Applying the chronic care model to prenatal care: Patient activation, productive interactions, and prenatal outcomes

Sadler, Kerry; Jackson, Jeremy T.; Womack, Jasmyne J.; Rider, Heather A; Seehusen, Angela B

doi:10.1016/j.pec.2018.04.017

Cited by 5 publications

(6 citation statements)

References 23 publications

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“…Information from trusted sources can empower a woman and enable her to advocate for her own health, and operate as a full partner in her care. 13 Women also reported inadequacy of pain coverage during birth, with women expressing fear that providers will not understand or may be biased in their treatment of their pain because of their OUD. There is limited current knowledge of intrapartum pain control management for women with OUD, but studies in the general population have demonstrated that individuals with OUD can experience heightened pain (hyperalgesia) due to chronic exposure to opioids.…”

Section: Discussionmentioning

confidence: 99%

“…11 , 12 Perinatal engagement strategies incorporated into standard care are also associated with increased quality of patient-provider interactions through improved patient activation. 13 Women with OUD are known to benefit from personalized prenatal care, demonstrating increased adherence to prenatal visits through a model which tailors support and education to the individual needs of substance exposed pregnancies. 14 Furthermore, tailored breastfeeding support has resulted in higher breastfeeding rates among substance‐exposed women and infants.…”

Section: Introductionmentioning

confidence: 99%

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Identified Gaps and Opportunities in Perinatal Healthcare Delivery for Women in Treatment for Opioid use Disorder

et al. 2021

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Background Pregnancy and the delivery of an infant mark a unique time of engagement in healthcare for women in treatment for opioid use disorder (OUD). The American College of Obstetrics and Gynecology calls for a comprehensive approach to perinatal healthcare delivery for pregnant women with OUD in order to facilitate improved health outcomes and increase patient-provider collaboration. Yet, there is little knowledge regarding the perceptions of women with OUD regarding the current delivery of healthcare which could inform a personalized, tailored approach to perinatal healthcare delivery. Methods Four focus groups consisting of 22 women with OUD were conducted, transcribed, and analysed using qualitative thematic analysis methodology. Results Women reported an overall lack of preparation for the birth and neonatal healthcare experiences and identified opportunities for greater support by the healthcare team. Women emphasized the desire for evidence-based preparation from trusted sources about delivery, neonatal abstinence syndrome, breastfeeding, and how their medications affect their pregnancy and baby. Women reported receiving a varied amount of support from healthcare providers in their transition to motherhood, but women predominantly reported receiving emotional and informational support from their mothers and partners. Conclusions The knowledge obtained in this study points to gaps in perinatal healthcare delivery for women with OUD. Improving the delivery of perinatal healthcare may contribute to increased engagement by women with OUD, and ultimately improve outcomes for a vulnerable population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Identified Gaps and Opportunities in Perinatal Healthcare Delivery for Women in Treatment for Opioid use Disorder

et al. 2021

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“…42 For obstetric patients, patient activation and prenatal engagement, both of which emphasize patient counseling and education, are associated with positive patient experience and improved obstetric outcomes. 44 Lactation/Breastfeeding Education (Class IIa, Level B-R, Moderate-Grade Level of Evidence) Lactation/breastfeeding education is an important element of postpartum recovery for breastfeeding mothers and their infants. 22,23,[45][46][47][48][49] Numerous professional organizations, including the World Health Organization (WHO) and American Academy of Pediatrics (AAP), recognize the many medical and neurodevelopmental advantages of breastfeeding, and consider infant nutrition to be a public health issue rather than a lifestyle choice.…”

Section: Nonparticulate Liquid Carbohydrate Loading (Class Iib Level ...mentioning

confidence: 99%

Section: Preoperative Erac Recommendationsmentioning

confidence: 99%

Society for Obstetric Anesthesia and Perinatology: Consensus Statement and Recommendations for Enhanced Recovery After Cesarean

Bollag

Lim

Sultan

et al. 2021

Anesthesia &Amp; Analgesia

205

172

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The purpose of this article is to provide a summary of the Enhanced Recovery After Cesarean delivery (ERAC) protocol written by a Society for Obstetric Anesthesia and Perinatology (SOAP) committee and approved by the SOAP Board of Directors in May 2019. The goal of the consensus statement is to provide both practical and where available, evidence-based recommendations regarding ERAC. These recommendations focus on optimizing maternal recovery, maternal-infant bonding, and perioperative outcomes after cesarean delivery. They also incorporate management strategies for this patient cohort, including recommendations from existing guidelines issued by professional organizations such as the American College of Obstetricians and Gynecologists and the American Society of Anesthesiologists. This consensus statement focuses on anesthesia-related and perioperative components of an enhanced recovery pathway for cesarean delivery and provides the level of evidence for each recommendation.

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“…and even though emerging research shows increased PAM scores may associate with improved pregnancy experience and increased vaginal delivery rate (Ledford et al, 2018), further research is needed on the PAM as a measurement tool in pregnant patients. Additionally, more research is required to establish the link between mobile technology and CHW reinforcement on patient activation in a prenatal population.…”

Section: Discussionmentioning

confidence: 99%

The feasibility and promise of mobile technology with community health worker reinforcement to reduce rural preterm birth

Cramer

Mollard

Ford

et al. 2018

Public Health Nursing

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Applying the chronic care model to prenatal care: Patient activation, productive interactions, and prenatal outcomes

Cited by 5 publications

References 23 publications

Identified Gaps and Opportunities in Perinatal Healthcare Delivery for Women in Treatment for Opioid use Disorder

Identified Gaps and Opportunities in Perinatal Healthcare Delivery for Women in Treatment for Opioid use Disorder

Society for Obstetric Anesthesia and Perinatology: Consensus Statement and Recommendations for Enhanced Recovery After Cesarean

The feasibility and promise of mobile technology with community health worker reinforcement to reduce rural preterm birth

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