Women’s & Infant Health
AMCHP-ACOG-PPFA Partnership Mini-Grant Project Report - This report describes state Action Learning Collaborative and Mini-Grant team experiences, lessons learned, and recommendations for states interested in increasing provider referrals to State tobacco quitlines.
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.
Safe Families Report - In this report, the Association of Maternal & Child Health Programs (AMCHP) and the Family Violence Prevention Fund (FVPF) discuss strategies to address IPV by increasing public awareness and public and provider education and training. This report also outlines a few of these innovative strategies, which emerged from the efforts of four states– Maine, Massachusetts, Missouri and New Mexico – as part of AMCHP’s Safe Families Initiative.
Women's Health Watch - The second annual Women’s Health Watch report highlights AMCHP’s efforts to advance the field of women’s health and to strengthen Title V programs. In this year’s report, AMCHP’s Women’s Health and Infant Health Program provides an overview of some of today’s most compelling women’s health issues, including smoking cessation and intimate partner violence (IPV). The Women’s Health Watch report provides new resources on smoking cessation and IPV, as well insightful perspectives from states and other partners on these important issues.
Workforce & Leadership Development
Preliminary findings from the AMCHP Workforce Development Survey:
Program Profiles - this document provides a national level glimpse of the MCH and CYSHCN program areas, functions and leadership.
Professional Development - this document presents preliminary findings related to training needs and professional development strategies.
Graduate Education - this document presents preliminary findings related to training needs and graduate education strategies, preferences and barriers.
Public Policy & Government Affairs
AMCHP's 100-Day Policy Agenda for the New Administration and Congress - AMCHP staff and Legislative and Health Care Finance Committee recommendations for the new administration’s first 100 Days. Contains a “menu” of policy steps that would most impact the health of women, children, and families.
AMCHP's Principles for Health Reform - Put together by AMCHP staff and AMCHP’s Legislative and Health Care Finance Committee, these Principles should be incorporated into health reform to assure the health of women, children, adolescents, families, and children with special health care needs.
Policy Brief: MCH Block Grant Gets Highest Effectiveness Rating in Review of Federal Programs - A policy brief highlighting the Maternal & Child Health Block Grant for receiving the highest possible rating for effectiveness when reviewed by the White House Office of Management and Budget. This effectiveness rating establishes the MCH Block Grant as having ambitious goals, achieving results, being well managed, and improving efficiency.
AMCHP “Ask Sheet” -AMCHP’s call for Congress to fully fund the Title V Maternal & Child Health Block Grant.
AMCHP State Profiles - Each state’s Maternal & Child Health Division is featured in its own two page profile which includes details on MCH funding, people served and program highlights. State priority needs and state MCH leaders are also listed.
Organizational Performance & Member Services
Member Briefs - is a biweekly, members-only e-newsletter that highlights resources, services and events of interest to AMCHP members.
Pulse - AMCHP's flagship newsletter, published in a monthly, topic-specific format. Pulse is shared with the entire AMCHP family, including members, partners and others interested in MCH issues.
January is National Birth Defects Prevention Month
Every year the National Birth Defect Prevention Network selects one area of focus in an effort to increase awareness of a topic and to spark prevention activity across the country. This year, the Network chose “Obesity Prevention and Weight Management – Before, During, and After Pregnancy.” Obesity has been identified as a leading public health concern in the United States and has been associated with birth defects such as heart, neural tube, and limb defects and an increased risk of pregnancy complications. Resources for addressing maternal obesity as a risk factor for birth defects are listed below. In addition, the packet resources are available here: http://www.nbdpn.org/current/resources/bdpm2009.html.
The National Birth Defects Prevention Network (NBDPN) is a group of individuals involved in birth defects surveillance, research and prevention. It was created to establish and maintain a national network of state and population-based programs for birth defects surveillance and research. The Network assesses the impact of birth defects upon children, families, and health care; identifies factors that can be used to develop primary prevention strategies; and assists families and their providers in secondary disabilities prevention. Important information about birth defects include the following:
· Birth defects are the leading cause of infant mortality in the United States, accounting for more than 20 percent of all infant deaths.
· The estimated lifetime cost to care for the number of children born in the United States each year with common birth defects exceeds $8 billion.
· While the causes of nearly two-thirds of all birth defects are unknown, effective preventive strategies can be used to obtain a better understanding of what factors are associated with birth defects.
More information is available on the NBDPN website at: http://www.nbdpn.org/index.html.
January 5-11, 2009 is National Folic Acid Awareness Week
The National Council on Folic Acid (NCFA), a coalition of national organizations and associations, state folic acid councils and government agencies whose mission is to improve health by promoting the benefits and consumption of folic acid, has resources for National Folic Acid Awareness Week available on its website: http://www.folicacidinfo.org. NCFA works to empower and educate its members by providing tools for member use in reaching everyone who would benefit from folic acid. More information is available on the NCFA website at: http://www.folicacidinfo.org/.
Highlighted Birth Defects Resources — January 2009
Addressing Maternal Obesity as a Risk Factor for Birth Defects
Highlighted Resources for Women and Health Care Professionals
What to Expect at your Prenatal Visits: https://www.med.uvm.edu/vchip/Downloads/PrenatalCarePoster.doc
A Healthy Baby is Worth the Weight: http://www.healthy-baby.org/HowMuchWeight.htm
Preconception Screening and Counseling Checklist: http://www.marchofdimes.com/files/preconception_tool_ed.pdf
Preconception Check List-March of Dimes: http://www.marchofdimes.com/printableArticles/19583_4182.asp
Nutrition Tools and Resources: https://www.med.uvm.edu/vchip/TB1+BL.asp?ContentItemID=10154&SiteAreaID=669
Fitness for Two-March of Dimes: http://www.marchofdimes.com/printableArticles/14332_1150.asp
Are you ready physically? http://www.marchofdimes.com/printableArticles/173_14005.asp
Healthy Pregnancy Resources—March of Dimes Product Catalog: http://www.marchofdimes.com/professionals/2222_2262.asp
Baby Your Baby: http://www.babyyourbaby.org/duringpregancy/weightgain.htm:
BMI — Body Mass Index: http://www.cdc.gov/nccdphp/dnpa/bmi/
Adult BMI Calculator—Adults—English: www.cdc.gov/nccdphp/dnpa/bmi/
BMI for Children and Teens—English: http://www.cdc.gov/nccdphp/dnpa/bmi/childrens_BMI/about_childrens_BMI.htm
Learn about Body Mass Index (BMI): http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/learn-it/bmi-chart.htm.
Resources Related to Obesity, Diabetes and Pregnancy
Obesity, Diabetes, and Links to Congenital Defects: A Review of the Evidence and Recommendations for Intervention. By E. Albert Reece. The Journal of Maternal-Fetal & Neonatal Medicine, Vol 21, Issue 3, 2008.
Screening for Gestational Diabetes Mellitus: U.S. preventive Services Task Force Recommendation Statement. Annals of Internal Medicine. May 20, 2008 Vol 148, No. 10, pp 759-765.
A Prospective Study on the Risk of Congenital Defects Associated with Maternal Obesity and Diabetes Mellitus. By Lynn L. Moore, Martha R. Singer, Loring M. Bradlee, et al. In Epidemiology, 11 (6):689-694, November 2000.
Advances in Understanding the Molecular Causes of Diabetes-Induced Birth Defects
By Mary R. Loeken. In Journal of the Society for Gynecologic Investigation, 2006; 13:2-10.
Resources for Education by Health Professionals
Risks of Being Overweight for Women of Reproductive Age: http://www.ci.minneapolis.mn.us/dhfs/reproductiveweight.pdf
A Call to Action: Obesity and Pregnancy—Women’s Health Policy Brief
By Laura Riley, MD, Massachusetts General Hospital Winter/Spring 2006
January is Birth Defects Prevention Month…but any month is the month to prevent birth defects By Hema Joshi and Debra L. Thompson. Georgia Epidemiology Report. January 2006, Vol 22, No. 01. Published by the Georgia Department of Human Resources, Division of Public Health.
WEBTREATS: Diet, Weight Management and Obesity.
Refer to the WEBTREAT on Exercise and Physical Fitness for related links. pvh/mash 3/19/2008. For further information, contact Mary Hyde, Pamela Van Hine, or Jean Riedlinger at firstname.lastname@example.org
By Geraldine S. Berry, Colette L. Zyrkowski, Linda D. Clark, and Stella Yu. Reproductive Health of Women is a part of From Data to Action and CDC’s Public Health Surveillance for Women, Infants, and Children.
Resources Related to Obesity and Prepregnancy
Prepregnant Obesity and Risks of Selected Birth Defects in Offspring
Brief Report. By Gary M. Shaw and Suzan L. Carmichael. Found in Epidemiology, 19 (4):616-620, July 2008. Copyright 2008 Lippincott Williams & Wilkins, Inc.
Trends in pre-pregnancy obesity in nine states, 1993-2003
By Shin Y. Kim, Patricia M. Dietz, Lucinda England, Brian Morrow, and William M. Callaghan. Obesity. Vol. 15, April 2007, pp. 986-993.
Prevalence of Overweight and Obesity in the United States, 1999-2004: http://jama.ama-assn.org/cgi/content/full/295/13/15490
By Cynthia L. Ogden, Margaret D. Carroll, Lester R. Curtin; et al. Journal of American Medical Association, April 5, 2006, Vol 295, No. 13, pp. 1549-1555.
Prepregnancy Obesity as a Risk Factor for Structural Birth Defects
By Kim D. Waller, Gary M. Shaw, et al.—National Birth Defects Prevention Study in Archives of Pediatric & Adolescent Medicine. Vol 161 (No. 8), August 2007: 745-750.
Weight Control: Eating Right and Keeping Fit: ACOG Education Weight Control Eating Right and Keeping Fit.mht [ISSN 1074-8601]
Resources Related to Obesity and Pregnancy
Maternal Obesity and Risk of Neural Tube Defects: A Metaanalysis
By Sonja A. Rasmussen, Susan Y. Chu, Shin Y. Kim, et al. American Journal of Obstetrics & Gynecology, June 2008, pp. 611-619.
Birth Defects Research: http://www.cdc.gov/ncbddd/bd/research.htm
Is Maternal Obesity a Risk Factor for Anencephaly and Spina Bifida?
Margaret L. Watkins, Kelley S. Scanlon, Joseph Mulinare and Muin J. Khoury. Epidemiology, September 1996, Vol 7, No. 5, pp. 507-512.
Obesity during Pregnancy Threatens Health of Both Mother and Fetus, March of Dimes Says: http://www.marchofdimes.com/printableArticles/10651_12183.asp
Maternal Obesity and Risk for Birth Defects
By Margaret L Watkins, Sonjy A. Rasmussen, Margaret Honein, Lorenzo D. Botto and Cynthia Moore. In Pediatrics 2003;111;1152-1158.
Risk of Neural Tube Defect-affected Pregnancies among Obese Women: http://www.cbdmp.org/pdf/ntdsobesity.pdf.
By Shaw, GM, Velie, EM, and Schaffer, D. Journal of American Medical Association 1996; 275(14): 1093-1096. Also, noted in Neural Tube Defects and Obesity from California Birth Defects Monitoring Program, April 1999.
Maternal Obesity and Pregnancy: Weight Matters: http://www.marchofdimes.com/files/MP_MaternalObesity040605.pdf.
(Medical Perspective on Prematurity) Prepared by the Office of the Medical Director April 6, 2005.
Overview of Clinical Perspectives and Mechanism of Obesity
In Birth Defects Research Part A-Clinical and Molecular Teratology 73 (7): 470-471. (2005 July).
Maternal Obesity and Neonatal Mortality According to Subtypes of Preterm Birth.
By Ellen A. Nohr, Michael Vaeth, Bodil H. Bech, et al. Obstetrics & Gynecology, 2007; 110:1083-1090.
Teratology Public Affairs Committee Position Paper: Maternal Obesity and Pregnancy
By the Public Affairs Committee of the Teratology Society. Published in Birth Defects Research (Part A): Clinical and Molecular Teratology 76: 73-77 (2006). Copyright by 2006 Wiley-Liss, Inc.
The Implications of Maternal Overweight and Obesity on the Course of Pregnancy and Birth Outcomes
Anna-Maria Siega-Riz and Barbara Laraia. Maternal Child Health Journal (2006). 10:S153-S156.
Resources about Medication Related Risk of Birth Defects
Popular blood pressure drugs may increase risk of birth defects
By Jan Friedman. New England Journal of Medicine. 2006; Vol X: pp xx (June 9, 2006).
Major Congenital Malformations after First-Trimester Exposure to ACE Inhibitors
By William O. Cooper, Sonia Hernandez, Patrick G. Arbogast, et al. New England Journal of Medicine, 2006, 354; 23, 2443-2451.