AMCHP collaborated with the American College of Obstetricians and Gynecologists, the Planned Parenthood Federation of America and the Women's Tobacco Prevention Network to develop and implement the Action Learning Lab. The purpose of the ALL was to increase the capacity of the state teams to advance their state action plans they began to develop in the first phase of the ALL in March 2004. States had the opportunity to share challenges, provide input on addressing the challenges, and spent a majority of their time together refining their state action plans. To download the report, visit here.
Preconception Health Case Study- California
This case study provides an overview of innovative approaches to preconception health and health care implemented by the Maternal, Child and Adolescent Health (MCAH) Division of the California Department of Public Health.
MCH and Chronic Disease Fact Sheet
This fact sheet examines the effects of chronic disease on women of reproductive age, the importance of integrating MCH and chronic disease, and the existing state performance measures that address chronic disease.
MCHB along with other partners is working to improve access to oral health services for pregnant women and to provide oral-health-promotion and disease prevention information for women and their families. The following documents have been prepared for public use:
Access to Oral Health Care During the Perinatal Period: A Policy Brief was developed to help professionals and the public better understand the importance of oral health during the perinatal period. The brief describes barriers to accessing oral health services and information—including myths and misperceptions—and presents potential solutions.
Two Healthy Smiles: Tips to Keep You and Your Baby Healthy is about the importance of oral hygiene and oral health care during pregnancy. Topics include brushing, flossing, eating healthy foods, and getting dental checkups and treatment.
Oral Health Care During Pregnancy: A Summary of Practice Guidelines summarizes the New York State Department of Health’s publication, Oral Health Care During Pregnancy and Early Childhood: Practice Guidelines, which is geared toward prenatal and oral health professionals. The guidelines are intended to bring about changes in the health care delivery system and to improve the standard of care for pregnant women.
Other publications include:
Maternal Oral Health Resource Guide provides information aimed at improving oral health care for pregnant women. It is divided into three sections: journal articles, materials, and organizations.
Oral Health and Health in Women: A Two-Way Relationship provides general information and national data on women’s oral health. Topics include women’s oral health status, the relationship between oral health and general health in women, oral health care, and strategies for improving women’s oral health.
Research to Policy and Practice Forum: Periodontal Health and Birth Outcomes: Summary of a Meeting of Maternal, Child, and Oral Health Experts is a report from a December 2006 forum that addressed the relationship between periodontal health and birth outcomes. Meeting materials are also posted online.
MOTHER’S WEIGHT GAIN DURING PREGNANCY AND ITS IMPACT ON BABY’S WEIGHT
A new study has found that women who gained more than 40 pounds during their pregnancies were nearly twice as likely to have a heavy baby. The study was conducted by the Kaiser Permanente Center for Health Research and is published in the November issue of Obstetrics & Gynecology. Researchers found that more than one in five women gains excessive weight during pregnancy, which doubles her chances of having a baby weighing nine pounds or more. The study followed over 50,000 women who gave birth in Washington, Oregon and Hawaii from 1995-2003. More than 20 percent of the women who gained more than 40 pounds (the maximum recommended pregnancy weight gain) gave birth to heavy babies. In contrast, less than 12 percent of women with normal weight gain had heavy babies. Women who gained more than 40 pounds and also had gestational diabetes were at greatest risk. However, when these women gained less than 40 pounds, their risk was greatly reduced. Larger babies pose serious risks for during childbirth, including vaginal tearing, bleeding, c-sections, stuck shoulders and broken collar bones. Access the study online here.
FOLIC ACID AWARENESS AND LATINA MOTHERS
A study in the October 1, 2008 edition of the Journal of Women’s Health examines Latina mothers’ folic acid awareness, knowledge and behaviors in order to understand their reactions to advertising concepts and draft educational materials. The goal of the materials was to increase folic acid consumption through the use of a daily multivitamin. This study presents three phases of research that led to the development of Spanish language print advertisements, posters, a brochure, and radio ads that promote folic acid consumption in a manner that addresses the needs of Latina mother. Each year, approximately 3,000 pregnancies in the US are affected by neural tube defects (NTDs), serious birth defects of the brain and spine. Daily consumption of folic acid can reduce the incidence of NTDs by 50% – 70%. To access the study, visit here.
American College of Obstetricians and Gynecologists (ACOG)
Contains brochures, booklets, policy statements, and other materials about preconception and pregnancy for health professionals- topics include health care for underserved women, perinatal HIV, smoking cessation, and women with disabilities. Note: Many resources on the site are accessible to members only.
Association of State and Territorial Health Officials (ASTHO)
· Bringing home better birth outcomes. This issue brief examines home visiting as a strategy employed by state health agencies to deliver public health interventions aimed at improving birth outcomes.
· Preconception care fact sheet. This issue brief addresses the need to promote women's health before conception and presents the many opportunities that exist for states to improve women's and children's health.
· Preconception care efforts at the state and local level. This issue brief provides general information on preconception and interconception care and examples of federal, state, and local initiatives promoting preconception care and interconception care. The brief is intended to inform state and local health officials and health department staff about preconception care and its role in promoting optimal health for women and infants.
Centers for Disease Control and Prevention (CDC) Division of Reproductive Health. Contains links to reports, data, and other resources about pregnancy and prenatal care, including maternal morbidity and mortality; smoking; alcohol use; folic acid consumption; violence; workplace hazards; and racial and ethnic disparities. Recent resources include
o Safe motherhood: Promoting health for women before, during, and after pregnancy. At a glance. (2008).
CityMatCH. Contains tools and resources for implementing the Perinatal Periods of Risk (PPOR) approach for mobilizing urban communities to reduce feto-infant mortality in U.S. cities. Also presents publications about perinatal HIV prevention in urban communities.
March of Dimes (MOD)
Offers perinatal statistics, continuing-education modules, and medical reference information on topics that include preconception, pregnancy, prenatal screening, and genetics. Recent publications include
· Costs of maternity and infant care. (2007).
· Diabetes in pregnancy. (2006).
· Healthcare costs of having a baby. (2007).
· HIV and AIDS in pregnancy. (2006).
Womens’s Health USA 2008 Databook
Now in its sixth year, the Databook is a concise reference for policymakers and program managers at the Federal, State, and local levels to identify and clarify issues affecting the health of women. The Databook brings together the latest available information for various agencies within the Federal Government, including the US Department of Health and Human Services, the US Department of Justice, and the US Department of Labor. Free hard copies will be available at the HRSA Information Center- 1-888-ASK-HRSA and online here.
PRETERM DELIVERY AND DEPRESSION DURING PREGNANCY
A recent study has shown that depressed pregnant women have twice the risk of preterm delivery than pregnant women with no symptoms of depression. Conducted by the Kaiser Permanente Division of Research, the study is published online in the journal Human Reproduction. Researchers found that the risk of preterm delivery grows with the severity of depressive symptoms. The study authors interviewed 791 pregnant Kaiser Permanente members in San Francisco city and county from October 1996 through October 1998. They found that 41 percent of the women reported significant or severe depressive symptoms. The women with less severe depressive symptoms had a 60 percent higher risk of preterm delivery – defined as delivery at less than 37 completed weeks of gestation – compared with women without significant depressive symptoms, and the women with severe depressive symptoms had more than twice the risk. For more information, a press release on the study is available online. Or, access the study here.