Show simple item record

dc.contributor.authorLu, Michael C.en_US
dc.contributor.authorKotelchuck, Miltonen_US
dc.contributor.authorCulhane, Jennifer F.en_US
dc.contributor.authorHobel, Calvin J.en_US
dc.contributor.authorKlerman, Lorraine V.en_US
dc.contributor.authorThorp, John M.en_US
dc.date.accessioned2012-01-12T16:49:18Z
dc.date.available2012-01-12T16:49:18Z
dc.date.issued2006-7-1en_US
dc.identifier.citationLu, 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.issn1573-6628en_US
dc.identifier.urihttp://hdl.handle.net/2144/3383
dc.description.abstractFor 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.sponsorshipLos Angeles Best Babies Collaborative; Maternal and Child Health Bureau Leadership Training Program in Schools of Public Health; Community Child Health Networken_US
dc.language.isoenen_US
dc.publisherSpringer USen_US
dc.rightsCopyright Springer Science+Business Media, Inc. 2006en_US
dc.subjectPreconception careen_US
dc.subjectInternatal careen_US
dc.subjectContenten_US
dc.subjectPreterm birthen_US
dc.subjectInterpregnancyen_US
dc.titlePreconception Care Between Pregnancies: The Content of Internatal Careen_US
dc.typearticleen_US
dc.identifier.doi10.1007/s10995-006-0118-7en_US
dc.identifier.pubmedid16817001en_US
dc.identifier.pmcid1592148en_US


Files in this item

This item appears in the following Collection(s)

Show simple item record