Projects and Grants per year
Grants and Contracts Details
Description
Improving maternal-child health (MCH) is a national as well as a state priority.
Compared to other US states, KY ranks among the highest in prevalence of preterm birth, lowbirth
weight infants, smoking and substance abuse during pregnancy, and obesity in women of
childbearing age. The University of Kentucky Department of Obstetrics and Gynecology and
College of Nursing in collaboration with Centene Corporation (Kentucky Spirit Health Plan)
have selected perinatal health indicators that most impact pregnant women in Kentucky. The
unique needs of these high-risk women require specialized attention when designing prenatal
care services. These specific needs are intended to build on a social ecological model established
with The March of Dimes sponsored Healthy Babies are Worth the WaitTM initiative. The
enhanced centering model, Efforts to Maximized Perinatal Outcomes in Women at Risk
(EMPOWR), will boost the existing CenteringPregnancy (CP) model with a bundle preterm riskreduction
approach to further reduce incidence of adverse perinatal outcomes. EMPOWR will
empower women via a self-management and peer support approach. Our strategy will integrate
high-risk women into specialized centering-arms with specific attention on modifiable riskreduction
interventions. Five centering arms (four specialized, one low-risk) were identified to
address the unique challenges pregnant women in Kentucky face. Specialized arms of the
enhanced model include: 1) Tobacco Use/Substance Abuse; 2) Diabetes/Obesity; 3)
Obstetrical/Medical Risk Factors; and 4) Hispanic Acculturation. Furthermore, all women will
participate in a core prematurity prevention visit at 20-24 weeks gestation focusing on obstetrical
history and cervical length assessment. The EMPOWR program has the capacity to improve
perinatal outcomes and reduce the incidence of preterm birth in disproportionally affected
regions across the state. We hope to bundle paradigms of care intended to reduce barriers to
access, create equality in service, and improve quality by establishing uniformity of Best
Practices.
Status | Finished |
---|---|
Effective start/end date | 2/15/13 → 9/27/16 |
Funding
- Centers for Medicare and Medicaid Services
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Projects
- 1 Finished
-
EMPOWR: Efforts to maximize perinatal outcomes in women at risk
Ashford, K. (PI), Fallin-Bennett, K. (CoI), O'Brien, J. (CoI), Williams, C. (CoI), Playforth, K. (Former CoI) & Stein, P. (Former CoI)
Centers for Medicare and Medicaid Services
2/15/13 → 9/27/16
Project: Research project