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.
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
By the end of Module 1 (Parts 1-4) you should be able to:
- Describe and address some of the common myths about reproduction and reproductive health
- Educate your clients about these myths to decrease risky behaviors
- Explain basic sexual anatomy and physiology for males and females
- Describe the main differences in how three types of contraception work
- 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
- Discuss the risks of unintended pregnancies and short interpregnancy intervals (IPI)
- Help your clients consider a reproductive life plan
- Discuss reproductive coercion and how it impacts reproductive decision making
- Navigate the website bedsider.org
- Explain key characteristics of the main types of contraception to your clients
- Understand and explain failure rates to clients
- 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:
- Describe recommended and excess maternal weight gains in pregnancy
- Define postpartum weight retention
- Identify strategies for discussing and addressing postpartum weight retention with interconception women
- 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:
- Explain the differences between chronic diseases that predate a pregnancy and pregnancy conditions that may lead to chronic diseases in the future
- Discuss why both are important for a woman’s life course and the health of any future pregnancies
- Discuss why the interconception period is an important time to address chronic diseases
- 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:
- Discuss major causes of poor pregnancy outcomes and who they are most likely to affect
- Discuss some of the common psychological and social impacts of poor pregnancy outcomes for women, partners, and other children
- Recognize normal and abnormal stages of grief
- Provide basic interconception guidance to women who have experienced one or more of several poor pregnancy outcomes
This webinar focuses on the basic elements of preconception care and why incorporating them into Healthy Start is essential to fulfilling the mission of decreasing infant mortality. The logistics of recruiting participants who are not pregnant into Healthy Start programs and managing their issues is discussed, along with case studies illustrating ways in which this can be done.
Annual well-woman visits provide an excellent opportunity for health maintenance and preventive care, including preconception and interconception counseling. Under the Affordable Care Act of 2010, Medicaid and most private insurance plans cover these visits without copay. The American College of Obstetricians and Gynecologists released these guidelines on recommended components of the annual visit based on previous evidence-based guidelines, current expert opinion, and the recommendations of a multidisciplinary task force. Recommendations on screening, laboratory tests, evaluation and counseling, and immunizations are organized into the age ranges 13-18, 19-45, 46-64, and >64.
Alcohol/Drug Services Chronic Disease Depression Healthy Weight Immunization Intimate Partner Violence Nutrition Reproductive Life Planning/Family Planning Risk Assessment STDs including HIV Tobacco Cessation
Healthy People provides science-based, 10-year national objectives for improving the health of all Americans. For three decades, Healthy People has established benchmarks for various health domains (such as MCH) and monitored progress to encourage collaboration across communities and sectors, empower individuals to make informed health decisions, and measure the impact of prevention activities.
Alcohol/Drug Services Backbone Organization Breastfeeding Budgeting Case Management/Care Coordination Chronic Disease Common Agenda Communication Community and Organizational Partnerships Community Engagement Community Needs Assessment Continuous Communication Contracting Cultural Competence Data Utilization Depression EBP Implementation Father/Partner Involvement Group Processes/Facilitation Health Equity Health Literacy Healthy Weight Home Visiting Human Resources Immunization Insurance Coverage Intimate Partner Violence Leadership Life Course Model Mutually Reinforcing Activities Nutrition Oral Health Other Parenting Education Participant Recruitment and Retention Partner Involvement Patient-centered Medical Home Policy Prenatal Care and Education Prevention Program evaluation Project Management Project Risk Project Schedule Project Scope Quality Improvement Reproductive Life Planning/Family Planning Risk Assessment Root Cause Analysis Safe Sleep Shared Measurement Social Determinants of Health Socio-emotional Development for Children STDs including HIV Strategic Planning Tobacco Cessation
As a Healthy Start Grantee, you see the value in providing preconception care. This “Ask the Expert” webinar will feature a presentation by Dr. Brian Jack, Professor and Chair of the Department of Family Medicine at the Boston University School of Medicine and Boston Medical Center, about why preconception care is so critical for improving women’s health. It will also touch on approaches relevant to Healthy Start grantees for providing preconception care and possible barriers to providing this care. Useful resources on preconception care will also be shared.
By the end of the webinar, participants will be able to:
- Define preconception care and its clinical content
- Provide a brief history of preconception care in the US
- Explain how preconception care could be one way to address poor birth outcomes, and disparities in poor birth outcomes, in the US
- To propose approaches and resources for providing and promoting preconception care in various settings
Prenatal Plus is a program that provides care coordination, nutrition and mental health counseling to Medicaid-eligible pregnant women in Colorado who are at a high risk for delivering low birth weight infants. The program uses the client-centered counseling approach with all participants to address a variety of issues that have been shown to have a negative impact on birth outcomes. The key health areas targeted by this program are healthy weight, smoking cessation and depression. The program has been demonstrated to decrease the rate of low-birth weight infants and resolve the risks putting women at risk of delivering low-birth weight infants.
Intervention program that provides comprehensive care to low-income pregnant and postpartum women with high BMI and depressive symptoms. Links patients to clinical care coordinators trained in motivational interviewing who promotes participation in a portfolio of mental and physical wellness activities.
Men’s portion of the CDC’s information on preconception health and health care. Includes information on making a reproductive life plan for men, preventing and treating sexually transmitted diseases, tobacco and drug cessation, infertility, maintaining a healthy weight, learning about family history, getting help for violence, getting mentally healthy, and supporting one’s partner.
Health behavior intervention that aims to improve women’s preconception and interconception health. Developed for low-income rural communities in Central Pennsylvania. Enrolls non-pregnant women capable of becoming pregnant in the future. Provides education about health-related factors associated with poor pregnancy outcomes; facilitates increased physical activity and improved nutrition; and encourages self-efficacy for personal healthcare. Enrollees attend six 2 hour group sessions over 12 weeks. Intervention was found to have improved attitudes and behaviors related to nutrition, folic acid supplementation, physical activity, and stress management, increased internal control of birth outcomes, lowered weight and BMI, and lowered pregnancy weight gain.