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.

You searched for: Prenatal Care and Education

Number of results: 34


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ROSE (Reach Out, Stay Strong, Essentials for mothers of newborns)

ROSE is a class taught in prenatal clinics that gives pregnant women the skills and information that they need to lower their risk of postpartum depression.Through four 90-minute sessions, the program teaches pregnant women to recognize the signs of depression and how to reduce stress by seeking social support, finding a network of friends and family members, and knowing where to go for help. The ROSES Study (ROSE Sustainment Study) is currently partnering with 90 clinics providing prenatal services to low-income women in all 50 states. The ROSES study will help determine what outside supports are needed to help prenatal clinics implement and sustain ROSE, reducing negative consequences for mother and child.

Topics:

Depression Mental Health Prenatal Care and Education

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Perinatal Depression Screening

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Mothers and Babies

Mothers and Babies (MB) is a program that promotes healthy mood management by teaching pregnant women and new moms how to effectively respond to stress in their lives through increasing the frequency of thoughts and behaviors that lead to positive mood states. Designed as a perinatal depression prevention, the Mothers and Babies targets three specific risk factors: limited social support, lack of pleasant activities, and harmful thought patterns. Mothers and Babies offers a “toolkit” of approaches for women to observe their mood, note factors affecting their mood, and make changes in their daily lives to impact these areas. Based on principles of cognitive-behavioral therapy (CBT), attachment theory, and psychoeducation, the Mothers and Babies Course is designed to be delivered by clinic- or community-based providers from a variety of educational and professional backgrounds, and can be delivered as a group intervention or as a one-on-one intervention in various settings where pregnant women access services (e.g. prenatal clinics, home visiting programs, WIC programs, County Health Departments, etc.).

Topics:

Depression Home Visiting Maternal Morbidity and Mortality Mental Health Parenting Education Prenatal Care and Education

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Perinatal Depression Screening

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

STDs and Pregnancy – The Facts

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.

Screening for Syphilis Infection in Pregnancy

The incidence of syphilis in American women doubled between 2012 and 2016, and the incidence of congenital syphilis rose concomitantly. Congenital syphilis can lead to stillbirth, neonatal death, and lasting effects such as bone deformities and neurologic impairment in the newborn. Because of this, the USPSTF has reiterated its guidance that all pregnant women be tested for syphilis at their first prenatal visit. They also point out that many organizations recommend repeat testing of high-risk women in the third trimester and at delivery.

Topics:

Prenatal Care and Education STDs including HIV

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

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.

HIV and Pregnancy

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.

ACOG Committee Opinion on Prenatal HIV Testing

This recently revised document discusses the rationale and recommendations for “opt-out” HIV testing in pregnancy. It explains how test results can be used to guide treatment for HIV in pregnancy in order to optimize outcomes for both mother and baby.

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.

AIM Patient Safety Bundles

The Alliance for Innovation on Maternal Health (AIM) is a national data-driven maternal safety and quality improvement initiative based on proven implementation approaches to improving maternal safety and outcomes in the U.S. The AIM supported safety bundles are collections of evidence based protocols and best practices for improving safety in maternity care, and handling obstetric complications and emergencies in hospital and outpatient settings. AIM provides implementation and data support for each AIM supported patient safety bundle.

Topics:

Case Management/Care Coordination Other Prenatal Care and Education Risk Assessment

Approaches:

Improve Women's Health

Benchmarks:

Postpartum Visit

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.

Black Mamas Matter: Advancing the Human Right to Safe and Respectful Maternal Health Care

This toolkit provides a foundation, framework and resources for advancing maternal health in the U.S. as a human rights issue. It provides a research overview of maternal morbidity and mortality, focusing on trends, health disparities and inequities. Based on the deliberations of a cross-sectoral convening of stakeholders it offers a state policy framework for upholding the right to safe and respectful maternal health care, which offers recommendations in six key areas: improving access to reproductive health care, improving quality of maternal health care, ensuring acceptability of maternal health care for women most at risk, ensuring widespread availability of maternal health services, ensuring non-discrimination in access to care and social determinants of health, and fostering accountability to human rights standards for maternal health care.

Topics:

Case Management/Care Coordination Home Visiting Insurance Coverage Life Course Model Patient-centered Medical Home Prenatal Care and Education Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health

Benchmarks:

Health Insurance Postpartum Visit Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Pregnancy & Opioids: What families need to know about opioid misuse and treatment during pregnancy

This guide provides information and resources for family members and friends on specific ways to support pregnant women with opioid use disorders, and help them to get the prenatal care, substance use treatment and other supports they need during pregnancy and postpartum.

Topics:

Alcohol/Drug Services Case Management/Care Coordination Prenatal Care and Education

Approaches:

Improve Women's Health Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Usual Source of Care

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

A Collaborative Approach to the Treatment of Pregnant Women with Opioid Use Disorders

This guide is intended to support the efforts of states, tribes, and local communities in addressing the needs of pregnant women with opioid use disorders and their infants and families, through a coordinated, multi-sytem approach. The guide is designed to assist healthcare providers, SUD treatment providers, child welfare programs and judicial systems to improve their collaborative practice, and to offer information about additional resources that will strengthen their capacity to provide coordinated, best-practice care and services Collaborative planning and implementation of services that reflect best practices for treating opioid use disorders during pregnancy are yielding promising results in communities across the country. .

Topics:

Alcohol/Drug Services Case Management/Care Coordination Patient-centered Medical Home Prenatal Care and Education

Approaches:

Improve Women's Health

Benchmarks:

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.

NICHQ Infant Mortality Prevention Toolkit

This interactive toolkit allows users to learn from participants in the Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN). The resource is organized by topics from the initiative, including social determinants of health, pre- and interconception care, risk-appropriate prenatal care, pre- and early- term births, smoking cessation, and safe sleep practices. It features change ideas, model programs, videos, and key insights from teams who are working to reduce infant mortality throughout the country.

Topics:

Life Course Model Prenatal Care and Education Safe Sleep Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Safe Sleep Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

NICHQ Infant Mortality Prevention Toolkit

This interactive toolkit allows users to learn from participants in the Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN). The resource is organized by topics from the initiative, including social determinants of health, pre- and interconception care, risk-appropriate prenatal care, pre- and early- term births, smoking cessation, and safe sleep practices. It features change ideas, model programs, videos, and key insights from teams who are working to reduce infant mortality throughout the country.

Topics:

Life Course Model Prenatal Care and Education Safe Sleep Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Safe Sleep Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Promundo: Program P: A Manual for Engaging Men in Fatherhood, Caregiving, and Maternal and Child Health

Program P is a resource developed as part of the global MenCare campaign coordinated by Promundo and the Sonke Gender Justice Network. The manual outlines concrete strategies for engaging men in active caregiving from their partner’s pregnancy through their child’s early years, and preventing violence against women and children. It includes tools to aid in creating open spaces for men in the clinic setting, detailed guidance on providing gender-transformative group education for men, and advice on encouraging community mobilization around fatherhood, child protection, maternal and child health and gender equality. It is available in 5 languages.

Topics:

Intimate Partner Violence Parenting Education Partner Involvement Prenatal Care and Education

Approaches:

Strengthen Family Resilience

Benchmarks:

Father/Partner Parenting Involvement Father/Partner Prenatal Involvement

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

WHO Guidelines for Identification and Management of Substance Use and Substance Use Disorders in Pregnancy

This 244-page publication contains detailed guidelines and recommendations on the identification and management of women who are pregnant or postpartum and use alcohol or drugs or have a substance use disorder. It includes extensive information on screening and brief interventions, psychosocial interventions, detoxification and quitting programs, pharmacological treatment, breastfeeding and maternal substance use, and management of infants exposed to alcohol and other psychoactive substances. The document also features a comprehensive review of the evidence behind the recommendations.

Topics:

Alcohol/Drug Services Breastfeeding Prenatal Care and Education Risk Assessment

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Smoking Cessation During Pregnancy

Smoking is the one of the most important modifiable causes of poor pregnancy outcomes in the United States, and is associated with maternal, fetal, and infant morbidity and mortality. This ACOG Committee Opinion provides evidence-based guidance on helping pregnant women quit smoking. It contains examples of effective smoking cessation interventions and instructions for use of the 5A’s, a counseling intervention specifically targeted to pregnant women. The potential effects on pregnancy and lactation of alternative forms of nicotine, such as e-cigarettes and vaping, as well as medications used to help with smoking cessation, are also discussed.

Topics:

Prenatal Care and Education Tobacco Cessation

Approaches:

Promote Quality

Benchmarks:

Smoking Abstinence

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Moms2B

Moms2B provides weekly education and support sessions for expectant mothers to promote healthy lifestyle choices and link women with support services. Topics covered include: breastfeeding, child development, family planning, goal setting, prenatal labor and delivery, maternal-infant health, positive parenting, reproductive health, and safe sleep. Moms2B is provided free of charge, with transportation assistance, on-site childcare and a hot, healthy meal. Ohio State University and community social service organizations support Moms2B participants with ongoing access to healthcare providers, lactation counselors, social workers, parenting educators and community health workers. The Moms2B program is based on an evidence-based pilot curriculum shown to increase breastfeeding and improve infant health.

Topics:

Breastfeeding Nutrition Parenting Education Prenatal Care and Education Reproductive Life Planning/Family Planning Safe Sleep

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Initiating Breastfeeding Reproductive Life Plan Safe Sleep

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.

American College of Nurse-Midwives Position Statement on Screening and Brief Intervention to Prevent Alcohol-Exposed Pregnancy

ACNM encourages CNMs, CMs, and other professionals who provide care for reproductive-aged women to routinely use evidence-based strategies to prevent alcohol exposed pregnancy, including:
–Conduct universal alcohol screening and appropriate follow-up at least annually for all adults. For pregnant women, screen at the initial prenatal visit and during each trimester thereafter.
–Be aware of state reporting laws and potential practice implications regarding the use of ICD-10 codes to indicate alcohol use during pregnancy if recording alcohol exposure in the prenatal problem list.
–Provide education about the potentially harmful effects of alcohol on a developing fetus
–Advise use of effective contraception to prevent pregnancy; if the woman is not using contraception consistently, advise her to consider abstaining from alcohol use.
–Encourage women who are attempting to become pregnant to abstain from alcohol.
–Provide a brief behavioral intervention and appropriate follow-up plan for those who screen positive for symptoms or dependency, including a referral to specialty services as needed.
In addition,CNMs and CMs should seek information and training to enhance their knowledge and build theclinical skills needed to address alcohol use with women, especially those of reproductive age.

Topics:

Alcohol/Drug Services Prenatal Care and Education

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

ACOG Committee Opinion on Opioid Use and Opioid Use Disorder in Pregnancy

This Committee Opinion states ACOG’s recommendations for screening and treatment of opioid use during pregnancy. Pregnancy provides an important opportunity to identify and treat women with substance use disorders, Universal screening for substance use should be a part of comprehensive obstetric care and should be done at the first prenatal visit in partnership with the pregnant woman. Multidisciplinary long-term follow-up should include medical, developmental, and social support. Infants born to women who used opioids during pregnancy should be monitored for neonatal abstinence syndrome by a pediatric care provider. Early universal screening, brief intervention (such as engaging a patient in a short conversation, providing feedback and advice), and referral for treatment of pregnant women with opioid use and opioid use disorder improve maternal and infant outcomes.

Topics:

Alcohol/Drug Services Prenatal Care and Education

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

A Public Health Response to Opioid Use in Pregnancy

This policy statement from the AAP advocates a public health response to the opioid epidemic and substance use during pregnancy, and recommends: a focus on preventing unintended pregnancies and improving access to contraception; universal screening for alcohol and other drug use in women of childbearing age; knowledge and informed consent of maternal drug testing and reporting practices;improved access to prenatal care, including opioid replacement therapy; gender-specific substance use treatment programs;and improved funding for social services and child welfare systems.

Topics:

Alcohol/Drug Services Prenatal Care and Education

Approaches:

Improve Women's Health

Benchmarks:

Reproductive Life Plan Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Guidelines for Identification and Management of Lead Exposure in Pregnant and Lactating Women

This is a comprehensive source of information on the risks of exposure to lead during pregnancy and lactation. It contains detailed information on sources of lead exposure in adults, and known risks of lead on the mother, developing fetus, and infant. Sample screening tools for assessing possible exposure, and information on management of women found to have elevated lead levels are also included.

Topics:

Breastfeeding Prenatal Care and Education Risk Assessment

Approaches:

Benchmarks:

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Family Spirit

Family Spirit is an evidence-based early childhood home-visiting program designed for and by American Indian communities. Family Spirit combines the use of paraprofessionals from the community as home visitors and a culturally focused, strengths-based curriculum as a core strategy to support young families. From pregnancy through the child’s 3rd birthday, parents gain knowledge and skills to promote healthy development and positive lifestyles for themselves and their children. Family Spirit addresses intergenerational behavioral health problems, optimizes local cultural assets, and overcomes deficits in the professional health care workforce in low resource communities. Evidence from three randomized controlled trials has documented important results including: increased parenting knowledge and involvement; decreased maternal depression; increased home safety; decreased emotional and behavioral problems of mothers; and decreased emotional and behavioral problems of children. The Family Spirit curriculum modules cover: Prenatal Care, Infant Care, Your Growing Child, Toddler Care, My Family and Me, and Healthy Living.

Topics:

Alcohol/Drug Services Breastfeeding Depression Home Visiting Parenting Education Partner Involvement Prenatal Care and Education Reproductive Life Planning/Family Planning Socio-emotional Development for Children

Approaches:

Improve Women's Health Promote Quality Strengthen Family Resilience

Benchmarks:

Father/Partner Prenatal Involvement Initiating Breastfeeding Perinatal Depression Follow Up Perinatal Depression Screening Reproductive Life Plan Safe Sleep Smoking Abstinence Sustaining Breastfeeding

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Moms’ Mental Health Matters

This new initiative is designed to educate consumers and health care providers about perinatal mood disorders, emphasizing the newly-appreciated fact that they include both depression and anxiety and can occur both during and after pregnancy. In addition to education, the site provides action plans, referrals, and advice for partners, family, and friends of affected women. Related materials including posters, tear sheets, and postcards, all in both English and Spanish, can be downloaded or ordered for free.

Topics:

Depression Prenatal Care and Education

Approaches:

Strengthen Family Resilience

Benchmarks:

Perinatal Depression Follow Up Perinatal Depression Screening

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

The Surgeon General’s Call to Action to Support Breastfeeding

For nearly all infants, breastfeeding is the best source of nutrition and immunologic protection, and it provides remarkable health benefits to mothers as well. Many mothers in the United States want to breastfeed, and most try. Yet within only three months after giving birth, more than two thirds of breastfeeding mothers have already begun using formula. By six months postpartum, more than half of mothers have given up on breastfeeding. This Call to Action describes specific steps people can take to participate in a society-wide approach to support mothers and babies who are breastfeeding. It provides recommendations for women and families, communities, health care providers, employers, public health agencies, and researchers.

Topics:

Breastfeeding Prenatal Care and Education

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

MothertoBaby

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.

4Ps Plus©

4Ps Plus© is the first validated instrument that has been developed to screen for alcohol, tobacco, and illicit drug use; depression; and domestic violence, specifically in pregnant women. In addition, brief intervention strategies, grounded in motivational interviewing techniques, are integrated into the screening process. “I am concerned…” is an interactive, multisensory psychoeducational approach that takes about five minutes and is administered to all women who are found through the screening process to be using alcohol, tobacco, or illicit drugs.

Topics:

Alcohol/Drug Services Depression Intimate Partner Violence Prenatal Care and Education Risk Assessment Tobacco Cessation

Approaches:

Promote Quality Strengthen Family Resilience

Benchmarks:

Intimate Partner Violence Perinatal Depression Screening Smoking Abstinence

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.

Baby Basics

Baby Basics is a set of materials (book, planner, posters) and programs designed specifically to provide lower-income and lower-literacy populations with crucial prenatal health information and support. The materials are designed to be beautiful and easy to read, serving as a catalyst for learning and family literacy. Both materials and programs strive to engage and educate underserved parents to become effective users of the healthcare system and advocate for themselves and their families.

Topics:

Prenatal Care and Education

Approaches:

Improve Women's Health Promote Quality Strengthen Family Resilience

Benchmarks:

Birth Spacing Father/Partner Prenatal Involvement Initiating Breastfeeding Postpartum Visit Safe Sleep Sustaining Breastfeeding Well Child Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Community-Based Doula Programs

The Community-Based Doula Program connects underserved pregnant women to other women in their communities who are specially trained as doulas to provide support during the critical times of pregnancy, birth, and postpartum/early parenting. The program is based on the power of peer-to-peer support. Because doulas are of and from the same community as their clients, they are able to understand language and cultural needs and create long-term links to support networks. Women in the program have been shown to have higher breastfeeding rates, lower C-section rates, and more positive mother-infant interaction. HealthConnect One can assist in developing these programs.

Topics:

Breastfeeding Parenting Education Prenatal Care and Education

Approaches:

Promote Quality

Benchmarks:

Initiating Breastfeeding Sustaining Breastfeeding

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.

The Tampa Bay Doula Program

This Doula Program, targeted to low income pregnant women, provides free perinatal services, including community-based childbirth education classes, labor and delivery support, postpartum care, and instruction focusing on mom/baby attachment, extension of breastfeeding duration, and interconception care. Participants in the program have been shown to have a decreased infant mortality rate, reduced need for medical interventions during labor and delivery, and longer duration of breastfeeding their infants.

Topics:

Breastfeeding Other Prenatal Care and Education Reproductive Life Planning/Family Planning

Approaches:

Improve Women's Health Promote Quality

Benchmarks:

Birth Spacing Initiating Breastfeeding Reproductive Life Plan Sustaining Breastfeeding

Evidence Rating: I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.

Ohio Perinatal Quality Collaborative (OPQC)

The Ohio Perinatal Quality Collaborative (OPQC) is a statewide consortium of perinatal clinicians, hospitals, and policy makers and governmental entities that aims, through the use of improvement science, to reduce preterm births and improve birth outcomes across Ohio. OPQC uses monthly action period calls and face-to-face sessions with teams to review individual and aggregate data, learn from teams that have been successful at making changes and achieving improved outcomes, and apply the Model for Improvement to test specific strategies. OPQC was founded in 2007, and is seen as a national model in statewide perinatal improvement.

Topics:

Case Management/Care Coordination Prenatal Care and Education Risk Assessment

Approaches:

Promote Quality

Benchmarks:

Reducing Early Elective Deliveries Well Child Visits

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.

AAFP Updated Guidelines for Prenatal Care

Recommendations for providers of prenatal care.  Includes current evidence-based guidelines and easy-to-reference charts and tables on recommended prenatal screenings, vaccinations, dietary guidelines, counseling topics, sexually transmitted infections, and complications of pregnancy.

Topics:

Prenatal Care and Education

Approaches:

Improve Women's Health

Benchmarks:

Well Woman Visits

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Why the Last Weeks of Pregnancy Count

A variety of bilingual materials explain why it is important not to schedule an induction or Cesarean section for non-medical reasons before 39 weeks gestation. Fetal growth and development in the last few weeks of pregnancy is highlighted.

Topics:

Prenatal Care and Education

Approaches:

Promote Quality

Benchmarks:

Reducing Early Elective Deliveries

Evidence Rating: III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.

Healthy Babies are Worth the Wait

Objective was to decrease the preterm birth rate in Kentucky by addressing preventable preterm births. Selected activities included the formation of Local Advisory Committees to inform the work; ongoing comparison of current practice to new science and best practice; identifying and addressing gaps in the system of care; education of providers, patients, and public about new information around prematurity and risks of early births; implementation of evidence-based practices; strengthening systems of care; and measuring progress. The HBWW model has been expanded to many sites in Texas.

Topics:

Prenatal Care and Education

Approaches:

Promote Quality

Benchmarks:

Reducing Early Elective Deliveries

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.

PASOs

“PASOs (or “steps” in Spanish) aims to improve health of Latino families in South Carolina by educating Latino parents and caregivers on issues related to healthy pregnancies and prenatal care, as well as appropriate child development and resources for child health, and by advocating for better, more accessible services for Latinos. PASOs provides a free, comprehensive 14-hour prenatal empowerment course, community health outreach and individual interventions to Latino families, and consultative services for maternal and child health providers and policymakers throughout South Carolina.

Topics:

Parenting Education Prenatal Care and Education

Approaches:

Improve Women's Health Promote Quality Strengthen Family Resilience

Benchmarks:

Initiating Breastfeeding Reading to Child Daily Reproductive Life Plan Sustaining Breastfeeding Well Child Visits Well Woman Visits

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.