Risk-appropriate care is a strategy to improve perinatal health outcomes by providing care to pregnant persons and infants in facilities with the personnel and services capable of meeting their health needs. The Association of State and Territorial Health Officials hosted discussions among state health officials, health agency staff, and clinicians to advance risk-appropriate care. The discussions focused on neonatal levels of care, levels of maternal care, ancillary services utilized for care of both populations including transport and telemedicine, and issues affecting provision of care such as standardization of state policies or approaches, reimbursement for services, gaps in risk-appropriate care, and equity. State-identified implementation strategies for improvement were presented. In this Perspective, we summarize current studies describing provision of risk-appropriate care in the United States, identify gaps in research, and highlight ongoing and proposed activities to address research gaps and support state health officials and clinicians.
Opioid misuse was defined as taking prescription opioid medication for a reason other than pain or obtained from a source other than a health care provider. https://www.cdc.gov/mmwr/volumes/69/wr/mm6928a1.htm † Meeting the CDC definition of binge drinking (more than four drinks during a single 2-hour episode) or excessive alcohol use (eight or more drinks per week) since giving birth. § Including heroin, marijuana products, cocaine, amphetamines, hallucinogens, tranquilizers, or inhalants. anxiety, and substance use disorders during the postpartum period. Evidence-based strategies can prevent adverse childhood experiences and mitigate the immediate and long-term harms. ¶ PRAMS is a collaboration between CDC and participating jurisdictions to conduct population-based surveillance for maternal experiences before, during, and after pregnancy among women with a recent live birth (4). To better understand opioid ¶ https://www.cdc.gov/violenceprevention/pdf/preventingACES.pdf
INSIDE
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.