RESUMEN
Current maternal care recommendations in the United States focus on monitoring fetal development, management of pregnancy complications, and screening for behavioral health concerns. Often missing from these recommendations is support for patients experiencing socioeconomic or behavioral health challenges during pregnancy. A Pregnancy Medical Home (PMH) is a multidisciplinary maternal health care team with nurse navigators serving as patient advocates to improve the quality of care a patient receives and health outcomes for both mother and infant. Using bivariate comparisons between PMH patients and reference groups, as well as interviews with project team members and PMH graduates, this evaluation assessed the impact of a PMH at an academic medical university on patient care and birth outcomes. This PMH increased depression screenings during pregnancy and increased referrals to behavioral health care. This evaluation did not find improvements in maternal or infant birth outcomes. Interviews found notable successes and areas for program enhancement.
Asunto(s)
Servicios de Salud Materna , Atención Dirigida al Paciente , Mejoramiento de la Calidad , Humanos , Embarazo , Femenino , Atención Dirigida al Paciente/organización & administración , Mejoramiento de la Calidad/organización & administración , Servicios de Salud Materna/normas , Servicios de Salud Materna/organización & administración , Adulto , Calidad de la Atención de Salud/organización & administración , Resultado del Embarazo , Estados Unidos , Grupo de Atención al Paciente/organización & administración , Complicaciones del Embarazo/terapiaRESUMEN
Caring for pregnant people with substance use requires knowledge about specific substances used, treatment options, and an integrated, trauma-informed care team. This chapter will discuss crucial information for clinicians regarding evidence-based practice for screening, intervention, and ongoing support for pregnant people and their families impacted by substance use.