American Journal of Obstetrics & Gynecology
Volume 199, Issue 6, Supplement B , Pages S259-S265 , December 2008

Where is the “W”oman in MCH?

  • Hani Atrash, MD, MPH

      Affiliations

    • National Center on Birth defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA
  • ,
  • Brian W. Jack, MD

      Affiliations

    • Department of Family Medicine, Boston University School of Medicine, Boston, MA
  • ,
  • Kay Johnson, MPH, EdM

      Affiliations

    • Department of Pediatrics, Dartmouth Medical School, Lebanon, NH
  • ,
  • Dean V. Coonrod, MD, MPH

      Affiliations

    • Department of Obstetrics and Gynecology, Maricopa Medical Center, Phoenix, AZ
  • ,
  • Merry-K. Moos, BSN, FNP, MPH

      Affiliations

    • Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, NC
  • ,
  • Phillip G. Stubblefield, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston, MA
  • ,
  • Robert Cefalo, MD, PhD

      Affiliations

    • Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, NC
  • ,
  • Karla Damus, MSPH, PhD, RN

      Affiliations

    • Department of Obstetrics & Gynecology and Women's Health, Albert Einstein College of Medicine, and National March of Dimes, White Plains, NY
  • ,
  • Uma M. Reddy, MD, MPH

      Affiliations

    • Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD

Received 12 June 2008 ,Revised 13 August 2008 ,Accepted 29 August 2008.

References 

  1. Institute of Medicine, Committee to Study the Prevention of Low Birth Weight. Preventing low birth weight. Washington, DC: National Academy Press; 1985;
  2. National Center for Health Statistics. Health, United States, 2007, with chartbook on trends in the health of Americans. Hyattsville (MD): National Center for Health Statistics; 2007;
  3. National Healthy Mothers Healthy Babies Coalition. http://www.hmhb.org/Accessed February 22, 2008
  4. Public Health Service. Caring for our future: the content of prenatal care: a report of the Public Health Service Expert Panel on the Content of Prenatal Care. Washington, DC: US Department of Health and Human Services; 1989;
  5. Rosenfield A, Maine D. Maternal Mortality: a neglected tragedy: where is the M in MCH?. Lancet. 1985;2:83–85
  6. Community Involvement in the Federal Healthy Start Program. A report from PolicyLink, June 2000. http://www.policylink.org/pdfs/HealthyStart.pdfAccessed February 22, 2008
  7. Martin JA, Hamilton BE, Sutton PD, Ventura SA, Menacker F, Kirmeyer S. Births: final data for 2004: national vital statistics reports. Hyattsville, MD: National Center for Health Statistics; 2006;
  8. Anderson J, Ebrahim S, Floyd L, Atrash H. Prevalence of risk factors for adverse pregnancy outcomes during pregnancy and the preconception period: United States, 2002-2004. Matern Child Health J. 2006;10:S101–S106
  9. Petrini J, Hamner HC, Flores AL, Mulinare J, Prue C. Use of supplements containing folic acid among women of childbearing age: United States, 2007. MMWR Morb Mortal Weekly Rep. 2008;57:5–8
  10. Dewees WP. A treatise on the physical and medical treatment of children (11th ed. Philadelphia: Blanchard and Lea; 1858 (preface page ix)). http://books.google.com/books?id=vjQSqOtKeM0C&printsecAccessed February 22, 2008
  11. Chamberlain G. The prepregnancy clinic. BMJ. 1980;28:29–30
  12. In:  Chamberlain G,  Lumley J editor. Prepregnancy care: a manual for practice. Chichester (UK): Wiley; 1986;
  13. Moos MK, Cefalo RC. Preconceptional health promotion: a focus for obstetric care. Am J Perinatol. 1987;47:63–67
  14. Jack B, Culpepper L. Preconception care. In:  Merkatz IR,  Thompson JE,  Mullen PD,  Goldenberg RL editor. New perspectives on prenatal care. New York: Elsevier; 1990;p. 69–88
  15. US Public Health Service. Healthy People 2000: national health promotion and disease prevention objectives ((DHHS publication No. 91-502212)). Washington, DC: US Department of Health and Human Services; 1991;
  16. US Public Health Service. Healthy People 2000: midcourse review and 1995 revisions. Washington, DC: US Department of Health and Human Services; 2000;
  17. Committee on Perinatal Health. Toward improving the outcome of pregnancy (TIOP II): the 90s and beyond. White Plains, NY: March of Dimes, National Foundation; 1993;
  18. In:  Gilstrap LC,  Oh W editor. American Academy of Pediatrics, American College of Obstetricians and Gynecologists (Guidelines for perinatal care). 5th ed.. Elk Grove Village, IL: American Academy of Pediatrics; 2002;
  19. American College of Obstetricians and Gynecologists. Guidelines for women's health care. 2nd ed.. Washington, DC: The College; 2002;
  20. American College of Obstetricians and Gynecologists Preconception Work Group. The importance of preconception care in the continuum of women's health care. Obstet Gynecol. 2005;106:665–666
  21. American College of Obstetricians and Gynecologists. Preconceptional care: ACOG technical bulletin No.: 205, May 1995. Int J Gynaecol Obstet. 1995;50:201–207
  22. March of Dimes Birth Defects Foundation. March of Dimes updates: is early prenatal care too late?. Contemp Obstet Gynecol. 2002;12:54–72
  23. Gjerdingen DK, Fontaine P. Preconception health care: a critical task for family physicians. J Am Board Fam Pract. 1991;4:237–250
  24. Frey KA. Preconception care by the non-obstetrical provider. Mayo Clin Proc. 2002;77:469–473
  25. Jack B. Preconception care (or how all family physicians “do” OB). Am Fam Physician. 1995;51:1807–1808
  26. Hobbins D. Prepping for healthy moms & babies: making the case for preconception care & counseling. AWHONN Lifelines. 2001;5:49–54
  27. American College of Obstetricians and Gynecologists. Access to women's health care: ACOG statement of policy. Washington (DC): The College; 2003;
  28. Reynolds HD. Preconception care: an integral part of primary care for women. J Nurse Midwifery. 1998;43:445–458
  29. Moos MK. Preconceptional health promotion: opportunities abound. Matern Child Health J. 2002;6:71–73
  30. Moos MK. Preconceptional wellness as a routine objective for women's health care: an integrative strategy. J Obstet Gynecol Neonatal Nurs. 2003;32:550–556
  31. Moos MK. Preconceptional health promotion: progress in changing a prevention paradigm. J Perinat Neonatal Nurs. 2004;18:2–13
  32. Misra DP, Guyer B, Allston A. Integrated perinatal health framework: a multiple determinants model with a life span approach. Am J Prev Med. 2003;25:65–75
  33. Agrey N, Crowe KM, Levitt C, MacDonald J, Mac Lean D, Polomeno V. Preconception care. In:  Hanvey L editors. Family-centered maternity and newborn care: national guidelines. Ottawa: Health Canada, Minister of Public Works and Government Services; 2005;p. 5–30
  34. American Diabetes Association. Preconceptional care of women with diabetes. Diabetes Care. 2004;27:S76–S78
  35. Practice parameter: management issues for women with epilepsy (summary statement) (Report of the Quality Standards Subcommittee of the American Academy of Neurology). Neurology. 1998;51:944–948
  36. Hirsh J, Fuster V, Ansell J, Halperin JL American Heart Association; American College of Cardiology Foundation. American Heart Association/American College of Cardiology Foundation guide to warfarin therapy. Circulation. 2003;107:1692–17111
  37. Frey K, Files J. Preconception health care: what women know and believe. Matern Child Health J. 2006;10:S73–S77
  38. Morgan M, Hawks D, Zinberg S, Schulkin J. What obstetrician-gynecologists think of preconception care. Matern Child Health J. 2006;10:S59–S65
  39. Williams J, Abelman S, Fassett E, et al. Health care provider knowledge and practices regarding folic acid, United States, 2002-2003. Matern Child Health J. 2006;10:S67–S72
  40. Jack BW, Culpepper L, Babcock J, Kogan M, Wesimiller D. How effectively are interventions initiated after preconception risk assessment at the time of a negative pregnancy test? (A randomized controlled trial). J Fam Pract. 1998;47:33–38
  41. Centers for Disease Control and Prevention. Recommendations for improving preconception health and health care: United States: a report of the CC/ATSDR Preconception Care Workgroup and the Select Panel on Preconception Care. MMWR, Morb Mortal Weekly Rep. 2006;55:1–23
  42. Jack BW, Culpepper L. Preconception care: risk reduction and health promotion in preparation for pregnancy. JAMA. 1990;264:1147–1149
  43. Cefalo RC, Moos MK. Preconceptional health promotion: a practical guide. 2nd ed.. St. Louis: Mosby; 1995;
  44. Bernstein PS, Sanghvi T, Merkatz IR. Improving preconception care. J Reprod Med. 2000;45:546–552
  45. Allaire AD, Cefalo RC. Preconceptional health care model. Eur J Obstet Gynecol Reprod Biol. 1998;78:163–168
  46. American College of Obstetricians and Gynecologists. The importance of preconception care in the continuum of women's health care: ACOG committee opinion No.: 313. Washington, DC: The College; 2005;
  47. Dunlop AL, Jack BW, Bottalico JN, et al. The clinical content of preconception care: women with chronic medical conditions. Am J Obstet Gynecol. 2008;199:S310–S327
  48. Moos MK, Dunlop AL, Jack BW, et al. Healthier women, healthier reproductive outcomes: recommendations for the routine care of all women of reproductive age. Am J Obstet Gynecol. 2008;199:S280–S289
  49. Coonrod DV, Jack BW, Stubblefield PG, et al. The clinical content of preconception care: infectious diseases in preconception care. Am J Obstet Gynecol. 2008;199:S296–S309
  50. Pearson GD, Veille JC, Rahimtoola S, et al. Peripartum cardiomyopathy: National Heart, Lung, and Blood Institute and Office of Rare Diseases (National Institutes of Health) workshop recommendations and review. JAMA. 2000;283:1183–1188
  51. Heider AL, Kuller JA, Strauss RA, Wells SR. Peripartum cardiomyopathy: a review of the literature. Obstet Gynecol Surv. 1999;54:526–531
  52. Jones AM, Howitt Q. Eisenmenger syndrome in pregnancy. BMJ. 1965;1:1627–1631
  53. Lacassie HJ, Germain AM, Valdes G, Fernandez MS, Allamand F, Lopez H. Management of Eisenmenger syndrome in pregnancy with sildenafil and L-arginine. Obstet Gynecol. 2004;103:1118–1120
  54. Floyd LR, Jack BW, Cefalo R, et al. The clinical content of preconception care: alcohol, tobacco, and illicit drugs. Am J Obstet Gynecol. 2008;199:S333–S339
  55. McDiarmid MA, Gardiner PM, Jack BW. The clinical content of preconception care: environmental exposures. Am J Obstet Gynecol. 2008;199:S357–S362
  56. Coonrod DV, Jack BW, Long R, et al. The clinical content of preconception care: immunizations as part of preconception care. Am J Obstet Gynecol. 2008;199:S290–S295
  57. Larson WJ. Human embryology. 2nd ed.. New York: Churchill Livingston; 1997;xvi
  58. In:  Wyszynski DF editors. Cleft lip and palate: from origin to treatment. New York: Oxford University Press; 2002;9
  59. Cullum AS. Changing provider practices to enhance preconceptional wellness. J Obstet Gynecol Neonatal Nurs. 2003;32:543–549
  60. Weisman CS. Changing definitions of women's health: implications for health care and policy. Matern Child Health J. 1997;1:179–189
  61. Clancy CM, Massion CT. American women's health care: a patchwork quilt with gaps. JAMA. 1992;268:1918–1920
  62. Hobbins D. Preconception care: maximizing the health of women and their newborns: AWHONN practice monograph. Washington (DC): AWHONN; 2001;
  63. Salganicoff A, Ranji UR, Wyn R. Women and health care: a national profile: key findings from the Kaiser Women's Health Survey. Menlo Park (CA): Kaiser Family Foundation; 2005;Available at: http://www.kff.org/womenshealth/upload/Women-and-Health-Care-A-National-Profile-Key-Findings-from-the-Kaiser-Women-s-Health-Survey.pdf. Accessed Oct. 10, 2008.
  64. Weisman CS. Women's use of health care. In:  Falik MM,  Collins KS editor. Women's health: the commonwealth fund survey of women's health. Baltimore: Johns Hopkins University Press; 1996;p. 19–48
  65. Henderson JT, Weisman CS, Grason H. Are two doctors better than one? (Women's physician use and appropriate care). Women Health Issues. 2002;12:138–149

 Reprints not available from the authors.

 The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

 Conflict of Interest: Hani Atrash, MD, MPH; Brian W. Jack, MD; Kay Johnson, MPH, EdM; Merry-K Moos, BSN, FNP, MPH; Phillip G. Stubblefield, MD; Robert Cefalo, MD, PhD; Karla Damus, MSPH, PhD, RN; and Uma M. Reddy, MD, MPH have no conflict of interest including grants, honoraria, advisory board membership, or share holdings. Dean V. Coonrod, MD, MPH is a Grant Recipient from the March of Dimes Arizona Chapter to develop an internatal Care Clinic and has funding from CMS (#1HOCMS030207 101) working on compliance with the 6 week postpartum visit as a strategy to improve preconception care.

PII: S0002-9378(08)01028-4

doi: 10.1016/j.ajog.2008.08.059

American Journal of Obstetrics & Gynecology
Volume 199, Issue 6, Supplement B , Pages S259-S265 , December 2008