Strong Start for Mothers and Newborns: Implications for prenatal care delivery

Elizabeth E. Krans*, Matthew M. Davis

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations

Abstract

Purpose of review In February 2012, the Centers for Medicare and Medicaid Services announced a 4-year initiative to test new approaches to prenatal care delivery to improve rates of preterm birth for women enrolled in Medicaid. The Strong Start for Mothers and Newborns initiative was designed to achieve this goal through two strategies: first, a public awareness campaign designed to reduce the rate of elective deliveries prior to 39-week gestation, and second, a funding opportunity to test the effectiveness of enhanced prenatal care models designed to reduce the incidence of low-birth-weight infants among pregnant Medicaid beneficiaries. This article reviews previous prenatal care expansion efforts and provides insights into the alternative prenatal care delivery models currently being tested for low-income patient populations at high risk for adverse birth outcomes. Recent findings Alternative prenatal care models, such as prenatal home visitation and group prenatal care for patients at high risk for adverse birth outcomes, may provide more efficient and effective care than the traditional, predominantly medical model of prenatal care delivery. Summary The authors discuss the relationship between prenatal care utilization and adverse birth outcomes, such as low birth weight, and current efforts to reinvent prenatal care content, structure and delivery.

Original languageEnglish (US)
Pages (from-to)511-515
Number of pages5
JournalCurrent Opinion in Obstetrics and Gynecology
Volume26
Issue number6
DOIs
StatePublished - 2014

Keywords

  • Healthcare utilization
  • Medicaid
  • Prenatal care

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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