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Care coordination services that link pregnant women to health-promoting resources, avoid duplication of effort, and improve communication.

Findings of research on the effects of maternity care coordination on pregnancy outcomes in North Carolina

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Below are excerpts from research findings the 'suggest that coordination of care in pregnancy can significantly reduce the risk of preterm delivery among Medicaid-enrolled women'

'Persistently elevated rates of adverse pregnancy outcomes including low birthweight births among low-income and African-American women are a high-priority public health problem, contributing to the U.S. ranking of 31st among 40 industrialized nations in infant mortality in 2008. Care coordination services, which are activities that help to link pregnant women to an array of health-promoting resources, avoid duplication of effort, and improve communication between families and providers, have long been endorsed as a key strategy for reducing disparities in pregnancy outcomes.'

'The present analyses also suggest that maternity care coordination can have beneficial effects on pregnancy weight gain. Currently nearly 60 percent of overweight and 40 percent of normal weight women experience excessive weight during pregnancy,which predisposes them to postpartum weight retention and a higher risk of delivering a macrocosmic infant. The finding that maternity care coordination is associated with reduced pregnancy weight gain suggests that more widespread availability of such services could reduce the incidence of adverse health consequences among mothers and their newborns.'

'Since the average Medicaid cost in North Carolina for a preterm infant in the first year of life is five times greater than the cost to care for a full-term baby ($19,299 vs. $3,588),25 prevention of additional preterm births among high-risk women through expansion of care coordination services would result in significant savings.'

Source: Effects of Maternity Care Coordination on Pregnancy Outcomes: Propensity-Weighted Analyses, Marianne M. Hillemeier, PhD, Marisa E. Domino, PhD, Rebecca Wells, PhD, Ravi K. Goyal, PhD, Hye-Chung Kum, PhD, Dorothy Cilenti, DrPH, J. Timothy Whitmire, PhD, and Anirban Basu, PhD, Matern Child Health J. 2015 Jan; 19(1): 121–127.

What is a provocation or insight that might inspire others during this challenge?

How might we provide better co-ordinated care for pregnant moms so that the moms and their support network are better informed and also healthcare providers are better informed as well in terms of the information the other person is providing to the patient?

How does this research relate to our use cases and personas?

This applies to the Under Resourced Mom user persona because this study was based on data on pregnant women who are recipients of medicaid.

Tell us about yourself:

I am the Community Manager for this challenge.

Are you currently an employee of Sutter Health or UCB Pharmaceuticals?

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