Search Results: MCHLine

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.

• 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 online resource outlines the “Plan for Appropriate Tailored Healthcare in Pregnancy (PATH)" recommendations developed by an independent panel of maternal care experts convened by the University of Michigan and the American College of Obstetricians and Gynecologists (ACOG). Based on a review of existing evidence, the site provides how-to guidance on prenatal care delivery and links to related resources for providers. An embedded 90-minute webinar presents an overview of ACOG's Redesigning Prenatal Care initiative and a roadmap to engage communities in the process.

• Link

Keywords: Evidence based medicine, Guidelines , Maternal health, Pregnancy, Prenatal care, Professional education

Annotation: This checklist, which is intended for clinics participating in the Networks for Oral Health Integration Within the MCH Safety Net's Rocky Mountain Network of Oral Health, is designed to help ensure that work done toward integrating oral health care is sustained after the project has ended. The checklist includes items demonstrating that oral health has been integrated into a practice. Examples from the checklist include submitting a written self-assessment, updated job descriptions, an onboarding process, a patient health history intake form, and appropriate policy documents. zzz

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Keywords: Guidelines, Infant health, Oral health, Pregnant women, Primary care, Service integration, Young children

Annotation: This workbook provides guidance for public health practitioners on conducting evaluations for the Children’s Healthy Weight Capacity Building Project. It explains core concepts such as evaluative thinking and outlines steps for developing a theory of change and a "tearless" logic model to clarify program goals. The workbook details various data collection and analysis methods, including photovoice, appreciative inquiry, and the World Café approach, while emphasizing culturally responsive and equitable evaluation practices. It also presents strategies for sharing results through data parties, infographics, and success stories to engage stakeholders. Appendices provide protocols for conducting focus groups and interviews, qualitative data analysis steps, and a list of evaluator competencies.

• PDF

Keywords: Child health, Evaluation, Guidelines, Models, Nutrition, Public health, Training for professionals

Annotation: This workbook serves as a resource for health care providers addressing maternal sepsis recognition and treatment in pregnant and postpartum patients. The workbook presents evidence on maternal sepsis as the body's life-threatening response to infection, noting that between 2017 and 2019, infection was the fourth leading cause of pregnancy-related death in the United States, with Black women having more than twice the risk of maternal sepsis compared to white women. Included are key challenges in maternal sepsis recognition and recommended procedural approaches. The workbook details the complete Alliance for Innovation on Maternal Health Sepsis in Obstetric Care Patient Safety Bundle components, covering readiness requirements including multidisciplinary team protocols and rapid response procedures, recognition and prevention measures such as evidence-based sepsis screening tools and infection prevention protocols, response protocols emphasizing early antibiotic administration within one hour and source control measures, and reporting and systems learning processes including multidisciplinary case reviews and bias consideration. The workbook addresses Missouri-specific data showing infections as the fifth leading cause of pregnancy-related deaths from 2018-2020, with sepsis as the fourth leading indicator for severe maternal morbidity and significant racial disparities noted, and includes extensive resources for sepsis evaluation flow charts, screening tools, simulation training scenarios, order sets, and patient education materials.

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Keywords: Emergency health services, Guidelines, Infectious complications complications, Missouri, Protocols, Resources for professionals, Sepsis, State initiatives

Annotation: This resource workbook for healthcare providers addresses evidence-based care practices for maternal-infant dyads affected by substance use disorder. The workbook presents key evidence-based practices including universal screening with validated tools following the screening, brief intervention and referral to treatment process, medications for opioid use disorder such as buprenorphine and methadone for pregnant and postpartum people, and the Eat, Sleep, Console model of care for infants experiencing neonatal abstinence syndrome. It emphasizes that substance use disorder is a chronic medical condition requiring evidence-based treatment and highlights the importance of trauma-informed, anti-racist care to address stigma and discrimination. The workbook includes the Alliance for Innovation on Maternal Health Care for Pregnant and Postpartum People with Substance Use Disorder patient safety bundle components organized into readiness, recognition and prevention, response, reporting and systems learning, and respectful care categories. It presents outcomes from the Missouri Neonatal Abstinence Syndrome Collaborative showing a 23.9% reduction in transfer rates for infants diagnosed with or at risk for withdrawal, and discusses Missouri's maternal mortality data indicating that mental health conditions including substance use disorder were the primary cause of pregnancy-related deaths from 2018 to 2020. Resources include screening tools, educational materials, guidance documents for urine drug testing and plans of safe care, and training opportunities specific to Missouri providers.

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Keywords: Guidelines, Infant health, Maternal health, Missouri, State initiatives, Substance use disorders

Annotation: This workbook provides guidance for implementing the Alliance for Innovation on Maternal Health (AIM) patient safety bundle on severe hypertension in pregnancy. It summarizes the evidence on hypertensive disorders of pregnancy, including classifications, diagnostic criteria, and treatment recommendations from ACOG, with a focus on timely treatment of severe hypertension (≥160/110 mm Hg) with first-line antihypertensive medications within 30-60 minutes to prevent maternal stroke. The workbook discusses considerations in diagnosing and managing preeclampsia, which can progress rapidly and become life-threatening without prompt intervention. It highlights data on hypertensive disorders from the Missouri Pregnancy-Associated Mortality Review and provides action steps for implementation of the AIM bundle among Missouri maternal health stakeholders. Resources and references are included for further education and training.

• PDF

Keywords: Guidelines, Hypertension, Maternal health, Missouri, Perinatal care, Pregnancy induced hypertension, Prenatal care, Resources for professionals, State initiatives

Annotation: This workbook provides guidance for implementing preconception and interconception care, which focuses on optimizing the health of individuals before and between pregnancies to improve maternal and infant outcomes. It summarizes the evidence on the importance of addressing modifiable risk factors prior to pregnancy, such as chronic disease management, nutritional status, substance exposure, and preventive health services. The workbook highlights concerning trends in maternal morbidity and mortality in the U.S., with stark racial disparities, and presents Missouri-specific data on conditions like hypertension, diabetes, and obesity that contribute to adverse outcomes. Evidence-based recommendations are provided for key components of preconception and interconception care across health care settings, including family planning, preventive screenings, chronic disease management, breastfeeding support, and depression screening. The workbook offers clinical tools and resources for providers to implement this care to promote optimal health for birthing people.

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Keywords: Guidelines, Health care disparities, Missouri, Preconception care, Prevention, Primary care, Risk factors, State initiatives

Annotation: This workbook provides guidance for implementing evidence-based practices to improve postpartum care during the transition from hospital discharge to outpatient follow-up. It summarizes trends in U.S. maternal mortality, with more than 50% of pregnancy-related deaths occurring in the postpartum period. The workbook outlines ACOG's updated recommendations for postpartum care as an ongoing process through 12 weeks after birth, including an initial visit within 3 weeks and a comprehensive visit by 12 weeks. It presents Missouri-specific data on the timing and causes of pregnancy-related deaths, low postpartum visit attendance rates, and shortages of obstetric and mental health providers. Key objectives and strategies are provided for improving postpartum transitions, such as implementing discharge templates and processes, increasing postpartum visit attendance, screening for medical and mental health conditions, providing linkages to specialist and community-based care, and leveraging Medicaid coverage extensions. The AIM Postpartum Discharge Transition Bundle components and resources for implementation are included.

• PDF

Keywords: Guidelines, Health care disparities, Missouri, Patient discharge, Postpartum care, Quality improvement, State initiatives

Annotation: This report outlines United States of Care's comprehensive framework for the postpartum care of all women, regardless of insurance coverage. Grounded in community engagement, literature reviews, and discussions with maternal health thought leaders, the vision integrates diverse insights to establish the essential components of healthcare for new mothers. It specifies that women should receive personalized care tailored to their needs, including ongoing provider visits, interdisciplinary care teams, and data-informed care; comprehensive, whole-person care addressing all aspects of well-being, including social needs, mental health, substance use, and access to services like home visiting and contraception; and understandable, easy-to-navigate care, such as community supports and postpartum care plans. The document provides an overview of the current landscape, evidence-based guidance, and bright spot programs and policies for each postpartum care component, as well as the health benefits and return on investment.

• PDF
• Interactive Map

Keywords: Community participation, Guidelines, Health planning, Measures, Medicaid, Models, Outreach, Policy, Postpartum care, State initiatives

Annotation: This report provides evidence-based clinical practice recommendations for health care providers regarding the safe use of specific contraceptive methods by persons who have certain characteristics or medical conditions. The recommendations, which were updated by the Centers for Disease Control and Prevention (CDC) following a review of scientific evidence and a meeting with national experts in Atlanta, Georgia, during January 25–27, 2023, replace the 2016 U.S. MEC and are intended to remove unnecessary medical barriers to accessing and using contraception while supporting noncoercive, person-centered counseling. The guidance includes four classification categories (U.S. MEC 1 through 4) that health care providers can use to assess eligibility for methods like intrauterine devices (IUDs), combined hormonal contraceptives (CHCs), and permanent contraception. This report is also available in Spanish

• Website
• Pdf In English

Keywords: Chronic illnesses and disabilities, Contraception, Contraceptive devices, Family planning, Guidelines, Safety

Annotation: This online resource, available in both professional and consumer versions, provides guidance on preventive gynecologic care for women and gender-diverse individuals. It details the components of well-woman visits, including the collection of obstetric and gynecologic history, pelvic and breast examinations, and preventive screenings for conditions such as cervical cancer and sexually transmitted infections. The material outlines clinical protocols for documenting gravidity and parity, evaluating menstrual abnormalities, and performing specialized physical exams like the speculum and bimanual examination. It emphasizes shared decision-making between patients and clinicians regarding vaccinations and the necessity of routine diagnostic procedures.

• Consumer Version
• Professional Version

Keywords: Disease prevention, Guidelines, Health promotion, Reproductive health, Women's health

Annotation: This website provides science-based guidance to help Americans ages 6 and older improve their health through appropriate physical activity. Includes are tips on how to stay active, community resources, dietary guidelines, campaign materials, news updates. and guidelines on the types and amounts of physical activity that offer substantial health benefits to children, adolescents, and adults.

• Link
• 2019 Guidelines (2nd Edition)

Keywords: Adolescent health, Adults, Child health, Guidelines, Health promotion, National initiatives, Older adults, Physical activity, Resources for professionals

Annotation: This report offers a description of state-based oral health surveillance systems and provides guidelines and recommendations related to these systems, research evidence, best practice criteria, and state practice examples. A summary of evidence supporting state-based oral health surveillance systems is included. Public health surveillance systems, the National Oral Health Surveillance System, building an oral health surveillance system, collecting and disseminating data, evaluating a public health surveillance system, initiatives and coordinated efforts, and future considerations are discussed.

• PDF

Keywords: Guidelines, Model programs, Oral health, Public health, Research, State programs, Surveillance

Annotation: These clinical practice guidelines for pediatricians and other pediatric health care providers (PHCPs) present a standard of care for evaluating and treating children with overweight and obesity and related comorbidities. The recommendations address the child's health status, family system, community context, and resources for treatment.

• Link
• Executive Summary

Keywords: Adolescent health, Child health, Guidelines, Obesity, Overweight, Resources for professionals , Therapeutics

Annotation: This policy statement provides pediatricians with evidence-based information on caring for adolescents who are hospitalized for acute or chronic illnesses. The statement describes the impact that hospitalization may have on the development and emotional progress of teenagers and discusses the importance of confidentiality between patients and medical teams. Topics include adolescent hospital admission demographics, access to staff with adolescent health expertise; the hospital setting and design of services; staff interaction with patients and families; issues related to bias and institutional/systematic racism; and the transition from pediatric to adult care.

• Policy Statement
• Clinical Report

Keywords: Adolescent health, Adolescents, Guidelines , Hospitalization, Patient care

Annotation: This clinical report provides pediatricians evidence-based information on the developmentally appropriate, comprehensive clinical care for hospitalized adolescents, including those who may have learning, intellectual, or developmental disabilities. Topics addressed include opportunities and challenges when caring for specific hospitalized adolescent populations and the evaluation of patients' ability to participate in their own care and assent to decision-making. The companion policy statement, "The Hospitalized Adolescent, includes descriptions of adolescent hospital admission demographics, personnel recommendations, and hospital setting and design advice, as well as sections on educational services, legal and ethical matters, and the transition to adult facilities.

• Clinical Report
• Policy Statement

Keywords: Adolescent health, Adolescents, Children with special health care needs, Guidelines , Hospitalization, Patient care

Annotation: This report presents information about the Dietary Guidelines for Americans and offers information about race and culture as they relate to the guidelines. Topic include a history of the guidelines, the guidelines' purpose, the development process, addressing claims of racism within the guidelines, cultural awareness within the guidelines, and adapting recommendations within the guidelines to various cultural contexts.

• Link

Keywords: Cultural factors, Guidelines, Nutrition, Racial factors, Racism

Annotation: This tip sheet for Title V agencies outlines five essential elements for implementing developmental and behavioral health screening programs within health supervision visits. It provides guidance on promoting equity in screening, planning responses to results, communicating with families, handling confidentiality, and using appropriate screening tools and schedules based on Bright Futures guidelines. The document includes state program examples and emphasizes the importance of establishing clear protocols for referrals, particularly for non-clinical staff working in community settings. [Funded by the Health Resources and Services Administration]

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Keywords: Developmental screening, Guidelines, Mental health screening

Annotation: This World Health Organization and UNICEF guidance document outlines a comprehensive framework for delivering scheduled well-care visits for children and adolescents from birth through age 19. It details minimum recommended schedules and content for 17 routine visits aligned with developmental transitions, providing health providers and program managers with specific guidance on assessment, monitoring, counseling, and preventive interventions at each age. The document includes detailed age-specific priorities and activities for health promotion, disease prevention, and early identification of children and families needing additional support, while emphasizing linkages across health, education and other sectors to maximize opportunities for promoting child and adolescent wellbeing. [Funded by the United States Agency for International Development]

• Link

Keywords: Adolescent health, Child health, Guidelines, International programs, Preventive health services, Well child care