Preconception care between pregnancies: the content of internatal care.

{"article_title":"Preconception care between pregnancies: the content of internatal care.","author":"\"Lu, Michael C , Kotelchuck, Milton , Culhane, Jennifer F , Hobel, Calvin J , Klerman, Lorraine V , Thorp, John M, Jr\"","journal_title":"Maternal and child health journal","issn":"1092-7875 ; Print","isbn":"","publication_date":"20060901","volume":"10","issue":"5 Suppl","first_page":"S107","page_count":"","accession_number":"16817001","doi":"10.1007\/s10995-006-0118-7","publisher":"Kluwer Academic\/Plenum Publishers","doctype":"Journal Article; Research Support","subjects":"Gynecology","interest_area":["Obstetrics & Gynecology"," Internal\/Family Medicine"],"abstract":"For more than two decades, prenatal care has been a cornerstone of our nation's strategy for improving pregnancy outcomes. In recent years, however, a growing recognition of the limits of prenatal care and the importance of maternal health before pregnancy has drawn increasing attention to preconception and internatal care. Internatal care refers to a package of healthcare and ancillary services provided to a woman and her family from the birth of one child to the birth of her next child. For healthy mothers, internatal care offers an opportunity for wellness promotion between pregnancies. For high-risk mothers, internatal care provides strategies for risk reduction before their next pregnancy. In this paper we begin to define the contents of internatal care. The core components of internatal care consist of risk assessment, health promotion, clinical and psychosocial interventions. We identified several priority areas, such as FINDS (family violence, infections, nutrition, depression, and stress) for risk assessment or BBEEFF (breastfeeding, back-to-sleep, exercise, exposures, family planning and folate) for health promotion. Women with chronic health conditions such as hypertension, diabetes, or weight problems should receive on-going care per clinical guidelines for their evaluation, treatment, and follow-up during the internatal period. For women with prior adverse outcomes such as preterm delivery, we propose an internatal care model based on known etiologic pathways, with the goal of preventing recurrence by addressing these biobehavioral pathways prior to the next pregnancy. We suggest enhancing service integration for women and families, including possibly care coordination and home visitation for selected high-risk women. The primary aim of this paper is to start a dialogue on the content of internatal care.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=16817001&authtype=shib&custid=ns346513","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Lu MC, Kotelchuck M, Culhane JF, Hobel CJ, Klerman LV, Thorp JM Jr","Journal_Info":"Publisher: Kluwer Academic\/Plenum Publishers Country of Publication: United States NLM ID: 9715672 Publication Model: Print Cited Medium: Print ISSN: 1092-7875 (Print) Linking ISSN: 10927875 NLM ISO Abbreviation: Matern Child Health J Subsets: MEDLINE","Publication_Type":"Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't","Published_Date":"2006-09-01","Source":"Maternal and child health journal [Matern Child Health J] 2006 Sep; Vol. 10 (5 Suppl), pp. S107-22.","Languages":"English","MeSH_Terms":"Premature Birth*, Health Promotion\/*organization & administration , Postnatal Care\/*organization & administration , Preconception Care\/*organization & administration , Prenatal Care\/*organization & administration, Domestic Violence ; Female ; Folic Acid ; Health Priorities ; Health Promotion\/methods ; Humans ; Immunization Programs ; Nutritional Status ; Parity ; Postnatal Care\/methods ; Preconception Care\/methods ; Pregnancy ; Pregnancy, High-Risk ; Prenatal Care\/methods ; Risk Assessment ; Risk Factors ; Time Factors ; United States","Subjects":"Domestic Violence, Female, Folic Acid, Health Priorities, Health Promotion methods, Humans, Immunization Programs, Nutritional Status, Parity, Postnatal Care methods, Preconception Care methods, Pregnancy, Pregnancy, High-Risk, Prenatal Care methods, Risk Assessment, Risk Factors, Time Factors, United States, Health Promotion organization & administration, Postnatal Care organization & administration, Preconception Care organization & administration, Premature Birth, Prenatal Care organization & administration","Title_Abbreviations":"Maternal and child health journal","Volume":"10"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"16817001","RelevancyScore":"759","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"758.727416992188"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=16817001&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=16817001&authtype=shib&custid=ns346513&group=main&profile=eds"}