The Healthy Women, Healthy Babies Program: A Delaware Case Study. This Case Study provides an overview of a statewide preconception health plan, which incorporates a multi-disciplinary approach to improving women’s health.
Using Data to Advance Preconception Health and Health Care: A Hawaii Case Study: This AMCHP case study provides an overview of innovative approaches to preconception health and health care implemented by the Hawaii Maternal and Child Health (MCH) Branch of the Department of Health (DOH).
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.
Contra Costa County- The Life Course Initiative: The Life Course Initiative, launched in 2005, is a 15-year Family, Maternal and Child Health (FMCH) Programs initiative based on the Life Course Perspective. The mission of the Life Course Initiative is to reduce disparities in birth outcomes and change the health of the next generation in Contra Costa County by achieving health equity, optimizing reproductive potential, and shifting the paradigm of the planning, delivery, and evaluation of maternal, child, and adolescent health services. Visit the Life Course Initiative's website for project fact sheets, bibliography, resources for professionals and families, and the recently released National MCH Life Course Meeting Report and Policy Brief.
Preventing Prematurity and Adverse Birth Outcomes: What Employers Should Know: Prematurity and other adverse birth outcomes (such as low birth weight and birth defects) represent significant costs for employers, and these problems have become more common in recent years. This issue brief highlights the importance of preconception care and provides strategies employers can use to help employees get healthy before they even consider becoming pregnant.
Women's Health USA 2009 Data Book: The eighth edition of the Women’s Health USA data book is available now from the Health Resources and Services Administration (HRSA). Women’s Health USA 2009 is a collection of current and historical data on some of the most pressing health challenges facing women, their families, and their communities. The book is intended to be a concise reference for policymakers and program managers at the federal, state and local levels to identify and clarify issues impacting the health of women. New topics in this edition include data and information on women veterans, bleeding disorders, hearing problems, and severe headaches and migraines. A new section provides state-specific data on leading causes of death, overweight and obesity, and smoking among women.
MCH Library at Georgetown University’s Preconception and Pregnancy Knowledge Path
This knowledge path has been compiled by the Maternal and Child Health Library at Georgetown University. It offers a selection of current, high-quality resources that analyze perinatal health statistics, describe effective prenatal care programs, and report on research aimed at improving access to and quality of prenatal care and improving perinatal health outcomes.
· Agency for Healthcare Research and Quality (AHRQ): Women's Health. Provides clinical information about maternal health and pregnancy. Presents data from the Healthcare Cost and Utilization Project (HCUP), National Guideline Clearinghouse, and National Quality Measures Clearinghouse™ (NQMC). AHRQ is the health services research arm of the Department of Health and Human Services (DHHS). Recent publications include:
§ Gestational diabetes: Caring for women during and after pregnancy. (2009). [Clinician's guide].
§ Primary care interventions to promote breastfeeding. (2008).
§ Screening for bacterial vaginosis in pregnancy. (2008).
· 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. Also presents an online directory of physicians. Note: Many resources on the site are accessible to members only.
· Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN). Offers clinical practice information and continuing-education resources about preconception, pregnancy, labor and delivery management and postpartum care.
· Centers for Disease Control and Prevention (CDC). Contains information about preconception and pregnancy. Resources and initiatives include:
· CDC's 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
· Safe motherhood: Promoting health for women before, during, and after pregnancy. At a glance. (2008).
· CDC's Morbidity & Mortality Weekly Reports (MMWR). Presents data based on weekly reports to CDC by state health departments. Also offers online continuing-education courses for health professionals that coincide with several preconception and pregnancy-related guidelines published in MMWR. Recent reports about preconception and pregnancy include:
§ Achievements in public health: Reduction in perinatal transmission of HIV infection -- United States, 1985-2005. (2006).
§ Monitoring progress toward achieving maternal and infant Healthy People 2010 objectives --19 states, Pregnancy Risk Assessment Monitoring System (PRAMS), 2000-2003. (2006).
§ Perinatal Group B Streptococcal Disease after universal screening recommendations --United States, 2003-2005. (2007).
§ Recommendations to improve preconception health and health care -- United States: A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. (2006).
§ Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. (2006).
§ Surveillance of preconception health indicators among women delivering live-born infants -- Oklahoma, 2000-2003. (2007).
· CDC's National Center for Health Statistics (NCHS). Provides data about preconception and pregnancy, including:
§ Estimated pregnancy rates by outcome for the United States, 1990-2004. (2008).
§ Maternal mortality and related concepts. (2007).
§ Prenatal care: FASTATS A to Z. (2007).
§ Also see NCHS's Data2010, and Health Data for All Ages.
· CDC's National Center on Birth Defects and Developmental Disabilities (NCBDDD). Offers scientific publications and tools, guidelines, educational materials, an electronic discussion group, and information about research projects and public health campaigns to identify the causes of birth defects. Preconception and pregnancy-related topics include folic acid consumption, preventing alcohol-exposed pregnancies, medication use during pregnancy, and using family history information in obstetrics and pediatrics.
§ Other resources and initiatives about preconception and pregnancy from CDC:
§ Critical needs in caring for pregnant women during times of disaster for non-obstetric health care providers. (2007).
§ Guidelines for vaccinating pregnant women, rev. ed. (2007).
§ Guide to Community Preventive Services. Contains information about a systematic review of studies to develop recommendations for reducing the number of pregnancies affected by neural tube defects.
§ One Test, Two Lives. Provides resources for health professionals and materials for their patients to help encourage universal voluntary prenatal testing for HIV.
· Also see CDC's Pregnancy Risk Assessment Monitoring System (PRAMS), Pregnancy Surveillance System (PNSS), and VitalStats.
· Centers for Medicare and Medicaid Services (CMS). Contains program information, eligibility criteria, publications, forms, and data about Medicaid, which offers coverage for eligible pregnant women. CMS administers Medicare, Medicaid, and the State Children's Health Insurance Program (SCHIP).
· 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.
· Healthy People 2010. Offers information about this national health-promotion and disease-prevention initiative. It is coordinated by the Office of Disease Prevention and Health Promotion (ODPHP). Healthy People contains 467 objectives, and 31 focus on pregnancy. To identify them, search the objectives by selecting pregnancy under Topic. Click on Submit. Healthy People provides background information on the initiative; the complete text, Healthy People 2010: Understanding and improving health, 2nd ed. (2000) and Healthy People 2010 Midcourse Review (2006); a list of the Healthy People partners and related sites; and other Healthy People publications. Also see Data2010 for data about the Healthy People 2010 pregnancy objectives. See too the HP2010 Information Access Project for access to published literature related to the Healthy People 2010 objectives about pregnancy and family planning.
· Kaiser Family Foundation (KFF): Women's Health Policy. Provides fact sheets, issue briefs, meeting materials, data, and news for policymakers, journalists, advocates, and public health professionals about women's reproductive health and access to care, including pregnancy-related care. KFF is an independent philanthropy focusing on national health care issues.
· 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).
§ Healthcare costs of having a baby. (2007).
· Maternal and Child Health Bureau (MCHB). Describes MCHB's projects and initiatives on behalf of America's women, infants, children, adolescents, and their families. Programs include the Title V block grant to states (see the Title V Information System for state and federal budget and expenditure data on prenatal care and information about states' efforts to improve pregnancy outcomes). MCHB has a fact sheet about prenatal care in English and Spanish that includes a hotline number to help pregnant women find prenatal care services in their communities. The Maternal and Child Health Library and the Discretionary Grant Information System (DGIS)offer additional information about the initiatives and programs supported by MCHB that pertain to prenatal care. MCHB is part of the Health Resources and Services Administration (HRSA).
· Maternal and Child Health Library at Georgetown University -Preconception and Pregnancy Knowledge Path: This document links to current, high-quality resources that analyze perinatal health statistics, describe effective prenatal care programs, and report on research aimed at improving access to and quality of prenatal care and improving perinatal health outcomes. The final part of the knowledge path presents resources on specific aspects of preconception and pregnancy: childbirth, depression, drug and alcohol use, environmental concerns, fertility and infertility, nutrition, oral health, and tobacco use. A companion family resource brief provides materials for consumers. A separate bibliography on prematurity is also available.
· National Birth Defects Prevention Network (NBDPN). Presents a collection of materials to assist state program administrators and health professionals in promoting birth defects prevention. Each year, NBDPN selects a different theme to highlight, and the 2009 theme is obesity prevention and weight management before, during, and after pregnancy. Preventing infections in pregnancy, preconceptional health, fetal alcohol spectrum disorders, cardiac defects, neural tube defects, and cleft lip and cleft palate are themes for earlier years for which there are materials.
· National Healthy Start Association (NHSA). Describes the Healthy Start program and provides general information about infant mortality, low-birthweight infants, and racial disparities in perinatal outcomes. Includes a directory of Healthy Start programs nationwide and a newsletter. Funded by the Maternal and Child Health Bureau (MCHB), Healthy Start provides community-based, culturally competent, family-centered, comprehensive perinatal health services to women, infants, and their families in communities with very high rates of infant mortality.
· National Institute of Child Health and Human Development (NICHD): Women's Health Research. Contains research and grant information, publications, and other resources on topics that include preconception and prenatal care, miscarriage and stillbirth, preterm labor and premature birth, disorders of pregnancy, drug safety in pregnant women, and reproductive health among women with physical disabilities. NICHD is part of the National Institutes of Health (NIH).
· National Perinatal Association (NPA). Offers a collection of position papers about access to perinatal care, breastfeeding, domestic violence, medical liability reform, substance abuse in pregnancy, and transcultural perinatal care. Also offers information about NPA's resource guide and training program about transcultural perinatal care.
· National Sudden and Unexpected Infant/Child Death and Pregnancy Loss Resource Center. Includes resources about stillbirth and miscarriage for health professionals, policymakers, and families. The resource center and the Maternal and Child Health (MCH) Library are co-located at Georgetown University's National Center for Education in Maternal and Child Health and are supported with funding from the Maternal and Child Health Bureau (MCHB).
· UNC Center for Maternal and Infant Health. Presents preconception and pregnancy research and program information, algorithms for the management of high-risk pregnancies, a family history questionnaire, and information about cystic fibrosis, maternal age and pregnancy, prenatal screening, and prenatal diagnosis. Offers patient-education fact sheets in English and Spanish on pregnancy topics, genetics, and serious pregnancy and fetal conditions. The Center is part of the University of North Carolina at Chapel Hill School of Medicine.
· World Health Organization (WHO): Partnership for Maternal, Newborn, and Child Health. Offers program information and resources in English and five other languages about pregnancy, childbirth, maternal mortality, and infant and child mortality worldwide. Fact sheets, press materials, an advocacy kit, presentations, and reports are among the resources presented.
Additional Electronic Publications
Institute of Medicine (IOM). 2009. Weight gain during pregnancy: Reexamining the guidelines. Washington, DC: Institute of Medicine. This report examines weight gain during pregnancy and uses prepregnancy weight and body mass index to set a range for healthy weight gain. It makes recommendations to federal, state, and local organizations about using these updated guidelines to move women toward healthier pregnancies.