1 university of california postdoctoral scholars planning a family? information
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University of California Postdoctoral Scholars
Planning a Family?
Information
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Decision Power Healthy Baby: Preconception, Prevention and Wellness
Online pregnancy resources including: preventive care guidelines; pregnancy news; view the nine months of development; mini-quizzes (e.g. baby’s height predictor, baby-proofing your home); downloads (e.g. birth plan, first prenatal visit); and sign-up for a free pregnancy newsletter
Online Health Risk Questionnaire includes an assessment of current pregnancy status and history of risk factors; an instant, interactive health summary; and relevant referrals to resources
Online Personal Health Record, a private and secure tool allows members to view, update, and share medical information gathered from across multiple, fragmented data sources into one accessible, secure location
27/4 access to wellness and clinical support through our inbound Health Coach line
Intensive Health Coaching education for smoking cessation including a series of health coach initiated sessions with unlimited inbound calls, follow up quit status, and smoking cessation toolkit
Health Net’s Decision PowerSM Health and Wellness Programs
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Health Net’s Decision PowerSM Health and Wellness Programs
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Health Net’s Decision PowerSM Health and Wellness Programs
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All Health Net delegated medical groups provide routine obstetrical services. Risk assessment is conducted upon entering maternity care and again at the end of the second trimester beginning of the third trimester. The network obstetricians are free to select their screening tool of choice from among several charting tools that have been reviewed by the American College of Obstetrics and Gynecology (ACOG).
Many medical groups and hospitals provide prenatal classes
If a patient is considered high risk upon initial screening, the general obstetrician will call on any of the many resources that Health Net makes available
For co-morbid medical conditions, the obstetrician most often co-manages the patient with the appropriate medical specialist that is in the same provider group and can care for the patient when admitted to the hospital at which she is scheduled to deliver
Maternity Care
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Maternity Care: Prenatal Classes
Maternity Educational Services Provided by Top 10 Medical Groups based on DeliveriesPPG Medical Group Affiliated Hospitals with
Programs
Brown & Toland Medical Group
yes California Pacific Medical Center UCSF Medical Center
Alta Bates Medical Group
yes Alta Bates Summit
UCLA Medical Group at hospital Santa Monica UCLA
UCSD Healthcare Network
yes UCSD Medical Center
Scripps Clinic yes Scripps Hospital
Hill Physicians Medical Group
yes Multiple hospital affiliations
Greater Newport Physicians
at hospital Hoag Memorial
Monarch Healthcare available at some hospitals
Multiple hospital affiliations
Sansum Clinic at hospital Cottage Hospital
Riverside Medical Clinic
at hospital Riverside Community Hospital Parkview Community Hospital
Santa Barbara Select IPA
at hospital Cottage Hospital
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Modifiable known risk factors for preterm birth: Smoking
Drinking alcohol particularly binge drinking
Obesity increases the risk of poor pregnancy outcomes because it can cause high blood pressure, and diabetes that contribute to prematurity and increased likelihood of C-section
Stress
Illicit drug use
Other consistently identified risk factors: A previous preterm birth
Multifetal pregnancy
Infection
Certain uterine and cervical abnormalities
Risk Factors for Preterm Birth
http://www.marchofdimes.com. 7/12/2009
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The specific causes of spontaneous preterm labor and delivery (leading to NICU admissions) are largely unknown.
Research indicates they are likely due to a complex result of multiple risk factors rather than a single isolated risk factor.
As one March of Dimes representative stated “if there was an easy way to prevent it, we would have found it by now, they need to be as healthy as possible and take care of themselves”
Approximately 25% of all preterm births are the result of medical intervention and the remainder occur spontaneously. 1
PeriStats® from the March of Dimes: 12.7% of births in the United States are preterm Preterm births have been rising year over year The rise in late preterm births has been linked to rising
rates of early induction of labor and C-sections2
Causes of Preterm Birth
1 Iams JD. The epidemiology of preterm birth. Clin Perinatol.2003;30:651-54
2 Bettegowda, VR, Dias D, Davidoff JM, et al. The relationship between cesarean delivery and gestational age among US singleton births. Clin Perinatol. 2008; 35:309-323
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For patients with severe or multiple co-morbid conditions, the general obstetrician will co-manage or refer the member to a Perinatologist (fetal-maternal medicine specialist)
Health Net and the delegated medical groups provide case managers to collaborate with the patient's physicians in providing education, support, and intra-visit telephonic monitoring. The case managers may be nurses in the Health Net offices or nurse-coaches who may be assisting with the patient's chronic disease such as asthma, congestive heart failure, diabetes, or COPD
For the patients with severe complications that require complete bed rest, Matria/Alere is Health Net's contracted home health provider. They provide home uterine monitoring, Intravenous (IV) tocolytics (preterm labor medications), IV fluids for hydration, and IV (parenteral) antibiotics among other services
Maternity Care
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IF YOU NEED A HEADLINE, THIS IS IT.
Take 5 with Decision Power Healthy Baby
Complimentary, web-based, on-demand member educational program.
Comprised of 5 topics to promote healthy pregnancy and healthy baby, presented one topic per week over 5 weeks.
Extensive member-level tracking; members who complete all 5 topics are entered into a raffle for prizes.
Take 5 topics include:
Your Health Net, an introduction to Health Net’s complimentary health and wellness programs, including smoking cessation resources
Your Exercise Your Nutrition Your Safety Breastfeeding
On Demand Educational Program – Coming This Fall!
Members may choose to print the Quick Tip Sheet that accompanies each topic.