Research supports adding safe sleep to interconception care, new Ohio AAP project implementing approach

The health of women between pregnancies has an impact on birth outcomes, according to a Quality Report published in Pediatrics. The use of interconception care in pediatric visits was suggested as a method of helping to improve infant mortality and the health of these families. Topics commonly addressed included maternal depression, smoking cessation, multivitamin use, and family planning. To better adapt these topics to pediatrics, a fifth component of safe sleep was incorporated. As many practices already address several of these topics, the ability to implement a full interconception care project was well received.

Recent research from Academic Pediatrics also focused on opportunities for pediatricians to meet the needs of postpartum women, specifically when discussing family planning. This area has been identified as the most challenging interconception care addition to pediatric visits yet yields important impacts on birth outcomes. This research concluded that “Pediatric providers perceived postpartum family planning screening and counseling, and not contraceptive provision, as potentially acceptable and feasible in their practice settings.”

The Ohio AAP has implemented interconception care in more than 40 practices across Ohio since 2020. Using lessons learned in research and QI projects, the Chapter is now expanding this focus on two generational healthcare into a new project that will engage pediatricians and family medicine providers serving both infants and mothers in family practice settings. The Care2 Project is beginning to engage providers now, and will launch fully during summer 2023.

Practices who both provide well-child and adult care will be eligible to apply for participation in Care2. Participants in the 12-month QI project will receive:

  • A $2,000 stipend to support data collection
  • No chart reviews! Utilize EHR data to produce site-specific and aggregate QI data accessed on a digital dashboard
  • Complimentary materials to improve discussion of maternal health in your practice
  • Support from a dedicated Quality Improvement Practice Coach
  • Learning collaborative to share challenges and success with peers across Ohio
  • Provider MOC Part IV credit upon completion of QI activities

To learn more about the Care2 project, please contact Hayley Southworth at hsouthworth@ohioaap.org, or visit: https://ohioaap.org/qi-programs-moc-iv/care2-two-generational-health

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