Saturday, February 23, 2013

Maternal Health in the Bay Area

Hello hello :o)


For my practice experience, I will be working with Saving Mothers to implement a lifestyle modification program for low-income pregnant women in the Bay Area. Saving Mothers is an organization that has been fighting maternal and child mortality in third world countries with the use of sanitary birthing kits and training programs. This organization wanted to bring more awareness of maternal health locally and began a successful lifestyle modification program in New York. This program addresses the adverse effects of obesity on pregnancy and promotes healthy nutrition and exercise habits to ensure safer deliveries.

While researching about prenatal care in the Bay Area, I came across an article about a public health nurse, Sandra Tramiel, who was on a mission to save Alameda County's African American infants from death before their first birthdays. Though California's infant mortality rate ranks fourth best in the nation, California's black infants die twice as frequently as white infants, and their death rate is comparable to that of Sri Lanka and Botswana. Nurse Tramiel has been addressing this racial disparity by providing in home care for these mothers. She distributes educational pamphlets and creates a community of mothers who can rely one one another for emotional support.

I had recently read a study that observed how comprehensive prenatal care compared to standard prenatal care on birth weight, a major indicator of infant mortality. Comprehensive care provides individual meetings at the comfort of the mothers' homes and has follow up calls to encourage mothers to participate if they miss an appointment. It was interesting to see this in practice through the work of Nurse Tramiel.



http://www.sfgate.com/default/article/Infant-mortality-addressed-by-outreach-4154865.php#page-1


McLaughlin, Joseph. “Randomized Trial of Comprehensive Prenatal Care for Low-Income Women: Effects on Infant Birth Weight.” Pediatrics. 89.1 (1992): 128-132.

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