The Content of Prenatal Care.ppt

The Content of Prenatal Care Kimberly D. Gregory* , Clark T Johnson**, Timothy R.B. Johnson**, Stephen S. Entman*** Outline Review of the literature since 1989 What new research and policy findings reinforce or contribute to the recommendation put forth in the Content of Prenatal Care (CPC) document? What new recommendations need further consideration/research to achieve the goals outlined in CPC? The Content of Prenatal Care Themes of the CPC document Early and ongoing patient-specific risk assessment Health promotion and the preconception visit Medical or psychosocial interventions and follow-up Standardized documentation to enable communication and continuity Expanding the objectives of prenatal care Insufficient evidence and more research needed What new research and policy findings reinforce or contribute to the recommendation put forth in the Content of Prenatal Care (CPC) document? 1. Early and ongoing patient-specific risk assessment CPC suggested reducing the frequency of prenatal Subsequent well-designed trials have supported the safety, efficacy, and cost-effectiveness of reduced frequency visits Early and ongoing patient-specific risk assessment  Early and ongoing patient-specific risk assessment Opportunity for risk assessment is expanding will affect timing of visits, potentially increased visits Genetic screening (first trimester screening for aneuploidy, cystic fibrosis, “Jewish panel”,etc) technology Monitoring/ improving the quality of care with standardized guidelines (ACOG, AIUM) 2. Health promotion and emphasis of a “preconception visit”  Education to support and promote healthy behaviors Education regarding general knowledge about pregnancy and parenting Education regarding information related to specific clinical conditions Goal: identify medical and social conditions that need to be optimized prior to conception to increase likelihood of good outcome Health promotion and emphasis of a “preconception visit” Demonstrated evidence for