TY - JOUR
T1 - Strong Start for Mothers and Newborns
T2 - Implications for prenatal care delivery
AU - Krans, Elizabeth E.
AU - Davis, Matthew M.
N1 - Publisher Copyright:
© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins.
PY - 2014
Y1 - 2014
N2 - 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.
AB - 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.
KW - Healthcare utilization
KW - Medicaid
KW - Prenatal care
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U2 - 10.1097/GCO.0000000000000118
DO - 10.1097/GCO.0000000000000118
M3 - Review article
C2 - 25379768
AN - SCOPUS:84928014588
SN - 1040-872X
VL - 26
SP - 511
EP - 515
JO - Current Opinion in Obstetrics and Gynecology
JF - Current Opinion in Obstetrics and Gynecology
IS - 6
ER -