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Improving the Healthcare of the Latina New Mother in California: Interconception Care Project of California Diana E. Ramos, MD, MPH Co-Chair Preconception Health Council of California Director, Reproductive Health Los Angeles County Public Health Assistant Professor, Keck USC School of Medicine Coauthors: Jeanne Conry, MD,PhD, Navi Sidhu, MD, MPH, Peyton Mason-Marti,MPH Presenter Disclosures Diana E. Ramos No relationships to disclose in relation to the content of this presentation. California’s Births Comparable to Many Countries Countries 2005 Births France Germany 830,900 679,981 Great Britain California Italy 648,516 Spain Texas 404,120 385,963 Canada 354,148 550,142 505,757 Recommendations for The Post Partum Visit World Health Organization: –Recommend contact with the health care system “six hours, six days, six weeks and six months” post-delivery –offer comprehensive puerperal care to mothers and newborns Improved post partum care will not only improve the health and well being of the postpartum woman but will also improve outcomes of subsequent pregnancies Recommendations for The Post Partum Visit ACOG: – Recommend four to six weeks postpartum – General assessment of physical and mental well-being Postpartum Visit Issues • Compliance • Patients’ perceived need • Barriers & Access Interconception Care Project for California • Joint March of Dimes/ ACOG Project & Preconception Health Council of California • Goal: to create guidelines for the postpartum visit that address diagnoses that developed peri-nataly ACOG Interconception Care Logic Model 8 Review Committee • • • • • • • Obstetrician /Gynecologists 11 Internal Medicine 1 Nurses 6 MSW 5 PhD 2 Masters Public Health 2 Analyst 1 28 in total Interconception Care Project for California Focus • Mental disorders Intimate partner violence • Obesity/nutritional deficiencies • Preterm delivery • Bleeding-associated disorders • Thyroid dysfunction • Tobacco and other drug dependence • Hypertension/cardiovascular disorders • Neurologic disorders Gestational diabetes Infections (UTI, STIs, Immunization) Interconception Care Project for California Prevailing Messages • Folic acid Breastfeeding • Contraception Patient Brochures Material Review • 200 Health Professionals in California to review algorithms • 100 patients to review patient brochures in Spanish • 100 patients to review patient brochures in English Provider Algorithms Interconception Care Project for California Deliverables • DVD and web-based summary of guidelines • Patient handouts: Web-based format • CME web based course Interconception Care Project for California •Health Insurers •Patients •Community Based Organizations Just the Beginning • Collaboration • Maximize postpartum visit • Improve maternal health and the outcomes of subsequent pregnancies Thank you !