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Preconception Care: Making a Lifetime of Difference
INNOVATIVE PROGRAMS
Carruth, T. and Archer, L. L.
Proceedings of the 2011 AWHONN Convention
is provided for women and their families who may be concerned about postpartum depression. Implications for Nursing Practice Follow-up evaluation found the majority of women complied with recommendations and reported feeling less depressed and more capable of caring for their infants. Early screening and intervention prepare mothers and improve outcomes.
Future expansion of the program includes the development of more online options, including an online support group. Several pediatricians are screening new moms during well-baby visits. Education, the screening tool, and referral options have been provided to support their sta¡. Plans for expansion include adding more OB and pediatric physician practices, re¢ning the screening process, and providing services to surrounding hospitals.
Preconception Care: Making a Lifetime of Difference Poster Presentation Thea Carruth, MPH, Health TeamWorks, Lakewood, CO
Linda L. Archer, MSN, RN, CNS, Colorado Department of Public Health and Environment, Denver, CO
Keywords preconception care life course health development framework interconception care practice guideline
Childbearing
Purpose for the Program reconception interventions are known to reduce adverse pregnancy outcomes such as low birth weight, prematurity, and birth defects. In the United States, 50% of all pregnancies are unplanned. Many interventions to prevent adverse birth outcomes must happen before early pregnancy to be e¡ective. In addition, most fetal organs and placental vessels are developing before the ¢rst prenatal visit. In 2009 Health TeamWorks (formerly the Colorado Clinical Guidelines Collaborative), the Colorado Department of Public Health and Environment, and Colorado Healthy Women Healthy Babies formed a public/ private partnership to develop a one page evidenced-based preconception care clinical practice guideline for Colorado providers.
P
Proposed Change The purpose of this presentation is to describe the components of the Colorado preconception and interconception clinical practice guideline and educate health care professionals about implementation of evidence-based interventions that can improve the health of women and their babies across the life span.
Implementation, Outcomes, and Evaluation This presentation will describe preconception care guideline components (daily multivitamin intake, appropriate body weight, tobacco cessation, alcohol and drug use, sexually transmitted infections, psychosocial risks, immunizations, reproductive history, genetic history, environmental exposures, chronic illness, and contraception) and distill the evidence and rationale for screening and intervention before conception. In addition, the presentation will illustrate how health care providers in various specialties can address preconception care with patients at each encounter using a life course health development framework. Implications for Nursing Practice The preconception and interconception clinical practice guideline strives to summarize and prioritize interventions in a manner that can serve as a foundation for preconception care. Since all women of reproductive age, from menarche to menopause, bene¢t from the preventive care outlined in the guideline, development and dissemination of the guideline promotes consistent and equal health care for women.
Inspiring and Leading Women to Succeed at Unmedicated Childbirth Poster Presentation Purpose for the Program n this facility delivering over 5,000 infants per year, we have seen a shift from most patients
I
JOGNN 2011; Vol. 40, Supplement 1
desiring a medicated birth with controlled epidural anesthesia to many patients choosing an unmedicated birth option. This is not surprising since birth has not always been seen as a hospital process and we have seen trends change through the years.
S5
Carruth, T. and Archer, L. L.
Proceedings of the 2011 AWHONN Convention
is provided for women and their families who may be concerned about postpartum depression. Implications for Nursing Practice Follow-up evaluation found the majority of women complied with recommendations and reported feeling less depressed and more capable of caring for their infants. Early screening and intervention prepare mothers and improve outcomes.
Future expansion of the program includes the development of more online options, including an online support group. Several pediatricians are screening new moms during well-baby visits. Education, the screening tool, and referral options have been provided to support their sta¡. Plans for expansion include adding more OB and pediatric physician practices, re¢ning the screening process, and providing services to surrounding hospitals.
Preconception Care: Making a Lifetime of Difference Poster Presentation Thea Carruth, MPH, Health TeamWorks, Lakewood, CO
Linda L. Archer, MSN, RN, CNS, Colorado Department of Public Health and Environment, Denver, CO
Keywords preconception care life course health development framework interconception care practice guideline
Childbearing
Purpose for the Program reconception interventions are known to reduce adverse pregnancy outcomes such as low birth weight, prematurity, and birth defects. In the United States, 50% of all pregnancies are unplanned. Many interventions to prevent adverse birth outcomes must happen before early pregnancy to be e¡ective. In addition, most fetal organs and placental vessels are developing before the ¢rst prenatal visit. In 2009 Health TeamWorks (formerly the Colorado Clinical Guidelines Collaborative), the Colorado Department of Public Health and Environment, and Colorado Healthy Women Healthy Babies formed a public/ private partnership to develop a one page evidenced-based preconception care clinical practice guideline for Colorado providers.
P
Proposed Change The purpose of this presentation is to describe the components of the Colorado preconception and interconception clinical practice guideline and educate health care professionals about implementation of evidence-based interventions that can improve the health of women and their babies across the life span.
Implementation, Outcomes, and Evaluation This presentation will describe preconception care guideline components (daily multivitamin intake, appropriate body weight, tobacco cessation, alcohol and drug use, sexually transmitted infections, psychosocial risks, immunizations, reproductive history, genetic history, environmental exposures, chronic illness, and contraception) and distill the evidence and rationale for screening and intervention before conception. In addition, the presentation will illustrate how health care providers in various specialties can address preconception care with patients at each encounter using a life course health development framework. Implications for Nursing Practice The preconception and interconception clinical practice guideline strives to summarize and prioritize interventions in a manner that can serve as a foundation for preconception care. Since all women of reproductive age, from menarche to menopause, bene¢t from the preventive care outlined in the guideline, development and dissemination of the guideline promotes consistent and equal health care for women.
Inspiring and Leading Women to Succeed at Unmedicated Childbirth Poster Presentation Purpose for the Program n this facility delivering over 5,000 infants per year, we have seen a shift from most patients
I
JOGNN 2011; Vol. 40, Supplement 1
desiring a medicated birth with controlled epidural anesthesia to many patients choosing an unmedicated birth option. This is not surprising since birth has not always been seen as a hospital process and we have seen trends change through the years.
S5