Preconception Care Between Pregnancies: The Content of Internatal Care


Show simple item record Lu, Michael C. en_US Kotelchuck, Milton en_US Culhane, Jennifer F. en_US Hobel, Calvin J. en_US Klerman, Lorraine V. en_US Thorp, John M. en_US 2012-01-12T16:49:18Z 2012-01-12T16:49:18Z 2006-7-1 en_US
dc.identifier.citation Lu, Michael C., Milton Kotelchuck, Jennifer F. Culhane, Calvin J. Hobel, Lorraine V. Klerman, John M. Thorp. "Preconception Care Between Pregnancies: The Content of Internatal Care" Maternal and Child Health Journal 10(Suppl 1): 107-122. (2006) en_US
dc.identifier.issn 1573-6628 en_US
dc.description.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. en_US
dc.description.sponsorship Los Angeles Best Babies Collaborative; Maternal and Child Health Bureau Leadership Training Program in Schools of Public Health; Community Child Health Network en_US
dc.language.iso en en_US
dc.publisher Springer US en_US
dc.rights Copyright Springer Science+Business Media, Inc. 2006 en_US
dc.subject Preconception care en_US
dc.subject Internatal care en_US
dc.subject Content en_US
dc.subject Preterm birth en_US
dc.subject Interpregnancy en_US
dc.title Preconception Care Between Pregnancies: The Content of Internatal Care en_US
dc.type article en_US
dc.identifier.doi 10.1007/s10995-006-0118-7 en_US
dc.identifier.pubmedid 16817001 en_US
dc.identifier.pmcid 1592148 en_US

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