Date post: | 12-Jan-2016 |
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Diana E. Ramos, MD, MPHCo-Chair Preconception Health Council of California
Director, Reproductive Health Los Angeles County Public HealthAssistant Professor, Keck USC School of Medicine
Coauthors: Jeanne Conry, MD,PhD, Navi Sidhu, MD, MPH, Peyton Mason-Marti,MPH
Improving the Healthcare of the Latina New Mother
in California: Interconception Care Project of California
Presenter Disclosures
Diana E. Ramos
No relationships to disclose in relation to the content of this presentation.
California’s Births Comparable to Many
Countries
354,148 Canada
385,963Texas
404,120 Spain
505,757 Italy
550,142California
648,516 Great Britain
679,981 Germany
830,900 France
2005BirthsCountries
354,148 Canada
385,963Texas
404,120 Spain
505,757 Italy
550,142California
648,516 Great Britain
679,981 Germany
830,900 France
2005BirthsCountries
Recommendations for The Post Partum Visit
World Health Organization: –Recommend contact with the health care system
“six hours, six days, six weeks and six months”
post-delivery
–offer comprehensive puerperal care to mothers and newborns
Improved post partum care will not only improve the health and well being of the postpartum woman but will also improve outcomes of
subsequent pregnancies
Recommendations for The Post Partum Visit
ACOG: – Recommend four to six weeks
postpartum– General assessment of physical and
mental well-being
Postpartum Visit Issues
• Compliance
• Patients’ perceived need
• Barriers & Access
Interconception Care Project for California
• Joint March of Dimes/ ACOG Project & Preconception Health Council of California
• Goal: to create guidelines for the postpartum visit that address diagnoses that developed peri-nataly
8
ACOG Interconception CareLogic Model
Review Committee
• Obstetrician /Gynecologists 11• Internal Medicine 1• Nurses 6• MSW 5• PhD 2• Masters Public Health 2• Analyst 1
28 in total
Interconception Care Project for California Focus
• Obesity/nutritional deficiencies
• Bleeding-associated disorders
• Hypertension/cardiovascular disorders
Gestational diabetes
Infections (UTI, STIs, Immunization)
• Mental disorders Intimate partner violence
• Preterm delivery
• Thyroid dysfunction
• Tobacco and other drug dependence
• Neurologic disorders
Interconception Care Project for California Prevailing Messages
• Folic acid
• Contraception
Breastfeeding
Patient Brochures
Material Review
• 200 Health Professionals in California to review algorithms
• 100 patients to review patient brochures in Spanish
• 100 patients to review patient brochures in English
Provider Algorithms
Interconception Care Project for California
Deliverables
• DVD and web-based summary of guidelines
• Patient handouts: Web-based format
• CME web based course
Interconception Care Project for California
•Health Insurers•Patients•Community Based Organizations
Just the Beginning
• Collaboration
• Maximize postpartum visit
• Improve maternal health and the outcomes of subsequent pregnancies
Thank you !