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Strengthen the Evidence for Maternal and Child Health Programs

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Established Evidence Results

Results for Measure: Postpartum Visit

Below are articles that support specific interventions to advance MCH National Performance Measures (NPMs) and Standardized Measures (SMs). Most interventions contain multiple components as part of a coordinated strategy/approach.

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Displaying records 1 through 2 (2 total).

McGuinness, C., Mottl-Santiago, J., Nass, M., Siegel, L., Onyekwu, O. C., Cruikshank, A., Forman, R., & Weir, G. (2022). Dyadic Care Mobile Units: A Collaborative Midwifery and Pediatric Response to the COVID-19 Pandemic. Journal of midwifery & women's health, 67(6), 714–719. https://doi.org/10.1111/jmwh.13432

Evidence Rating: Emerging

Intervention Components (click on component to see a list of all articles that use that intervention): Mobile Programs, Concurrent Infant/Mother Checkups

Intervention Description: Implementation of a mobile postpartum clinic, known as the Dyadic Care Mobile Units program, at Boston Medical Center

Intervention Results: 1. Increased Attendance Rates: The mobile clinic achieved a high appointment attendance rate of 97%, which contrasts with the 60% attendance rate for postpartum parents coming into the traditional healthcare institution. 2. 2. Improved Access to Care: The mobile clinic program addressed structural determinants of health by overcoming barriers of transportation access and clinic wait times, thereby increasing safety and ease for new families to access care. 3. Improved Patient Outcomes: The high-touch postpartum care provided by the mobile clinic team was associated with improved patient outcomes, particularly related to hypertensive disorders of pregnancy and depression. Multiple patients were readmitted directly to the postpartum unit from the van in acute hypertensive crises.

Conclusion: The mobile clinic succeeded in increasing attendance rates, improving access to care, and addressing unmet material needs for participating patients.

Study Design: Descriptive program evaluation

Setting: Obstetrics and Gynecology Department’s Midwifery Service and the Pediatric Department at Boston Medical Center (BMC), a tertiary care hospital in Boston

Population of Focus: Postpartum patientnewborn dyads; health professionals

Sample Size: 347 postpartum patients; 364 newsborns

Age Range: <20--35+ (maternal age range)

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Rosenberg, J., Sude, L., Budge, M., León-Martínez, D., Fenick, A., Altice, F. L., & Sharifi, M. (2022). Rapid Deployment of a Mobile Medical Clinic During the COVID-19 Pandemic: Assessment of Dyadic Maternal-Child Care. Maternal and child health journal, 26(9), 1762–1778. https://doi.org/10.1007/s10995-022-03483-6

Evidence Rating: Emerging

Intervention Components (click on component to see a list of all articles that use that intervention): Mobile Programs, Concurrent Infant/Mother Checkups

Intervention Description: A mobile medical center was emergently repurposed to provide postpartum/postnatal care for women and neonates (caregiver-infant dyads) during the early COVID-19 pandemic.

Intervention Results: Two-thirds of women who were evaluated on the mobile medical center (MMC) attended an in-person or telehealth postpartum visit, and 16.7% had a documented missed postpartum visit. All women evaluated on the MMC had blood pressure evaluated. Over two-thirds (69.7%) had at least one postpartum blood pressure reading > 120/80 mmHg, and 19.6% had readings elevated enough to require contact with the obstetric provider for further guidance. Follow-up visits with either an outpatient or obstetric provider regarding blood pressure then occurred in 15.2% of mothers, and four (6.1%) required emergent treatment and/or readmission to the hospital for postpartum hypertension detected on the MMC. Nearly all caregivers reported they were very satisfied and very likely to recommend the MMC to friends (98.5% and 94.1%, respectively)

Conclusion: In this assessment of caregivers who accessed the MMC-a rapidly-developed COVID-19 pandemic response-insights from caregivers, predominantly people of color, provided considerations for future postpartum/postnatal service delivery. Perceptions that the MMC addressed health-related social needs and barriers to traditional office-based visits and the identification of maternal hypertension requiring urgent intervention suggest that innovative models for postpartum mother-infant care may have long-lasting benefits.

Study Design: Mixed methods observational study

Setting: Mobile medical center in New Haven, Connecticut

Population of Focus: Caregiver-infant dyads

Sample Size: 139 caregiver-infant dyads contacted

Age Range: Not specified

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The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.