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.
Topic: STDs including HIV
Screening for Syphilis Infection in Pregnancy
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.
HIV and Pregnancy
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.
ACOG Committee Opinion on Prenatal HIV Testing
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.
Ask the Expert: Improving the health of Women, Children and Men: A Primer on Preventive Services Covered Under the Affordable Care Act
Healthy Start programs are an invaluable resource for women, children and men to increase their understanding of the preventive services covered under the Affordable Care Act. For example, did you know that comprehensive breastfeeding support and counseling from trained providers, and access to breastfeeding supplies, for pregnant and nursing women is a covered benefit under Marketplace health plans at no charge to the client? This webinar will provide an overview of the preventive services that are covered for women, children and men. Given the substantial amount of content to cover the webinar has been divided up into three parts. The first webinar will be live. The two subsequent webinars will be recorded and available for listening shortly following the live webinar.
1. Identify the preventative health services for women (Part I), children (Part II), and men (Part III) available with no co-pay and deductible.
2. Describe access points for the service (Parts I – III)
3. Identify models of payments related to these services and how it might affect access and payment for the services (Part III)
4. Define barriers created by some states/insurers to reduce access to some services (Part III).
Home Visiting Life Course Model Nutrition Parenting Education Prenatal Care and Education Reproductive Life Planning/Family Planning Socio-emotional Development for Children STDs including HIV Tobacco Cessation
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
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
Chronic Disease Depression EBP Implementation Healthy Weight Home Visiting Life Course Model Parenting Education Reproductive Life Planning/Family Planning STDs including HIV
Components of the Well-Woman Visit
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
WISE GUYS: THE NEXT LEVEL is a flexible 5 to 12 week program that specifically targets men age 18 and older. Special topics that are addressed include stress and anger management; cohabitation and marriage; alcohol and other drugs; and an expanded fatherhood curriculum that provides information and resources for fathers from RAD (the Responsible and Active Dads program). The great information from the original Wise Guys program is also included in such a way as to suit its older audience.
Alcohol/Drug Services Parenting Education Partner Involvement Reproductive Life Planning/Family Planning STDs including HIV
Healthy People 2020: Maternal, Infant, and Child Health
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
Ask the Expert: Preconception Care
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
Healthy Weight Oral Health Reproductive Life Planning/Family Planning STDs including HIV Tobacco Cessation