Health Indicator Report of Preconception Health and Health Care
The CDC published 10 recommendations to improve childbearing women's health before conception that may contribute to healthier birth outcomes. One of these recommendations is to incorporate a prepregnancy checkup for women who are planning on becoming pregnant. The purpose of this checkup is to ensure that women are in optimal health for pregnancy and do not enter pregnancy with unmanaged health conditions, such as diabetes or hypertension, or unhealthy behaviors like tobacco use. Studies have shown that eating a nutritious diet and being at an ideal body mass index prior to pregnancy can lead to healthier pregnancy outcomes. Research also indicates that, for optimum effect on reducing the risk for neural tube defects, women should begin taking folic acid supplements at least three months before conception., During the first weeks of pregnancy, exposure to alcohol, tobacco, and other drugs can adversely affect fetal development and result in pregnancy complications and poor outcomes for both the mother and infant. Research also indicates that improved control of hyperglycemia prior to pregnancy reduces perinatal mortality and congenital malformation rates in women with diabetes. These risks can be reviewed and addressed in a preconception visit with a health care provider to reduce possible impact during pregnancy.
Percentage of Utah Women Who Reported a Preconception Visit With a Health Care Provider by Selected Maternal Characteristics or Behaviors, Utah PRAMS, 2012-2014
NotesThe overweight and obese categories were derived from calculating a woman's prepregnancy Body Mass Index (BMI), and following the Centers for Disease Contol and Prevention's BMI classification guidelines. In reference to the rates of reported preconception smoking and drinking, the time period was during the three months before pregnancy. Regarding daily multivitamin consumption, the time frame was one month prior to pregnancy.
Data SourceUtah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health
DefinitionThe number of women who reported having a preconception visit with a health care provider divided by the number of women who delivered a live birth.
NumeratorThe number of women who reported having a preconception visit with a health care provider.
DenominatorThe number of women who delivered a live birth in Utah.
Healthy People Objective MICH-16.1:(Developmental) Increase the proportion of women delivering a live birth who discussed preconception health with a health care worker prior to pregnancy
U.S. Target: Developmental
How Are We Doing?In 2014, only 22.8% of women reported having a doctor, nurse, or other health care worker discuss how improve their health before pregnancy.
How Do We Compare With the U.S.?National PRAMS Data collected in 2013 from 28 participating states found that 22.8% of women talked to a provider about improving health before pregnancy, compared to 21.7% of Utah women. The percentage of Utah women took a daily multivitamin is 50.5, this is significantly higher than the overall percentage of 39.4. The percentage of Utah women who smoked before pregnancy was 8.4, this significantly lower than the overall percentage of 22.1.
What Is Being Done?The Maternal and Infant Health program in collaboration with Baby Your Baby; Women, Infants and Children (WIC); the Pregnancy Risk Line; Birth Defect Network; and the Tobacco Control and Prevention Program developed and implemented the "Power Your Life" social media campaign to promote preconception health messages. The Power Your Life website at [http://www.poweryourlife.org www.poweryourlife.org] is a great place for women of reproductive age to get information and encouragement about being at their healthiest prior to pregnancy. That will help to ensure the best possible outcomes for mom and baby. Connect with the Power Your Life program on Facebook: [https://www.facebook.com/poweryourlifeutah/] Pinterest: [https://www.pinterest.com/poweryourlifeut/] Twitter: [https://twitter.com/PowerYourLife2]
Available ServicesUtah Medicaid Program: phone 1-800-662-9651, or visit [http://www.health.utah.gov/medicaid/] Utah Department of Health's Primary Care Network (PCN): [[br]] phone 1-888-222-2542 or visit [http://www.health.utah.gov/pcn/] UPP (Utah's Premium Partnership for Health Insurance):[[br]] phone: 1-888-222-2542 (M - F, 8 a.m. - 5 p.m.) [[br]] or visit [http://www.health.utah.gov/upp] The Association for Utah Community Health (AUCH) is the primary care association for the state of Utah. AUCH members include Federally Qualified Health Centers (FQHC) and other providers who strive to meet the needs of the medically underserved. AUCH and its member organizations are part of a statewide and national movement to reduce barriers to health care by enhancing primary care service delivery through prevention, health promotion, and community participation. Association for Utah Community Health [[br]] 860 East 4500 South Salt Lake City, UT 84107 [[br]] Phone: (801) 974-5522 [http://www.auch.org]
Page Content Updated On 03/10/2017, Published on 03/14/2017