Bridging the Chasm between Pregnancy and Health over the Life Course: A National Agenda for Research and Action

McCloskey, Lois; Bernstein, Judith; Amutah-Onukagha, Ndidimaka; Anthony, Jodi; Barger, Mary K.; Belanoff, Candice; Bennett, Trevor; Bird, Chloe E.; Bolds, Denise; Brenna, Burke-Weber; Carter, Rob; Celi, Ann C.; Chachere, Breanna; Crear-Perry, Joia; Crossno, Chase; Cruz-Davis, Alba; Damus, Karla; Dangel, Alissa; Depina, Zendilli; Deroze, Phyllisa; Dieujuste, Colette; Dude, Annie; Edmonds, Joyce K.; Enquobahrie, Daniel A.; Eromosele, Ebosetale; Ferranti, Erin P.; Fitzmaurice, Mary; Gebel, Christina; Blount, Linda Goler; Greiner, Ann C.; Gullo, Sue; Haddad, Amy; Hall, Nneka; Handler, Arden; Headen, Irene; Heelan-Fancher, Lisa; Hernandez, Teri L.; Johnson, Kay; Jones, Emily J.; Jones, NeKeshia; Klaman, Stacey L.; Lund, Barbara M.; Mallampalli, Monica P.; Marcelin, Lilly; Marshall, Cassondra; Maynard, Bridgette; McCage, Shondra; Mitchell, Suzanne; Molina, Rose L.; Montasir, Suzi; Nicklas, Jacinda M; Northrup, Alyson; Norton, Anna; Oparaeke, Ebere; Ramos, Athena K.; Rericha, Sue; Rios, Elena; Bloch, Joan Rosen; Ryan, Cassie; Sarfaty, Suzanne; Seely, Ellen W.; Souter, Vivienne; Spain, Martina; Spires, Randiesa; Theberge, Suzanne; Thompson, Tamara; Wachman, Madi; Yarrington, Tina; Yee, Lynn M.; Zera, Chloe; Clayton, Janine Austin; Lachance, Christina

doi:10.1016/j.whi.2021.01.002

Cited by 31 publications

(28 citation statements)

References 85 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 11–13 Womens' health advocates have proposed a variety of solutions to modifiable barriers, including enhancing health care teams with community health workers. 31 Addressing barriers to health care access for low-income minority women is important to avoid perpetuating or exacerbating health and health care disparities.…”

Section: Discussionmentioning

confidence: 99%

Bridging the Postpartum Gap: A Randomized Controlled Trial to Improve Postpartum Visit Attendance Among Low-Income Women with Limited English Proficiency

Polk

Edwardson

Lawson

et al. 2021

Women's Health Reports

View full text Add to dashboard Cite

Background: Rates of postpartum visit attendance are low among all women, and particularly for low-income women. Experts in obstetrics, women's health, and health disparities are calling for novel, holistic approaches to postpartum care to better meet the needs of women and that respond to existing health care disparities. Materials and Methods: We conducted a single-site parallel-arm randomized controlled trial to determine the feasibility and effect of a co-located, co-timed 4–6 weeks postpartum obstetrics visit and well-newborn pediatric visit ( i.e ., “mommy-baby visit”) compared with an enhanced usual postpartum visit, that is, staff scheduled the postpartum visit for the patient before hospital discharge. Results: One hundred sixteen women, of whom 76.7% ( n = 89) were Latina immigrants, were enrolled postdelivery and randomized to a mommy-baby visit ( n = 58, 49.5%) or to enhanced usual care ( n = 58, 50.4%). Almost all study participants attended their postpartum visit ( n = 109, 94.0%). There was no significant difference in postpartum visit attendance rate by randomization assignment (91.4% of mommy-baby vs. 96.6% of enhanced usual care participants). Study participants, mommy-baby intervention and enhanced usual care arms combined, were significantly more likely to attend the postpartum visit than historical controls (94.0% vs. 69.7%, respectively, p < 0.001). Conclusions: In a randomized controlled trial, we showed postpartum visit attendance rates were high for participants in both the mommy-baby and enhanced usual care arms. Postpartum visit scheduling assistance was provided to all participants and may have increased postpartum visit attendance and thereby attenuated the effect of the intervention. It is encouraging that a low-cost, low-tech, low-touch intervention, that is, postpartum appointment scheduling before hospital discharge, could increase postpartum visit attendance.

show abstract

Section: Discussionmentioning

confidence: 99%

Bridging the Postpartum Gap: A Randomized Controlled Trial to Improve Postpartum Visit Attendance Among Low-Income Women with Limited English Proficiency

Polk

Edwardson

Lawson

et al. 2021

Women's Health Reports

View full text Add to dashboard Cite

show abstract

“…The following 2 publications report the outcomes of workshops setting national agendas in perinatal health 1,2 …”

Section: Two Agenda‐building Workhopsmentioning

confidence: 99%

“…This report covers the proceedings of a 2‐day workshop, held in 2019, focused on bridging the gap in care between giving birth and returning to primary or specialty care after the postpartum period 1 . Seventy stakeholders formed 6 working groups to reach consensus on strategic priorities based on equity, innovation, effectiveness, and feasibility.…”

Section: Two Agenda‐building Workhopsmentioning

confidence: 99%

“…Seventy stakeholders formed 6 working groups to reach consensus on strategic priorities based on equity, innovation, effectiveness, and feasibility. These groups identified 6 targets for bridging the chasm:

1) progress toward eliminating institutional and interpersonal racism and bias as a requirement for accreditation of health care institutions, 2) infrastructure support for community‐based organizations, 3) extension of holistic team‐based care to the postpartum year and beyond, with integration of doulas and community health workers on the team, 4) extension of Medicaid coverage and new quality and pay‐for‐performance metrics to link maternity care and primary care, 5) systems to preserve maternal narratives and data across providers, and 6) alignment of research with women's lived experiences 1 . (p204) …”

Section: Two Agenda‐building Workhopsmentioning

confidence: 99%

See 1 more Smart Citation

Research and Professional Literature to Inform Practice, January/February 2022

Clark

2022

J Midwife Womens Health

View full text Add to dashboard Cite

“…28 – 31 Despite the 2002 Multidisciplinary Collaborative Primary Maternity Care Project in Canada, which was ‘designed to reduce key barriers and facilitate the implementation of multidisciplinary collaborative primary maternity care’, 32 challenges such as structural factors and interdisciplinary rivalry between groups of providers remain. 32 Fragmentation of perinatal care exacerbates the barriers and discrimination already faced by Black, Indigenous, and People of Colour (BIPOC) populations, 33 , 34 and these silos extend to funding and resources 35 with ongoing funding shortages for community-based doulas despite their potential to save costs and address the health disparities experienced as a result of the social determinants of health. 13 , 36 , 37…”

Section: Introductionmentioning

confidence: 99%

The need for sustainable funding for Indigenous doula services in Canada

Wodtke

Hayward

Nychuk

et al. 2022

Womens Health (Lond Engl)

View full text Add to dashboard Cite

Objectives: To interview representatives from Indigenous doulas across Canada in order to document how they manage the logistics of providing community-based doula care and understand their challenges. These objectives inform the development of an Indigenous doula pilot programme as part of the project, ‘She Walks With Me: Supporting Urban Indigenous Expectant Mothers Through Culturally Based Doulas’. Methods: In 2020, semi-structured interviews were conducted with members of five Indigenous doula collectives across Canada. Interview transcripts were approved by participants and subsequently coded by the entire research team to identify key themes. Results: Our article explores one of the main themes that emerged from these interviews: sustainable funding for Indigenous doula services. Within this theme we identified two sub-themes: (1) limitations on and regulations for available funding and (2) negative impacts of limited funding on doula service. Conclusion: A major challenge to providing Indigenous community-based doula services is sustainable funding. Current models of funding for this work often do not provide livable wages and are bound by limited durations and regulations that are unsustainable and can be culturally inappropriate. Due to this lack of sustainable funding, Indigenous doula service in Canada faces challenges that include high staff turnover and burnout and lack of time and resources to provide culturally safe care, pursue professional development and additional training, and keep their services affordable for the families who need them. Future research is needed to ascertain potential programmes and funding streams for sustainable Indigenous doula support in Canada, including possible integration of doula care into the universal public health care system despite the jurisdictional challenges in providing health care for Indigenous peoples.

show abstract

Bridging the Chasm between Pregnancy and Health over the Life Course: A National Agenda for Research and Action

Cited by 31 publications

References 85 publications

Bridging the Postpartum Gap: A Randomized Controlled Trial to Improve Postpartum Visit Attendance Among Low-Income Women with Limited English Proficiency

Bridging the Postpartum Gap: A Randomized Controlled Trial to Improve Postpartum Visit Attendance Among Low-Income Women with Limited English Proficiency

Research and Professional Literature to Inform Practice, January/February 2022

The need for sustainable funding for Indigenous doula services in Canada

Contact Info

Product

Resources

About