Interconception Care Toolkit

The Interconception Care Toolkit modules are designed to enhance users’ knowledge of interconception health related subjects. There are links to internet resources throughout the Modules to help you learn the content. There are questions and scenarios in each Module which will help you use the information you are learning. At the end of each of the Modules, you will be able to quiz yourselves on what you have learned.

Module 1: The Birds, The Bees, The Plan
Part 1 – Helping Your Clients Plan Their Futures and Their Families
Part 2 – Grasping the Basics of Reproduction
Part 3 – Considering If and When to Become Pregnant Again
Part 4 – From Plan to Action: Finding and Using the Right Contraception

Module 2: Weighty Matters: Understanding and Addressing Postpartum Weight Retention in the Interconception Period

Module 3: Chronic Diseases

Module 4: Poor Perinatal Outcomes

Learning Objectives:

By the end of Module 1 (Parts 1-4) you should be able to:

  1. Describe and address some of the common myths about reproduction and reproductive health
  2. Educate your clients about these myths to decrease risky behaviors
  3. Explain basic sexual anatomy and physiology for males and females
  4. Describe the main differences in how three types of contraception work
  5. Use this information to help your clients understand basic reproduction and that methods used to prevent unintended pregnancies may be different than those to prevent STI transmission
  6. Discuss the risks of unintended pregnancies and short interpregnancy intervals (IPI)
  7. Help your clients consider a reproductive life plan
  8. Discuss reproductive coercion and how it impacts reproductive decision making
  9. Navigate the website bedsider.org
  10. Explain key characteristics of the main types of contraception to your clients
  11. Understand and explain failure rates to clients
  12. Help women/couples choose an appropriate contraceptive method for their reproductive plan and their personal characteristics

By the end of Module 2 you should be able to:

  1. Describe recommended and excess maternal weight gains in pregnancy
  2. Define postpartum weight retention
  3. Identify strategies for discussing and addressing postpartum weight retention with interconception women
  4. Provide evidence-based weight loss/maintenance strategies and resources to your clients

By the end of Module 3 (Parts 1-2) you should be able to:

  1. Explain the differences between chronic diseases that predate a pregnancy and pregnancy conditions that may lead to chronic diseases in the future
  2. Discuss why both are important for a woman’s life course and the health of any future pregnancies
  3. Discuss why the interconception period is an important time to address chronic diseases
  4. Support self-management strategies to interrupt the progression of preexisting and developing chronic diseases

By the end of Module 4 you should be able to:

  1. Discuss major causes of poor pregnancy outcomes and who they are most likely to affect
  2. Discuss some of the common psychological and social impacts of poor pregnancy outcomes for women, partners, and other children
  3. Recognize normal and abnormal stages of grief
  4. Provide basic interconception guidance to women who have experienced one or more of several poor pregnancy outcomes

Chronic Disease Depression EBP Implementation Healthy Weight Home Visiting Life Course Model Parenting Education Reproductive Life Planning/Family Planning STDs including HIV

Positive Parenting Tips

This component of the Child Development section of the CDC website provides information for parents on developmental milestones and positive parenting tips by age group, covering children 0-17 years of age. Age-specific injury prevention and safety advice as well as guidelines for promoting healthy bodies are also given. Parents or service providers for parents can download Positive Parenting Tip Sheets for use as take-home handouts.

Parenting Education Partner Involvement Socio-emotional Development for Children

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.

Breastfeeding Prenatal Care and Education

Immunization Schedules for Infants and Children

The recommended immunization schedule is designed to protect infants and children early in life, when they are most vulnerable and before they are exposed to potentially life-threatening diseases. This web page contains immunization schedules that parents can view or print showing the age or age range when each vaccine or series of shots is recommended. Available in English and Spanish.

Immunization

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.

Alcohol/Drug Services Breastfeeding Immunization Prenatal Care and Education Risk Assessment Tobacco Cessation

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.

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

New Benefits for Breastfeeding Moms: Facts and Tools to Understand Your Coverage under the Health Care Law

This toolkit is designed for women, advocates, community-based organizations, and health care providers to provide information on the coverage of breastfeeding support, supplies, and counseling in the health care law (Affordable Care Act) and offer tools to women who encounter problems with this coverage. The toolkit also includes detailed instructions on how to call insurance companies, how to file an appeal if the plan denies coverage, and provides draft appeal letters tailored to commonly encountered scenarios.

Breastfeeding Insurance Coverage

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.

Prenatal Care and Education

Smoking Cessation for Pregnancy and Beyond: A Virtual Clinic

Smoking Cessation for Pregnancy and Beyond: A Virtual Clinic” is an updated online training, based on the “Virtual Practicum” model. This program offers various learning tools, including:interactive case simulations and comprehensive discussions of the patient visits, mini-lectures on relevant topics from leading experts, interviews with real patients who have quit, a dedicated web site of pertinent links and office resources.

EBP Implementation Tobacco Cessation

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