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.
Most Recently Added EBPs:
Number of results: 79
In February 2019, ACIP updated its immunization guidelines for children and adolescents. The revised guidelines are available in two newly redesigned charts, one for providers and one for parents. They include new or revised recommendations for hepatitis A vaccine (HepA), hepatitis B vaccine (Hep B), influenza vaccine, and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap), as well as clarification of the recommendations for inactivated poliovirus vaccines (IPV).
Topics:
Immunization
Approaches:
Promote Quality
Benchmarks:
Well Child Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Often referred to as “The Fourth Trimester,” the weeks after birth are a critical time for a woman and her infant, setting the stage for long-term health and well-being. This comprehensive toolkit, with an introduction by Dr. Haywood Brown, includes extensive resources on the key components of postpartum care, including support for new mothers, reproductive life planning, infant care, counseling for substance use, long-term weight management, and many more pertinent topics. It also features a sample postpartum checklist for women to complete.
Topics:
Alcohol/Drug Services Breastfeeding Chronic Disease Depression Healthy Weight Immunization Intimate Partner Violence Reproductive Life Planning/Family Planning Safe Sleep Tobacco Cessation
Approaches:
Improve Women's Health Promote Quality Strengthen Family Resilience
Benchmarks:
Initiating Breastfeeding Intimate Partner Violence Perinatal Depression Follow Up Perinatal Depression Screening Postpartum Visit Reproductive Life Plan Safe Sleep Smoking Abstinence Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
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.
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.
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 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.
Because one half of all pregnancy-related maternal deaths occur postpartum, the weeks following childbirth are a critical period for a woman and her infant. In addition, health issues that arise in pregnancy can persist and presage long-term medical problems. In this Committee Opinion, ACOG lays out a new vision for postpartum care, redefining it as an ongoing process beginning within the first 3 weeks postpartum and tailored to a woman’s needs. The document includes practical advice on postpartum care as well as useful charts including a Timeline for Postpartum Care, a listing of The Components of Postpartum Care, and a table identifying Members of the Postpartum Care Team.
Topics:
Breastfeeding Chronic Disease Depression Reproductive Life Planning/Family Planning
Approaches:
Improve Women's Health Promote Quality Strengthen Family Resilience
Benchmarks:
Birth Spacing Initiating Breastfeeding Perinatal Depression Follow Up Perinatal Depression Screening Postpartum Visit Reproductive Life Plan Sustaining Breastfeeding Well Woman Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
This toolkit is a practical, hands-on resource designed to promote culturally effective services for children and families. It consists of nine brief “chapters” addressing health literacy and cultural differences in areas such as health beliefs and practices, infant care and feeding, the role of women, and child behavior and discipline. Each of the brief narratives is accompanied by a list of resources, including links to supplemental reading, patient education materials in multiple languages, checklists, assessments, and more.
Topics:
Health Literacy Nutrition Parenting Education Safe Sleep Socio-emotional Development for Children
Approaches:
Promote Quality
Benchmarks:
Safe Sleep Well Child Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
This update of the National Institute on Drug Abuse’s Principles of Drug Addiction Treatment is intended to address addiction to a wide variety of drugs, including nicotine, alcohol, and illicit and prescription drugs. It is designed to serve as a resource for healthcare providers, family members, and other stakeholders trying to address the myriad problems faced by patients in need of treatment for drug abuse or addiction. It provides an overview of principles of effective treatment and evidence-based approaches to treatment, including behavioral therapies, pharmacotherapies and comprehensive approached. It discusses the unique needs of different groups including women, pregnant women and adolescents.
Topics:
Alcohol/Drug Services Case Management/Care Coordination Tobacco Cessation
Approaches:
Improve Women's Health Promote Quality
Benchmarks:
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.
This series of learning modules is designed for a range of health professionals, human service providers, community health workers, home visitors, and peer supporters who interact with families on topics of safe sleep and breastfeeding. The modules are designed to help users understand the Conversations Approach and gain the knowledge and skills needed to implement it to promote breastfeeding and safe sleep practices. Modules cover: A New Approach, How Babies Sleep and Eat, Understanding Current Recommendations, Anticipating Reluctance and Refusal, Respectful Dialogue and Structure of a Conversation,Creating Plans to Support Family Decisions, and Putting It All Together to Make a Difference.
Topics:
Breastfeeding Parenting Education Safe Sleep
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Safe Sleep Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
This webpage offers resources for providers and families on safe sleep practices. Resources for providers include the AAP Policy Statement: SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment. Resources for families include a videos, posters and infographics on safe sleep practices.
Topics:
Parenting Education Safe Sleep
Approaches:
Promote Quality
Benchmarks:
Safe Sleep
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
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.
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.
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.
The NIDA Quick Screen is a validated instrument designed to assist providers in screening adults for substance use. The screen simply inquires whether a participant has used drugs (mood-altering, illegal, or prescription for nonmedical reasons), alcohol, or tobacco products within the past year and how often these substances have been used. The NIDA website also provides guidelines for brief intervention and/or treatment referral for patients who may have or be at risk of developing a substance use disorder.
Topics:
Alcohol/Drug Services Risk Assessment Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
SmokefreeMOM is a mobile text messaging service designed for pregnant women across the United States to help them quit smoking. The program provides 24/7 encouragement, advice, and tips to help pregnant women and mothers quit smoking and stay quit. The messages in the program have been designed around not only a women’s quit date but also their child’s birthdate. The frequency of messages will vary depending on smoking status. Users can receive additional quit support by texting one of the SmokefreeMOM keywords.
Topics:
Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
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.
This webpage provides basic information on a variety of contraceptive methods, including a link to a poster comparing typical effectiveness of contraceptive methods. The poster can be used to show women and men the range of contraception choices available to them, and which methods work best at preventing pregnancy. The webpage also provides additional resources on contraception for health care providers and consumers.
Topics:
Reproductive Life Planning/Family Planning
Approaches:
Improve Women's Health Promote Quality
Benchmarks:
Reproductive Life Plan
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
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.
Topics:
Parenting Education Partner Involvement Socio-emotional Development for Children
Approaches:
Promote Quality Strengthen Family Resilience
Benchmarks:
Father/Partner Parenting Involvement
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
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.
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.
Topics:
Immunization
Approaches:
Promote Quality
Benchmarks:
Well Child Visits
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.
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.
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.
Topics:
Breastfeeding Insurance Coverage
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
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.
The Interconception Care Project of California is a collection of recommendations to improve and promote the interconception health of women by maximizing care during the postpartum visit. The website contains links to free evidence-based clinical management algorithms for the 21 most common pregnancy and delivery complications in California. Patient education materials offering explanations of the conditions, treatment options, and self-care strategies to reduce risks in future pregnancies are also free and available in English and Spanish.
Topics:
Other Reproductive Life Planning/Family Planning Risk Assessment
Approaches:
Promote Quality
Benchmarks:
Birth Spacing
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
This patient handout discusses optimal spacing of pregnancies and describes the health benefits for both mother and baby of spacing pregnancies at least 18 months apart.
Topics:
Reproductive Life Planning/Family Planning
Approaches:
Promote Quality
Benchmarks:
Birth Spacing
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
This chart shows recommended pediatric preventive health care services to be delivered at well-child visits for children ages 0-21, including history, measurements, screenings, assessments, procedures, physical exam, oral health, and anticipatory guidance. These guidelines represent a consensus by the American Academy of Pediatrics (AAP) and Bright Futures. The recommendations in this statement do not indicate an exclusive course of treatment or standard of medical care. Variations, taking into account individual circumstances, may be appropriate.
Topics:
Other
Approaches:
Promote Quality
Benchmarks:
Well Child Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
The 4Ps (Parents, Partners, Past and Pregnancy) was developed for use with pregnant women and women of child bearing age. The tool has 4 questions intended to facilitate discussion regarding substance use.
Topics:
Alcohol/Drug Services
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
The ASSIST (Alcohol, Smoking, and Substance Involvement Screening Test) is an 8-item questionnaire designed to be administered by a health worker to a client using paper and pencil, and takes about 5-10 minutes to administer. The ASSIST provides information about the substances people have ever used in their lifetime; those used in the past three months; problems related to substance use; risk of current or future harm; dependence; and injecting drug use. The ASSIST was designed to be culturally neutral and usable across a variety of cultures.
Topics:
Alcohol/Drug Services Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
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.
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.
A series of easy-to-read informational materials for parents on taking care of young children’s oral health. Includes handouts on: brushing your child’s teeth, choosing healthy drinks for your child, getting fluoride for your child, helping your baby with teething pain, preventing mouth injuries, and visiting the dental clinic.
Topics:
Oral Health
Approaches:
Promote Quality
Benchmarks:
Well Child Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Parents’ Evaluation of Developmental Status: Developmental Milestones (PEDS:DM) is a validated screening and surveillance tool that elicits parents’ report on a child’s skills and behavior. Six to eight questions per visit are used to assess fine motor, gross motor, expressive language, receptive language, self-help, and socio-emotional skills. The survey is designed for children at any age from 0 to 8 and takes about 5 minutes to complete and one minute to score.
Topics:
Parenting Education Risk Assessment Socio-emotional Development for Children
Approaches:
Promote Quality
Benchmarks:
Well Child Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Parents’ Evaluation of Developmental Status (PEDS) is a ten-question validated surveillance and screening tool designed to elicit parents’ concerns about their child’s development, behavior, and mental health. It takes about 5 minutes for parents to complete and 1-2 minutes to score. The screen can be used to indicate whether reassurance, advice, watchful waiting, further screening, or referral are called for in a child between ages 0 and 8.
Topics:
Parenting Education Risk Assessment Socio-emotional Development for Children
Approaches:
Promote Quality
Benchmarks:
Well Child Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Guide to breastfeeding interventions that have been reviewed by the Cochrane Collaboration and published through the Cochrane Library, a comprehensive collection of up-to-date information on the effects of health care interventions.
Topics:
Breastfeeding
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
This document provides guidance for public health professionals and others on how to select strategies to support breastfeeding mothers and increase breastfeeding rates. It offers the most relevant information on each type of strategy. Includes information that may be important to keep in mind during the planning, implementation, or evaluation phases of a strategy. Identifies specific activities for each strategy that public health professionals can take to implement strategies in specific settings, including communities, schools, child care facilities, work sites, and medical care facilities. Includes examples of programs that use the strategy as a way to support and increase breastfeeding.
Topics:
Breastfeeding
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Nationally recognized, research-based, practice-informed curriculum used by many home visiting models to meet their program goals including improving birth outcomes, reducing rates of child abuse, strengthening families, enhancing child health and developmental outcomes, and promoting family stability and economic self-sufficiency. The curriculum addresses issues of child health and development within the context of the multifaceted needs of expectant and parenting families. Five-volume book series for different stages in pregnancy/parenthood, accompanied by a set of handouts for the home visitor to use when planning visits. Handouts for families can be purchased in English or Spanish and help the home visitor introduce subjects that may otherwise be difficult to talk about.
Topics:
Father/Partner Involvement Home Visiting Parenting Education
Approaches:
Promote Quality Strengthen Family Resilience
Benchmarks:
Father/Partner Parenting Involvement Father/Partner Prenatal Involvement Initiating Breastfeeding Reading to Child Daily Safe Sleep Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
The Touchpoints approach offers healthcare providers and early education professionals a framework to build better partnerships with families around mutual strengths-based caregiving and parent engagement, all of which benefit child outcomes. Rooted in child social, emotional and behavioral development, Touchpoints seeks to improve parent-provider relationships, improve provider relationships with each other, enhance parent-infant relationships, moderate parental stress, normalize parent’s perceptions of their child’s behavior, increase well-child care adherence, improve infant developmental outcomes, improve maternal mental health indicators, and encourage longer breastfeeding. A variety of professional tools, training activities and learning communities are offered for providers.
Topics:
Breastfeeding Other Parenting Education Socio-emotional Development for Children
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
PAT aims to increase parent knowledge of early childhood development and improve parenting practices, provide early detection of developmental delays and health issues, prevent child abuse and neglect, and increase children’s school readiness and school success. The PAT model consists of one-on-one home visits, group connections/meetings, health and developmental screenings for children, and a resource network for parents. Program lasts for at least two years, beginning as early as pregnancy and ending at the child’s 3rd birthday or at kindergarten entry.
Topics:
Home Visiting Parenting Education Socio-emotional Development for Children
Approaches:
Promote Quality Strengthen Family Resilience
Benchmarks:
Father/Partner Parenting Involvement Father/Partner Prenatal Involvement Reading to Child Daily Well Child Visits
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
The TABS Screener is a 15 item checklist completed by parents to identify children who should receive more thorough assessment for developmental items related to temperament and self-regulation. If a child’s score indicates a potential problem, the more extensive TABS assessment tool can be used. For use with children ages 11 to 71 months, TABS can be used for screening, research, determining eligibility for services, planning programs, and monitoring child progress and program effectiveness.
Topics:
Socio-emotional Development for Children
Approaches:
Promote Quality Strengthen Family Resilience
Benchmarks:
Father/Partner Parenting Involvement Well Child Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
The Greenspan Social-Emotional Growth Chart measures social-emotional milestones in young children ages 0 to 42 months. It is a questionnaire completed by the child’s parent or other caregiver to understand how the child uses all capacities to meet needs, deal with feelings, think, and communicate. Used to determine whether further assessment or referral is warranted and can assist in monitoring growth and planning intervention.
Topics:
Socio-emotional Development for Children
Approaches:
Promote Quality Strengthen Family Resilience
Benchmarks:
Father/Partner Parenting Involvement Well Child Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
ASQ:SE is a screening tool that identifies infants and young children whose social and emotional development requires further evaluation to determine if referral for intervention services is necessary. ASQ:SE was developed to help home visiting, early intervention, Early Head Start, Head Start, child welfare agencies, and other early childhood programs accurately screen infants and young children determine who would benefit from an in-depth evaluation in the area of social-emotional development. Parents fill out easy to score questionnaires specific to their child’s age. Used for children 3-66 months.
Topics:
Socio-emotional Development for Children
Approaches:
Promote Quality Strengthen Family Resilience
Benchmarks:
Father/Partner Parenting Involvement Well Child Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
A product of the Healthy Native Babies Project, this workbook packet explores ways to promote safe sleep messages and prevent Sudden Infant Death Syndrome (SIDS) among American Indian/Alaska Native infants. The contents of this workbook include handouts, a toolkit disk, and a toolkit user guide. Local health departments may use the toolkit to design culturally-appropriate posters, flyers, postcards, brochures, and other materials.
Topics:
Safe Sleep
Approaches:
Promote Quality
Benchmarks:
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.
Aims to promote the health and safety of infants in childcare settings by providing education and outreach to child care providers regarding safe sleep recommendations. Offers a free, 1 hour online course designed to educate everyone who cares for babies on creating a safe sleep environment to reduce the risk of SIDS and other sleep related deaths. Includes promotional materials and brochures, and a presentation that can be used by health care professionals or anyone presenting on SIDS in childcare settings.
Topics:
Safe Sleep
Approaches:
Promote Quality
Benchmarks:
Safe Sleep
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
The Safe to Sleep® campaign, formerly known as the Back to Sleep Campaign, offers a variety of materials to help share safe infant sleep messages with different audiences. Many of these items are available for download and order.
Topics:
Safe Sleep
Approaches:
Promote Quality
Benchmarks:
Safe Sleep
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
National organization which provides safe sleep education and products including a portable crib distributed to families through partner organizations. Provides a hospital initiative toolkit and the Safe Sleep Ambassador Education Outreach Program. Hospital Initiative Toolkit includes information and tools for hospitals to implement a hospital-based infant sleep safety program.
Topics:
Safe Sleep
Approaches:
Promote Quality
Benchmarks:
Safe Sleep
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
The Ten Steps are the broad framework that guide the Baby-Friendly Hospital Initiative. They were developed by a team of global experts and consist of evidence-based practices that have been shown to increase breastfeeding initiation and duration. Baby-Friendly® hospitals and birthing facilities must adhere to the Ten Steps to receive, and retain, a Baby-Friendly designation. This webpage lists the Ten Steps and the endorsing organizations and links to supporting resources for both hospitals and parents.
Topics:
Breastfeeding
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Provides an example of a breastfeeding policy for hospitals. Included in the CDC’s list of evidence based strategies to support breastfeeding.
Topics:
Breastfeeding
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
This toolkit provides information on implementing the Perinatal Core Measure of exclusive breast milk feeding in a healthcare setting. The toolkit provides guidance on data collection and adherence to best practices.
Topics:
Breastfeeding
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Colorado-based initiative that provides informational sessions to state hospitals and medical centers on 5 Baby-Friendly steps associated with breastfeeding duration. 51 of 55 hospitals in Colorado have received training. Included in the CDC’s list of evidence based strategies to support breastfeeding.
Topics:
Breastfeeding
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.
Nationwide quality improvement initiative to help hospitals improve maternity care and increase the number of “Baby-friendly” designated hospitals in the US. Administered by NICHQ with the CDC and Baby-Friendly USA. Recruited 89 hospitals to participate in a 22 month learning collaborative. Hospitals use quality improvement methods to learn how to make system level changes to maternity care practices in order to be designated “baby friendly.”
Topics:
Breastfeeding
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
The Baby-Friendly Hospital Initiative outlines 10 steps that support the initiation of breastfeeding. The 10 Steps consist of evidence-based practices that have been proven to increase breastfeeding initiation and duration. Hospitals that have become Baby-Friendly have breastfeeding rates well above the national average. Endorsed and promoted by all major maternal and child health authorities, including CDC.
Topics:
Breastfeeding
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Developed by USDA to use the WIC Loving Support promotional campaign in a peer counseling setting. Peer counselors receive training on how to support prenatal and breastfeeding mothers in WIC programs at home over the telephone. Peer counselors may provide clinic-based counseling, make post-partum visits, lead prenatal breastfeeding classes and postpartum support groups, and/or provide one-on-one support in the hospital setting.
Topics:
Breastfeeding
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
Staff training materials to train WIC staff in the skills required to promote and support breastfeeding in the WIC setting. Addresses adult learning strategies and core breastfeeding competencies for staff. Evidence based and informed by focus groups and interviews. Includes a CD of training materials, and video trainings available on DVD.
Topics:
Breastfeeding
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Uses child development principles to boost parent confidence, facilitate parent-child bonding, and promote breastfeeding duration. HUG has been implemented in many countries and can been integrated into nursing programs, hospitals, home visitation programs, prenatal clinics, etc. Materials include DVDs, e-newsletters, blogs, music video songs, social media, posters, and online courses. Also includes The Roadmap to Breastfeeding Success, an additional lactation online course that integrates best practices in lactation support with child development theory.
Topics:
Breastfeeding Parenting Education
Approaches:
Promote Quality Strengthen Family Resilience
Benchmarks:
Father/Partner Parenting Involvement Father/Partner Prenatal Involvement 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 Fathers Supporting Breastfeeding program was created by the USDA and uses a video, poster, and brochures to reach African American fathers, so that they may positively influence their partners’ decision to breastfeed. The campaign is part of national efforts to increase breastfeeding initiation and duration rates among African American women. Project materials can also be used with men in other racial and ethnic groups.
Topics:
Breastfeeding
Approaches:
Promote Quality Strengthen Family Resilience
Benchmarks:
Father/Partner Parenting Involvement Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides Federal grants to States for supplemental foods, health care referrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk.
Topics:
Breastfeeding Nutrition
Approaches:
Improve Women's Health Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding Well Child Visits Well Woman Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
The USDA’s recommendations for nutrition for breastfeeding mothers. Includes a customizable daily food plan for breastfeeding mothers, which keeps track of the baby’s weight and needs.
Topics:
Breastfeeding Nutrition
Approaches:
Promote Quality
Benchmarks:
Initiating Breastfeeding Sustaining Breastfeeding
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
A variety of videos, audio, and PSAs developed for National Infant Immunization Week. Videos and audio can be found in English and Spanish. Media tools include printable ads, and brochures.
Topics:
Immunization
Approaches:
Promote Quality
Benchmarks:
Well Child Visits
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
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.
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.
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.
A video on the risks of elective early deliveries and materials to accompany the video.
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.
“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.
Text4baby is a free mobile information service designed to promote maternal and child health through text messaging. Lasts through pregnancy until baby’s first birthday. The messages address topics such as prenatal care, labor signs and symptoms, urgent alerts, breastfeeding, nutrition, exercise, oral health, immunizations, birth defect prevention, developmental milestones, safe sleep, family violence, injury prevention, mental health, substance abuse, car seat safety, and more.
Topics:
Alcohol/Drug Services Breastfeeding Depression Intimate Partner Violence Nutrition Parenting Education Safe Sleep
Approaches:
Promote Quality Strengthen Family Resilience
Benchmarks:
Initiating Breastfeeding Intimate Partner Violence Perinatal Depression Follow Up Safe Sleep Sustaining Breastfeeding
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
CenteringPregnancy is a multifaceted model of group care that integrates the three major components of care: health assessment, education, and support, into a unified program within a group setting. Eight to twelve women with similar gestational ages meet together, learning care skills, participating in a facilitated discussion, and developing a support network with other group members. Each Pregnancy group meets for a total of 10 sessions throughout pregnancy and early postpartum. The practitioner, within the group space, completes standard physical health assessments.
CenteringPregnancy starts around the beginning of the second trimester and goes through delivery.
Topics:
Other Risk Assessment
Approaches:
Improve Women's Health Promote Quality
Benchmarks:
Well Child Visits Well Woman Visits
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
Evidence-based home visitation case-management model for mothers who abuse alcohol and/or drugs during their pregnancies. PCAP’s goals are to assist substance-abusing pregnant women and mothers in obtaining treatment for substance abuse and staying in recovery, to ensure that children are in safe and stable home environments and are connected to health care, to connect mothers to community resources, and to prevent future births of alcohol and drug-affected infants. Piloted in Washington State, PCAP has been replicated in 7 states, and across Canada and New Zealand.
Topics:
Alcohol/Drug Services Case Management/Care Coordination Home Visiting
Approaches:
Improve Women's Health Promote Quality
Benchmarks:
Well Child Visits Well Woman Visits
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
You Quit Two Quit aims to ensure that there is a comprehensive system in place to screen and treat tobacco use in women, pregnant women, and postpartum mothers. You Quit Two Quit focuses on low-income women, new mothers, and recidivism prevention. Project activities include increasing the number of providers who screen, advise, and refer patients to the North Carolina Quitline, distributing patient and provider education materials statewide, developing best-practice, sustainable, community based smoking cessation projects for women, pregnant women, and new moms, and creating continuity of care by focusing on the preconception, prenatal and perinatal periods, and including an emphasis on preventing postpartum relapse and eliminating second-hand smoke exposure.
Topics:
Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
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.
Two-page, downloadable handout for pregnant women to support quit attempts; available in Spanish and English.
Topics:
Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
The SCRIPT program is designed to be a component of a patient education program for prenatal care providers. The program includes A Pregnant Woman’s Guide to Quit Smoking, a 40 page guide outlining a self-evaluation process to help women quit smoking over a 7 day period; a 15 minute motivational DVD; comprehensive counseling to help pregnant smokers quit or reduce their smoking; and follow up programming to help mothers establish a non-smoking home after birth.
Topics:
Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
An in-person and telephone-based counseling program for pregnant African-American women with the goal of reducing behavior-related risk factors during pregnancy and in the postpartum period. In addition to receiving standard prenatal care, pregnant women attend an average of four behavioral counseling sessions during pregnancy and one session after giving birth. The intervention significantly reduced health risks from baseline to 10 weeks postpartum. Early results from a study evaluating the program’s impact on birth weight and infant mortality are encouraging.
Topics:
Depression Intimate Partner Violence Tobacco Cessation
Approaches:
Promote Quality Strengthen Family Resilience
Benchmarks:
Perinatal Depression Follow Up Smoking Abstinence
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
In an effort to reduce children’s exposure to tobacco smoke, the Clinical Effort Against Secondhand Smoke Exposure program uses pediatric offices to provide smoking cessation assistance to parents who smoke, as well as to help families establish rules for a completely smoke-free home and car. Trained pediatricians and office staff consistently and systematically use a streamlined, three-step version of the traditional five-step (i.e., ask, advise, assess, assist, arrange) approach to smoking cessation and smoke-free home and car rule support. The program has led to an increase in the provision of cessation assistance and higher quit rates.
Topics:
Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
Incentive based program to increase smoking cessation among women during and after pregnancy. Demonstrated quit rate of 60% at 6 months post-partum. Developed in New York, now implemented in 8 states. Mothers commit to quitting smoking while pregnant, and stay nonsmoking after the birth. Mothers must attend at least 4 smoking cessation counseling sessions, and agree to submit to breath tests. If mothers remain smoke free, they receive monthly vouchers for free diapers up until their baby’s first birthday.
Topics:
Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
The Pathways Model employs community health workers who connect at-risk women to evidence-based care using individualized pathways designed to produce healthy outcomes. The model promotes timely, efficient care coordination through incentives. It prevents service duplication by using a Community Hub, a regional point of patient registration, and quality assurance to support a network of agencies involved in providing care to the target population. The first implementation of the model in Richland, Ohio, resulted in increased services to at-risk women and a decline in the rate of low-birth-weight babies.
Topics:
Case Management/Care Coordination
Approaches:
Improve Women's Health Promote Quality
Benchmarks:
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.
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.
An easy-to-implement, evidence-based clinical counseling approach. The 5 A’s: Ask, Advise, Assess, Assist, and Arrange are 5 steps providers can use to identify appropriate interventions based on a patient’s willingness to quit.
Topics:
Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
Calling 1-800-QUIT-NOW will connect you directly to your state quitline. All states have quitlines in place with trained coaches who provide information and help with tobacco cessation. Specific services and hours of operation vary from state to state.
Topics:
Tobacco Cessation
Approaches:
Promote Quality
Benchmarks:
Smoking Abstinence
Evidence Rating:
I. Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts.
A “one stop” resource for clinicians and others who want to learn more about preconception health, its history, the evidence supporting it and strategies for incorporating relevant content into daily clinical practice. Contains a Preconception Care Clinical Toolkit designed to help providers meet their patient’s needs in response to the question “Are you hoping to become pregnant in the next year?” Also includes CME opportunities, key articles, clinical guidance, and practice resources.
Topics:
Reproductive Life Planning/Family Planning
Approaches:
Improve Women's Health Promote Quality
Benchmarks:
Birth Spacing Reproductive Life Plan
Evidence Rating:
III. Expert guidelines—Protocols, standards of practice, or recommendations based on expert consensus.
