of the Surgeon General, Tower Building, Plaza Level 1, Room 100, 1101 Wootton Parkway, Rockville, MD 20852, Telephone: (240) 276-8853 Fax: (240) 453-6141 Web Site: http://www.surgeongeneral.gov/index.html Available from the website.

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Keywords: Federal initiatives, Health behavior, Passive smoking, Research, Risk taking, Smoking, Smoking cessation, Smoking during pregnancy, Tobacco use

Annotation: This publication summarizes presentations and discussions from a two-day workshop held in January 2020. Topics include macronutrient requirements; one-carbon metabolism micronutrients; iron, vitamin D, calcium, antioxidants, and iodine; dietary supplements; new developments and emerging topics; implications for maternal and infant health of maternal intakes and nutritional status during lactation; maternal nutrient intake and early-life programming; and the role of systems and policies in providing solutions to nutrition access and equity during pregnancy and lactation.

Contact: National Academies Press, 500 Fifth Street, N.W., Keck 360, Washington, DC 20001, Telephone: (202) 334-3313 Secondary Telephone: (888) 624-8373 Fax: (202) 334-2451 E-mail: customer_service@nap.edu Web Site: http://www.nap.edu Available from the website.

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• Brief

Keywords: Infant nutrition, Lactation, Maternal nutrition, Pregnancy, Prenatal nutrition

Annotation: This evidence review looks at evidence-based and evidence-informed strategies that MCH Block Grant programs can implement to support smoking cessation in pregnancy. Contents include an introduction and background; review methods and results, including search results, characteristics of studies reviewed, intervention components, summary of study results, and evidence rating and evidence continuum; and implications of the review. [Funded by the Maternal and Child Health Bureau]

Contact: Strengthen the Evidence for MCH Programs, National Center for Education in Maternal and Child Health, Web Site: https://www.mchevidence.org/ Available from the website.

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• Brief

Keywords: Block grants, Evidence-based practice, Literature reviews, Measures, Model programs, Policy development, Pregnant women, Program planning, Resources for professionals, Smoking during pregnancy, State MCH programs, Title V programs, Tobacco use

Annotation: This Call to Action is intended to engage and equip individuals, organizations, and communities with actions to improve women’s health prior to, during, and following pregnancy. It describes the current state of maternal mortality and morbidity in the United States, risk factors present prior to pregnancy that may worsen or cause complications during pregnancy, strategies and actions to improve maternal health and reduce maternal mortality and morbidity. It includes a glossary, information on data systems, and government programs and resources.

Contact: U.S. Office of the Surgeon General, Tower Building, Plaza Level 1, Room 100, 1101 Wootton Parkway, Rockville, MD 20852, Telephone: (240) 276-8853 Fax: (240) 453-6141 Web Site: http://www.surgeongeneral.gov/index.html Available from the website.

• Full Report
• Executive Summary

Keywords: Federal initiatives, Federal programs, Maternal morbidity, Maternal morbidity, Pregnancy, Pregnant women