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UNC Center for Maternal & Infant Health
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Summer 2016
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Making Change Happen
The UNC Center for Maternal and Infant Health aims to improve the health of North Carolina's women and infants by providing quality collaborative care, translating evidence-based strategies into practice, and developing new approaches to complex problems. We focus our efforts on leading, teaching and caring - here at UNC, across the state and beyond. We are excited to share a snapshot of our work with you
. Thanks for your partnership!
Click
here to meet our full team!
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The North Carolina Preterm Birth Prevention TeleHealth Network
While premature birth is a complex challenge, there are evidence based strategies that have been proven to reduce risk. Together with the UNC OB/GYN Dept. Division of Maternal-Fetal Medicine and Community Care of North Carolina (CCNC), the CMIH is aiming to disseminate best practices through the
North Carolina Preterm Birth Prevention TeleHealth Network
. This project is supported in part by the Duke Endowment.
On May 23, 2016, approximately 300 individuals, including providers, pregnancy care managers, and partners from organizations and agencies across the state, participated in the
North Carolina Preterm Birth Prevention Symposium
at the Friday Center in Chapel Hill. Presentations covered a range of topics, including the current landscape of preterm birth in North Carolina, health equity, obesity, progesterone, postpartum care, multifetal gestation, tobacco use, opioid use, and alignment with national priorities. Exhibitors provided resources and informational materials to attendees. For additional information about this event, or to view presentation recordings and slide sets, please visit our
website
.
In addition to the Symposium, the North Carolina Preterm Birth Prevention TeleHealth Network developed a series of Pregnancy Medical Home Care Pathway Packages, which include patient education materials, algorithms and short webinars. This project has funded enrollment in the Perinatal Quality Foundation's CLEAR certification program for sonographers across the state. We have also established maternal-fetal telemedicine sites and continue outreach to offer this opportunity to rural practices in North Carolina.
Finally, technical assistance has been provided to practices throughout the state as part of the You Quit, Two Quit program. This service includes training on motivational interviewing techniques, billing and reimbursement, as well as the evidence-based brief counseling intervention - the 5As. Over 20 practices have received TA - this resource is still available to those interested. T
o learn more about this project and access resources, please visit our
website
.
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Making a Difference One Family at a Time
Quality, Compassionate, Coordinated Care
for Complex Babies
The Center for Maternal and Infant Health provides special, personalized care for families with complicated pregnancies and babies with seriou
s medical problems.
Care coordinators support families from diagnosis through discharge and beyond. Coordinators help buffer families from the added worries and difficulties that may come with receiving complex care in a new, unfamiliar place. They also teach families how to advocate on behalf of their special babies. To learn more about our services click here.
Currently, our perinatal care coordinators, Lisa Welborn, Maya Li
ndley, a
nd Lori Carter, are serving 122 complex infants and 114 pregnant mothers with fetal diagnosis of congenital anomalies. In the past year, they have coordinated care for 20 pregnant women referred to the fetal surgery program and supported
20 families with perinatal palliative care. The team partners closely with the UNC Special Infant Care Clinic that served 513 complex infants and families over the past year. These numbers do not include the many calls they answer each week for assistance from families who are still experiencing challenges in getting their special-needs toddlers and young children the services they need. Quality, compassionate, bi-lingual care coordination is the cornerstone of the Center.
Our clinical team, which consists of specialists in the field of maternal-fetal medicine,
obstetrics and gynecology, and pediatric specialty care and surgery, meets weekly to develop unified plans for each patient and family. This team also uses this weekly meeting to enhance their
education as they discuss best practice in perinatal health and to learn from other specialists in the field about new medical procedures and treatments. We are grateful for the knowledge, skill, and care that our clinical team provides to our patients and their families. Click here to learn more about our clinical team and partners.
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Our NEW website!
Our website is designed to provide information on improving outcomes for moms and babies. Content includes:
Evidence-based clinical practice algorithm
 s,
Perinatal tobacco cessation technical assistance,
Recurring preterm birth prevention with 17P,
Postpartum care research,
Preconception wellness,
Clinical services for high risk moms and babies.
Educational materials for clinicians as well as for patients (English and Spanish)
are now easy to find. You can also stay current on our many research and educational projects.
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New Publications by the
CMIH Team
In addition to doing great work to serve clients and providers, we are contributing to science by sharing our work.
Verbiest S, Malin CK, Drummonds M, Kotelchuck M.
This article was selected by Springer Publishing as an article that "could change the world."
Verbiest S, McClain E, Woodward S. Advancing preconception health in the United States: Strategies for change. Upsala Journal of Medical Sciences 2016 (in press).
Stringer EM, Vladutiu C, Manuck T
,
Verbiest S
, Ollendorff A, Stringer JS,
Verbiest S, McClain E, Stuebe A and Menard K. Postpartum Health Services Requested by Mothers with Newborns Receiving Intensive Care. Matern Child Health J. July 2016.
Frayne D,
Verbiest S, Chelmow D, Clarke H, Dunlop A, Hosmer, J,
Menard K, Moos M, Ramos D,
Stuebe A, Zephyrin L.
Health Care System Measures to Advance Preconception Wellness: Consensus Recommendations of the Clinical Workgroup of the National Preconception Health and Health Care Initiative. Am J Obstet Gynecol,
May 2016; 127(5):863-72.
Auger, S J, Verbiest
, S, Spickard, J V, Simán, FM, & Colindres, M. Participatory group prenatal education using photonovels: evaluation of a lay health educator model with low-income Latinas.
J Participat Med, 2015: 7, e13.
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With support from public and private funders, including the Centers for Disease Control and Prevention and the W.K. Kellogg Foundation, the
CMIH leads the national Preconception Health and Health Care Initiative. In this highly visible national role, the CMIH supports a leadership team made up of over 70 agencies, as well as 5 work-groups that focus on policy, surveillance, clinical care, consumer outreach and public health. The vision of the PCHHC
is that all women and men of reproductive age will achieve optimal health and wellness, fostering a healthy life course for them and any children they may have. The past 10 months have been a whirl of activity for the PCHHC.
Under the direction of Suzanne Woodward,
the Initiative began rolling out a new consumer-facing campaign, Show Your Love, beginning with
showyourlovetoday.com,
the first and only national consumer-focused preconception health educational and community-building platform in the US. The Show Your Love campaign was launched on June 14, 2016, and over a single week, the
Show Your Love launch press release
was picked-up by
183 media outlets - reaching 85,559,749 Unique Monthly Visitors
online. The
Show Your Love Facebook page posts reached 1,178 people and the SYL
Twitter handle had 33.4K impressions,
1,730
profile visits and 118 NEW followers.
The PCHHC hosted a Men's Health Week Tweet Chat:
#
PCHchat, which reached
323,825 accounts,
had 4,804,200 impressions, with 104 people/organizations that contributed to the
#
PCHChat conversation.
Before and Beyond, Health Provider Resource & Training website was developed and is supported by the CMIH team. In the past 9 months, web
site traffic has MORE than DOUBLED on average each month (increasing from 1.2 thousand unique monthly visitors in October 2015 to more than 2.4 thousand monthly between Nov 2015 - Jun 2016). In addition to regularly refreshing content and site organization, the CMIH teamed up with Albert Einstein College of Medicine to re-accredit and update the free Continuing Education modules available.
Health Systems Collaborative
PCHHC Clinical Workgroup, in partnership with MAHEC in North Carolina, is working with 4 clinics and 14 health care systems across the US to test measures and systems for integrating preconception health into clinical care for every woman. Read more about the Health Systems Collaborative and
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