Interconception Health Services for Women at High Risk for Adverse Pregnancy Outcomes: A Descriptive Study.
Br J Med Med Res
;
2014 July; 4(21): 3844-3855
Article
in English
| IMSEAR
| ID: sea-175326
ABSTRACT
Aims:
To describe and present results of preconception care services aimed at underserved women who have experienced an adverse birth outcome. StudyDesign:
Retrospective descriptive study. Place and Duration of Study Sample Maricopa Integrated Health System’s Internatal Clinic, a public safety-net hospital in Phoenix, Arizona USA, between March 2008 and October 2011.Methodology:
102 women who have experienced a prior preterm birth or stillbirth currently enrolled in an “Internatal Clinic” where interconception and prenatal care is provided. The interventions included education by clinicians and trained support staff, support groups, a walking program to address physical activity, contraception, folic acid intake, dental care, overweight/obesity, mental health and substance use issues prior to a future pregnancy. Chart reviews were performed and a preconception health survey addressing knowledge (pre/post) and patient satisfaction were analyzed using descriptive and univariate statistics.Results:
Of current enrollees (N=102), 79% have been in the program for 12 to 18 months. 100% of those with mental health needs have had them addressed, 93% of those not desiring pregnancy are using contraception, 75% are consuming a folate supplement, 53% are engaging in regular exercise and 37% had oral health needs addressed despite no insurance coverage. Of the 102 patients, only 21% had a normal body mass index (18.5 to 24.9 kg/m2). Improvements in patient knowledge and attitudes were documented.Conclusion:
Women in our program had improved preconception knowledge, attitudes and behaviors.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Etiology study
Language:
English
Journal:
Br J Med Med Res
Year:
2014
Type:
Article
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