Associations Between a Healthy Start Program Prenatal Risk Screening Tool and Adverse Birth Outcomes: A Study Using the Mother/Infant Dyad Screening Cohort

Montoya-Williams, Diana; Bright, Melissa; Martinez, Silvio D.; Echavarría, María Isabel; Mercado, Rebeccah; Lorch, Scott A.; Thompson, Lindsay A.

doi:10.1089/jwh.2019.7712

Cited by 4 publications

(6 citation statements)

References 28 publications

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“…In order for someone to be referred to specific services, the p care provider uses the HSPRS to review demographic, environmental, and psychosocial factors that will inform which individual health, education, and social services childbearing people should be offered. Services such as breastfeeding consultations, childbirth education, and parenting education can be provided in the home, whereas psychosocial, nutritional, and smoking cessation counseling are provided at health care clinics 7,8 …”

Section: Resultsmentioning

confidence: 99%

“…These 21 items are categorized into 5 domains: socioeconomic, behavioral, educational, psychosocial, and biomedical/obstetric, and were selected by experts based on existing literature known to increase the odds of preterm birth or low birth weight. A score of 4 or higher is a positive screen for referral to the Healthy Start Program, a community‐based initiative that offers health care and social services to childbearing people, such as psychosocial, nutritional, and smoking cessation counseling 7,8 …”

Section: Resultsmentioning

confidence: 99%

“…Eight studies described antenatal risk scoring systems, including the Florida Healthy Start Prenatal Risk Screen (HSPRS), 7,8 the Kindex risk screening tool, 9 the prenatal event history calendar (EHC), 10 and the Rotterdam Reproductive Risk Reduction (R4U) score card 4,11‐13 …”

Section: Resultsmentioning

confidence: 99%

“…A score of 4 or higher is a positive screen for referral to the Healthy Start Program, a community-based initiative that offers health care and social services to childbearing people, such as psychosocial, nutritional, and smoking cessation counseling. 7,8 The Kindex Risk Screening Tool…”

Section: R4u Score Cardmentioning

confidence: 99%

“…Services such as breastfeeding consultations, childbirth education, and parenting education can be provided in the home, whereas psychosocial, nutritional, and smoking cessation counseling are provided at health care clinics. 7,8 Case Based Multidisciplinary Consultation, Netherlands…”

Section: Healthy Start Program United Statesmentioning

confidence: 99%

See 4 more Smart Citations

Beyond Medically Complex Pregnancy: A Scoping Review to Understand How Complexity in Pregnancy is Conceptualized

Stoll

Titoria

Johnston

et al. 2022

J Midwife Womens Health

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Background The goal of this scoping review was to better understand how complexity in pregnancy is conceptualized. Specific objectives were to (1) identify factors that are conceptualized in the literature as complicating or impacting pregnancy; and (2) summarize tools and programs that have been implemented to support pregnant people with complex care needs. Methods Electronic databases were searched from January 2000 to July 2020 and supplemented by bibliographic searches and citation chaining, to identify articles that described at least one nonmedical and one medical risk factor during pregnancy. We focused on complexity prior to the onset of labor and only included primary studies conducted in middle‐ or high‐income countries. More than 6000 records were screened independently by 3 reviewers at the abstract and title level. Results Fourteen articles met inclusion criteria. Eight studies described antenatal risk scoring systems, including the Florida Healthy Start Prenatal Risk Screen, the Kindex risk screening tool, the prenatal event history calendar, and the Rotterdam Reproductive Risk Reduction score card. We abstracted 85 medical factors and 25 nonmedical factors from the literature. Nonmedical factors that were conceptualized as complicating pregnancy or birth could be grouped into 4 domains: characteristics of the childbearing person (7 factors), socioeconomic conditions (7 factors), family and social life (5 factors), and psychoemotional health (6 factors). Discussion We found limited scholarly research and few assessment tools that broaden the discussion of complexity in pregnancy beyond medical multimorbidity. Multiple dimensions of health should be integrated into a complexity framework for pregnancy that account for the diverse contexts and needs of pregnant people. An important part of this process is the development of a shared language to describe complexity that is strength based and acknowledges how environments, health care encounters, and the larger sociocultural context can affect pregnant people's medical status in pregnancy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%