University of California Postdoctoral Scholars

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University of California Postdoctoral
Scholars Planning a Family? Information
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Health Nets Decision PowerSM Health and Wellness
Programs

• Decision Power Healthy Baby Preconception,
  Prevention and Wellness
• Online pregnancy resources including preventive
  care guidelines pregnancy news view the nine
  months of development mini-quizzes (e.g. babys
  height predictor, baby-proofing your home)
  downloads (e.g. birth plan, first prenatal
  visit) and sign-up for a free pregnancy
  newsletter
• Online Health Risk Questionnaire includes an
  assessment of current pregnancy status and
  history of risk factors an instant, interactive
  health summary and relevant referrals to
  resources
• Online Personal Health Record, a private and
  secure tool allows members to view, update, and
  share medical information gathered from across
  multiple, fragmented data sources into one
  accessible, secure location
• 27/4 access to wellness and clinical support
  through our inbound Health Coach line
• Intensive Health Coaching education for smoking
  cessation including a series
  of health coach initiated sessions with
  unlimited inbound calls, follow
  up quit status, and smoking
  cessation toolkit

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Health Nets Decision PowerSM Health and Wellness
Programs
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Health Nets Decision PowerSM Health and Wellness
Programs
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Maternity Care

• All Health Net delegated medical groups provide
  routine obstetrical services. Risk assessment is
  conducted upon entering maternity care and again
  at the end of the second trimester beginning of
  the third trimester. The network obstetricians
  are free to select their screening tool of choice
  from among several charting tools that have been
  reviewed by the American College of Obstetrics
  and Gynecology (ACOG).
• Many medical groups and hospitals provide
  prenatal classes
• If a patient is considered high risk upon initial
  screening, the general obstetrician will call on
  any of the many resources that Health Net makes
  available
• For co-morbid medical conditions, the
  obstetrician most often co-manages the
  patient with the appropriate medical specialist
  that is in the same provider group and can care
  for the patient when admitted to the hospital at
  which she is scheduled to deliver

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Maternity Care Prenatal Classes
Maternity Educational Services Provided by Top 10
Medical Groups based on Deliveries
PPG Medical Group Affiliated Hospitals with Programs
Brown Toland Medical Group yes California Pacific Medical Center UCSF Medical Center
Alta Bates Medical Group yes Alta Bates Summit
UCLA Medical Group at hospital Santa Monica UCLA
UCSD Healthcare Network yes UCSD Medical Center
Scripps Clinic yes Scripps Hospital
Hill Physicians Medical Group yes Multiple hospital affiliations
Greater Newport Physicians at hospital Hoag Memorial
Monarch Healthcare available at some hospitals Multiple hospital affiliations
Sansum Clinic at hospital Cottage Hospital
Riverside Medical Clinic at hospital Riverside Community Hospital Parkview Community Hospital
Santa Barbara Select IPA at hospital Cottage Hospital
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Risk Factors for Preterm Birth

• Modifiable known risk factors for preterm birth
• Smoking
• Drinking alcohol particularly binge drinking
• Obesity increases the risk of poor pregnancy
  outcomes because it can cause high blood
  pressure, and diabetes that contribute to
  prematurity and increased likelihood of C-section
• Stress
• Illicit drug use
• Other consistently identified risk factors
• A previous preterm birth
• Multifetal pregnancy
• Infection
• Certain uterine and cervical abnormalities

http//www.marchofdimes.com. 7/12/2009
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Causes of Preterm Birth

• The specific causes of spontaneous preterm labor
  and delivery (leading to NICU admissions) are
  largely unknown.
• Research indicates they are likely due to a
  complex result of multiple risk factors rather
  than a single isolated risk factor.
• As one March of Dimes representative stated if
  there was an easy way to prevent it, we would
  have found it by now, they need to be as healthy
  as possible and take care of themselves
• Approximately 25 of all preterm births are the
  result of medical intervention and the remainder
  occur spontaneously. 1
• PeriStats from the March of Dimes
• 12.7 of births in the United States are preterm
• Preterm births have been rising year over year
• The rise in late preterm births has been linked
  to rising rates of early induction of labor and
  C-sections2

1 Iams JD. The epidemiology of preterm birth.
Clin Perinatol.200330651-54 2 Bettegowda, VR,
Dias D, Davidoff JM, et al. The relationship
between cesarean delivery and gestational age
among US singleton births. Clin Perinatol. 2008
35309-323
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Maternity Care

• For patients with severe or multiple co-morbid
  conditions, the general obstetrician will
  co-manage or refer the member to a Perinatologist
  (fetal-maternal medicine specialist)
• Health Net and the delegated medical groups
  provide case managers to collaborate with the
  patient's physicians in providing education,
  support, and intra-visit telephonic monitoring.
  The case managers may be nurses in the Health Net
  offices or nurse-coaches who may be assisting
  with the patient's chronic disease such as
  asthma, congestive heart failure, diabetes, or
  COPD
• For the patients with severe complications that
  require complete bed rest, Matria/Alere is Health
  Net's contracted home health provider. They
  provide home uterine monitoring, Intravenous
  (IV) tocolytics (preterm labor medications), IV
  fluids for hydration, and IV (parenteral)
  antibiotics among other services

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On Demand Educational Program Coming This Fall!
IF YOU NEED A HEADLINE, THIS IS IT.

• Take 5 with Decision Power Healthy Baby
• Complimentary, web-based, on-demand member
  educational program.
• Comprised of 5 topics to promote healthy
  pregnancy and healthy baby, presented one topic
  per week over 5 weeks.
• Extensive member-level tracking members who
  complete all 5 topics are entered into a raffle
  for prizes.
• Take 5 topics include
• Your Health Net, an introduction to Health Nets
  complimentary health and wellness programs,
  including smoking cessation resources
• Your Exercise
• Your Nutrition
• Your Safety
• Breastfeeding

Members may choose to print the Quick Tip Sheet
that accompanies each topic.