Inventory of Evidence-Based Practices (EBPs) for Healthy Start Programs
Evidence-based practices include actions, activities, strategies, or approaches that improve the health of women, before, during, and after pregnancy in order to improve birth outcomes and give infants up to age two years a healthy start. Also included in the collection are informational materials and tools that make it easier to implement evidence-based practices. To search by title, use the main search box located at the top of this page.
This colorful and easy-to-read patient brochure can be downloaded or ordered for free from the CDC. It discusses the effects of STDs on pregnancy and the importance of being tested for STDs before and/or during pregnancy. It reviews the preventive measures women can take to avoid contracting an STD before or during pregnancy and emphasizes the importance of being treated during pregnancy if required.
Topics:
Prenatal Care and Education STDs including HIV
Approaches:
Improve Women's Health Promote Quality
Benchmarks:
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
This patient handout in the form of questions and answers is designed to inform pregnant women and women planning a pregnancy about the risks of HIV infection during pregnancy. It covers the basics of HIV infection, its potential risks to pregnant women and their babies, and how these risks can be minimized with early diagnosis, certain preventive measures, and HIV treatment.
Topics:
Prenatal Care and Education STDs including HIV
Approaches:
Improve Women's Health Promote Quality
Benchmarks:
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
This brief looks at common acceptability, availability, and accessibility barriers to mental and substance use disorder (behavioral health) treatment and services in rural communities and presents ways telehealth can help surmount some of these barriers. The term telehealth refers to using internet and communications technologies, such as videoconferencing, chat, and text messaging, to provide health information and treatments in real time.
Topics:
Alcohol/Drug Services Case Management/Care Coordination Depression
Approaches:
Strengthen Family Resilience
Benchmarks:
Perinatal Depression Follow Up Perinatal Depression Screening
Evidence Rating:
II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.
Safe Homes, Safe Babies is a safety card for women that perinatal health care providers can distribute to patients. In addition to providing safety resources for women, this tool also functions as a prompt for perinatal health care providers by providing quick phrases to improve discussions with women about the impact of domestic violence on their parenting and children. The safety card outlines questions women may ask themselves about their relationships, birth control use and parenting, while offering supportive messages and referrals to national support services for help.
Topics:
Depression Intimate Partner Violence Risk Assessment
Approaches:
Strengthen Family Resilience
Benchmarks:
Intimate Partner Violence Perinatal Depression Screening
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
The Fetal Alcohol Spectrum Disorders (FASD) Prevention Program is a collaboration between ACOG and the CDC designed to empower healthcare providers to speak with their patients about abstaining from alcohol use during pregnancy. The program includes evidence-based ACOG Committee Opinions regarding ethics, alcohol use in pregnancy, and motivational interviewing techniques, as well as videos and free downloadable materials for both providers and patients.
Topics:
Alcohol/Drug Services
Approaches:
Benchmarks:
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
MothertoBaby is the leading authority providing up-to-date, evidence-based information to mothers, healthcare professionals, and the general public regarding the effects of medications and other exposures on pregnancy and breastfeeding. The website contains fact sheets in English and Spanish covering the risks of over 50 pharmaceuticals (listed alphabetically), herbal products, and other common lifestyle and occupational exposures. Excellent sections on tobacco, alcohol, and mood-altering drugs are included, as well as information on the safety of vaccines during pregnancy and breastfeeding. Experts are also available to answer individual questions confidentially by telephone, email, or text.
Topics:
Alcohol/Drug Services Breastfeeding Immunization Prenatal Care and Education Risk Assessment Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Smoking Abstinence
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Medical‐legal partnership (MLP) is an approach to health that integrates the work of healthcare, public health, and civil legal aid to more effectively identify, treat, and prevent health‐harming legal needs for patients, clinics, and populations. MLP addresses legal needs in the areas of income supports and insurance; housing and utilities; employment and education; legal status; and personal and family stability. MLP:
- Trains healthcare, public health, and legal teams to work collaboratively and identify needs upstream;
- Treats individual patients’ health‐harming social and legal needs with legal care ranging from triage and consultations to legal representation;
- Transforms clinic practice and institutional policies to better respond to patients’ health‐harming social and legal needs; and
- Prevents health‐harming legal needs broadly by detecting patterns and improving policies and regulations that have an impact on population health.
Topics:
Case Management/Care Coordination Insurance Coverage Other Risk Assessment
Approaches:
Achieve Collective Impact Improve Women's Health
Benchmarks:
CAN Implementation Health Insurance
Evidence Rating:
II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness.
This is the official government website where participants can find out if they qualify for health insurance, what their options are, and what assistance may be available to them (including Medicaid and CHIP). They can then proceed to apply for insurance at this site
Topics:
Insurance Coverage
Approaches:
Improve Women's Health
Benchmarks:
Health Insurance
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
This website, with tabs for both providers and patients, provides current recommendations on immunizations for women. It includes information on vaccines for specific conditions, timing regimens, safety, and guidelines for use in pregnancy.
Topics:
Immunization
Approaches:
Improve Women's Health
Benchmarks:
Well Woman Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
The CDC offers vaccination recommendations for preconception/interconception, prenatal, and postpartum women. An Immunization and Pregnancy Vaccine Flyer, recommended immunizations schedule, and vaccine quiz are all available online. The influenza vaccine is recommended for all women, including pregnant women.
Topics:
Immunization
Approaches:
Improve Women's Health
Benchmarks:
Well Woman Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Women.smokefree.gov includes resources for women at any stage hoping to quit smoking tobacco, and has an entire section devoted to pregnant women and mothers. Smokefree MOM is a free texting service that provides tips, advice, and support for pregnant mothers in the process of quitting smoking.
Topics:
Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
This toolkit provides information on women’s preventive health services covered under the Affordable Care Act, and tools women can use if they encounter problems with this coverage. Includes templates for appeal letters to insurance companies in case of being wrongfully charged co-pays or deductibles for preventive services, birth control, breastfeeding counseling, BRCA testing, colonoscopy, or well-woman visits.
Topics:
Insurance Coverage
Approaches:
Improve Women's Health
Benchmarks:
Health Insurance
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.