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Healthy Pregnancy Monica Riccomini, RN, MSN Lisa Lottritz RN, BSN

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Text of Healthy Pregnancy Monica Riccomini, RN, MSN Lisa Lottritz RN, BSN

  • Slide 1
  • Healthy Pregnancy Monica Riccomini, RN, MSN Lisa Lottritz RN, BSN
  • Slide 2
  • Outline of Todays Topics Preconception Health Prenatal Health Fetal Infant Mortality Review Case Study Discussion Closing
  • Slide 3
  • Components of a Healthy Pregnancy Preconception Health Prenatal Health Interconception Health
  • Slide 4
  • National Objective Healthy People 2000 set a goal of 60% of primary care physicians will provide age-appropriate preconception care Estimated 1 in 4 providers currently provide preconception care
  • Slide 5
  • Preconception Preconception Health Defined as a womens health status prior to becoming pregnant Preconception Care Interventions that aim to identify and modify risks to a womens health or pregnancy outcome through prevention and management
  • Slide 6
  • Preconception Risk Factors Chronic Health Conditions Obesity Substance Use Smoking Sexual Transmitted Infections Teratogenic Drugs Vaccinations Folic Acid
  • Slide 7
  • Preconception Interventions Smoking Cessation Folic Acid Supplementation Medication Adjustments Pre-pregnancy Check Up Obesity Control
  • Slide 8
  • Prenatal Health Prenatal Care Healthy Behaviors Community Resources
  • Slide 9
  • National Objectives Healthy People 2010 Objective Increase the proportion of pregnant women who receive early and adequate prenatal care to 90% of live births
  • Slide 10
  • Nevada Data, 2004
  • Slide 11
  • Pregnancy Weight Gain..\Healthy Pregnancy\INSTITUTE OF MEDICINEappendix.doc
  • Slide 12
  • Evaluating Interventions Data Pregnancy Risk Assessment Monitoring System (PRAMS) Perinatal Periods of Risk (PPOR) Fetal Infant Mortality Review (FIMR)
  • Slide 13
  • National Objectives Healthy People 2010 Objective Less than 5 percent of the babies born will be low birth weight and less than 0.9 percent of the babies born will be VLBW
  • Slide 14
  • Nevada Data, 2004
  • Slide 15
  • National Objective Healthy People 2010 Objective Reduce fetal deaths to 4.1 per 1,000 live births plus fetal deaths Reduce all infant deaths to 4.5 per 1,000 live births
  • Slide 16
  • Nevada Data, 2004
  • Slide 17
  • Fetal Infant Mortality Review FIMR is a process that looks at community level factors related to individual cases of fetal and infant deaths The objective of FIMR is to improve community resources and health delivery systems for women, infants, and families
  • Slide 18
  • Case Review Team Medical Records Death Certificate Home Interview Community Action Team FIMR
  • Slide 19
  • Case Study 19 year old African American female Fetal demise at 27 weeks gestation Second pregnancy, living child is 9 months old Pre-pregnancy weight is 192#, height is 5 foot 4 inches Quit smoking when she found out she was pregnant
  • Slide 20
  • Case Study Started prenatal care at 17 weeks Has been taking multi-vitamin daily since she was 6 weeks pregnant She had gestational diabetes with both pregnancies She had 3 prenatal appointments
  • Slide 21
  • Case Review Additional information needed Preconception risks Prenatal risks Recommendations
  • Slide 22
  • Nevada Data, 2004
  • Slide 23
  • Community Action Team Interventions/Actions
  • Slide 24
  • Health Care Costs The IOM report estimates preterm birth cost the US more than $26.2 billion in 2005 The average hospital charge for the most severe (premature) babies was $77,000 per stay, compared to $1,700 for an uncomplicated newborn stay
  • Slide 25
  • Conclusion

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