Healthy Pregnancy ClassSeptember 20, 2012

Presented by:Womens Health Education Janet Peirce-Hollett, Banner Del E. Webb Medical CenterDonna Snow, Blue Cross Blue ShieldMeredith Moore, Brockhurst & Associates

Janet Pierce-Hollett, IBCLCBanner Del E. Webb Medical CenterPhone: 623-524-4464E-Mail: Janet.Peirce-Hollett@bannerhealth.com

Donna SnowBlueCross BlueShield of ArizonaPhone: 602-864-4351E-Mail: Dsnow@azblue.com Meredith MooreBrockhurst & AssociatesPhone: 602-263-9265 E-mail: meredithmoore@brockhurstassociates.com About our Presenters

Healthy Pregnancy presentation Janet Peirce-Hollett BCBS Maternity Benefits Donna SnowShort Term Disability Benefits Meredith MooreDysart Leave Policy Kimberly MihelichQuestion & Answer SessionAgenda

Planning for a Healthy PregnancyDysart Unified School District Janet Peirce-Hollett, IBCLCBanner Del E. Webb Medical Center

Planning for a Healthy PregnancyMaking healthy choices now can impact your future pregnancy.

Planning to take care of yourself now will help you to take care of yourself during a future pregnancy. How are you doing now with your: WeightDiet ExerciseStress managementAlcohol useTobacco usePlanning for a Healthy Pregnancy

You deserve to take the time and effort to take care of yourself so you can better care for and set a good example for your future child!

What goals can you set to improve your overall health?Planning for a Healthy Pregnancy

What changes can you make in your lifestyle now that will affect a future pregnancy?

Planning for a Healthy Pregnancy

Folic Acid is known to help prevent birth defectsAll women of childbearing age should take a multi-vitamin with at least 400 mcg Folic Acid daily It is challenging to get enough Folate from foods

Folic Acid (Folate) 400 mcg

Make a dental appointment before getting pregnant. Gum disease can show no signs or symptomsGum disease can cause red, sore, bleeding gumsBacteria from gum disease can lead to a small and/or pre-mature babyDental Care

Visit Your HCP For a Pre-Pregnancy CheckupCurrent health concerns and lifestyle choices can impact your pregnancyDiet and ExerciseWeight related health concernsAlcohol useSmoking cigarettesPrescription medicationStreet drugsImmunizations

Communicate with your HCP about any health challenges you face and how they may affect a future pregnancy.Being overweight can increase pregnancy risks like high blood pressure, gestational diabetes, and delivering by cesarean section. Risks for baby include being born premature, large for gestational age, or even becoming obese in childhood.Pregnancy Risk: Being Overweight

Staying Healthy During Pregnancy

Select an Obstetrician if you havent already.Make an appointment and keep all prenatal appointments and appointments for tests.Follow your doctors instructions carefully.Ask questions if you dont understand!

Im Pregnant! Now What?

Consider signing up for a free on-line pregnancy support Internet site.http://www.babycenter.comhttp://www.text4baby.orghttp://www.thebump.comSites like these email or text you weekly to guide you through your pregnancy. Im Pregnant! Now What?

Stay well hydrated! 10-12 glasses everyday helps:You meet the physical demands of pregnancyYou have healthy blood cellsDehydration can trigger contractionsCaffeinated beverages dont count (Diuretic effect)Im Pregnant! Now What?

Know the Warning Signs That Need Immediate Medical Attention

More than 4 contractions per hourMenstrual or abdominal crampingLow BackachePelvic Pain or Pressure FeverHeadache/vision disturbancesUrinary discomfortVaginal Bleeding/changes in vaginal discharge

Warning Signs Before 37 Weeks

Nutritional Balance and Calorie IntakeAm I eating for two? Yes and No!You need only an extra 300 calories dailyProteinIronCalciumSpend every calorie wiselyLimit fat intake to less than 30%Avoid Alcohol, limit CaffeineAvoid unpasteurized diary and raw eggs Avoid or cook processed lunch meatsAvoid eating fish that are high in mercury

Low-impactWalking Swimming Prenatal YogaDVDs tailored for pregnancy. Increase strength, flexibility, and relaxation.Exercise During Pregnancy

Banner Parents-to-Be BookYour guide to labor and birth, newborn care, and postpartum care FREE to patients delivering at Banner Del E. Webb.

Pickles and Ice Cream TourVideo/walking tour of the private birthing suites, couplet care suites and special-care nurseries.

Support at Banner Del E. Webb

Childbirth preparation classesLabor and BirthBreastfeedingBasic Infant CareAHA CPR & First AidWelcome New Sibling

Registration Line: 602-230-CARE (2273)Support at Banner Del E. Webb

Triage Department 2nd floor Tower CPreterm Labor or other pregnancy health issues: assessment and treatment.Skilled RN staff communicating with your doctor.NST (Non-Stress Testing).Evaluation of amniotic fluid levels.

Support at Banner Del E. Webb

OB/GYN doctors with offices in:

North PeoriaNorth GlendaleSurpriseSun City West

Extended and early hours offered at most locations. Nesting Place Doctors

Wishing you all the best in your Healthy Pregnancy!Banner Del E. Webb Medical Center

Blue Cross Blue Shield of ArizonaHealthy Pregnancy Benefits

BCBS AZ Maternity BenefitsPreconception program with education, counseling and free pregnancy kit.

24/7 maternity nurse toll-free telephone support line at 855-466-2229.

Members can access robust information online on the HealthyBlue wellness portal. Login as a member at azblue.com and click on HealthyBlue Beginnings.

A comprehensive book to guide you through pregnancy.

BCBS AZ Maternity BenefitsDedicated maternity nurse to assist with high risk maternity care.

Support line available until your baby is six weeks old.

$100 Babies R Us gift card provided by Alere with enrollment by 16th week of pregnancy and completion of the program by taking the final outcomes assessment.

BCBS AZ Maternity BenefitsHealthyBlue Beginnings is available to eligible participants. The program is designed to supplement the care and education you receive from your doctor. Participants under age 18 must obtain parental consent prior to using the services. Services and treatment options presented may not be covered under your health insurance plan. Please review your benefits prior to receiving non-emergent services. HealthyBlue Beginnings services are provided by an independent third party contracted with BCBSAZ. Alere is an independent contractor of BCBSAZ, providing health improvement programs and certain HealthyBlue services to BCBSAZ members. A gift card, if offered, may be taxable under federal income tax. Members should consult with their tax advisor with any tax questions.

BCBS AZ Maternity BenefitsThe plan will consider the following for maternity care:

Complete blood count (CBC) & urinalysis; Folic acid supplementation prescribed for females; Behavioral intervention to promote breast-feeding for women; Routine screening for iron deficiency anemia for asymptomatic pregnant women; Tobacco cessation counseling and augmented pregnancy counseling for members who use tobacco; Alcohol misuse screening and behavioral counseling interventions for pregnant women; Screening for asymptomatic bacteriuria for pregnant women at 12-16 weeks gestation or at first prenatal visit, If later than 16 weeks, screening for Hepatitis B virus infection for pregnant women at their first prenatal visit; Screening for Rh(D) incompatibility through blood typing and antibody testing for pregnant women at their first prenatal visit; Repeated antibody testing for unsensitized Rh(D)-negative pregnant women at 24-28 weeks gestation, unless the biological father is known to be Rh(D) negative

Short Term Disability Benefits

Products Underwritten by Union Security Insurance Company

Short Term Disability BenefitsIf you were disabled due to:Accident, Illness, PregnancyWould you still need a paycheck?How would you pay the expenses that continue?(Rent, groceries, insurance, car payments)Sign up when you are first a new hire or during annual open enrollment (the time to sign up to make sure you have disability coverage for your leave is BEFORE you are pregnant. If you sign up while pregnant you will not receive disability benefits during your leave). Assurant Employee Benefits help protect your most valuable asset your paycheck!

Plan Features

Short Term Disability Benefits

Maximum Monthly Benefit (% of Salary)66 2/3%Maximum Monthly Issue Amount$7,500Guarantee Issue amount$5,000Elimination Period5 days for injury & sicknessBenefit Duration6 months for injury & sicknessPre-existing condition exclusion12/12

Plan Features Pregnancy Benefits

Short Term Disability Benefits

Pregnancy benefits are payable to a normal 6 or 8 week recovery period.

Once delivery occurs, a lump sum payment is made to the normal recovery period.

If you are unable to work prior to delivery, or if the recovery extends beyond the expected time frame, medical information is needed to support your inability to work.

Short Term Disability BenefitsPlan Features Evidence of Insurability Rules

If you apply for coverage within 30 days of your eligibility date, no evidence of insurability will be required for benefit amounts up to and including the guarantee issue amount. You can increase your coverage amount by one benefit level increment at each policy anniversary date without evidence of insurability as long as the increased amount does not exceed the maximum issue amount or 66 2/3% of your monthly salary. Increases or additional coverage will be subject to the pre-existing condition limitation.Evidence of insurability will be required if you:(a) apply for coverage more then 30 days after your eligibility date; (b) apply for benefit amounts in excess of the guarantee issue amount of $5,000; (c) increase your coverage amount; or (d) voluntarily cancel coverage and then reapply.

Short Term Disability BenefitsExclusions

The plan does not cover any disabilities caused by, contributed to by, or resulting from: Participation in or attempting to commit a felony or working at an illegal occupation; Intentionally selfinflicted injuries; Committing or attempting to commit suicide, regardless of mental capacity;Being legally intoxicated, under the influence of any narcotic, unless the narcotic is taken under the direction of and as directed by a doctor; Active participation in a riot; Preexisting condition, as defined; Commission of a crime for which you have been convicted under federal or state law; Elective surgery;Participation in or contracting with the armed forces (including Coast Guard) of any country or international authority; Tiding in or driving any motordriven vehicle in a race, stunt show, or speed test; or while testing any vehicle on any racecourse or speedway; Participating in any sporting event for pay or prize money;Operating, learning to operate, serving as a crew member on, or jumping from or falling from any aircraft, including those which are not motordriven; orOccupational sickness or injury.

Family Medical Leave Act (FMLA)Any eligible employee of the District may take up to twelve (12) weeks of leave (FMLA leave) measured backward for each employee from the first time such employee uses leave under FMLA without pay, for the birth of a child of the employee and in order to take care of child.An eligible employee is one who has been employed by the District at least twelve (12) months and who has completed at least one thousand two hundred and fifty (1,250) hours of service immediately prior to the time the FMLA leave is to commence.

Dysart Leave Policy

Special conditions applicable to Family Medical Leave Act (FMLA)Entitlement to leave for the birth of a child ends at the expiration of a twelve (12)-month period, beginning on the date of the event. A husband and wife working for the District may be limited to a total of twelve (12) weeks of leave during each applicable twelve (12)-month period for leave for the birth of a child.The District shall not require and employee to substitute accrued sick leave for FMLA leave used for reason of birth. An employee shall substitute accrued vacation or personal leave for FMLA leave used for reason of birth.

Dysart Leave Policy

Notice:An employee must provide at least thirty (30) days notice before the FMLA leave is it begin if the need for leave is foreseeable based on an expected birth. If thirty (30) days notice is not practicable, notice must be give as soon as practicable.Notice shall be in the form of a request for leave of absence.District may deny FMLA leave to any eligible employee until such time as the employee has provided the required notice.

Dysart Leave Policy

*****HandoutFrank Fara, MD Michael C. Bryan, MD Marsha Brooks-Candela, MD David Forest, MD Teresa Malcolm, MD 14418 W. Meeker Blvd., Bldg. B, Suite 304 Sun City West, AZ 85375 Phone: (623) 214-4400 Fax: (623) 214-4157 www.BannerHealth.com/BMG-NWValleyOB Narinder Brar, D.O. Nikia Worrell, MD 14961 W. Bell Road, Suite 175 Surprise, AZ, 85374 Phone: (623) 547-7205 fax: (623) 547-7157Robert Brooks, MD Raphael Mendoza, MD 14300 W. Granite Valley Drive, Ste A1 Sun City West, AZ 85375 Moving to a new location December 2011 Phone: (623) 544-3214 Fax: (623) 544-3441Rosemary Fadool, D.O. 15515 N. Reems Road, Suite 101 Surprise, AZ 85374 Phone: (623) 544-1000Gary Newman, D.O. 14239 West Bell Road, Suite 210 Surprise, Arizona 85374 (623) 584-0800 Phone (623) 584-0312 Fax Victor Kissil, D.O. 19636 N 27th Ave. Phoenix, AZ 85027 Phone: (623) 879-8161

****************