Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership...

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Home Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes In Attendance: Allison Ball, OHCA Valene Bartmess, OK Indian Clinic Norma Beard, Delta HeadStart Mindy Bellack, McClain-Garvin Youth & Family Evelyn Young Cummings, Positive Parents Denise Harris, Delta EHS Markia Hines, OCCHD Monica Inciarte, Latino Agency Sharonda Irving, Parent Promise Annette Jacobi, OSDH/OCAP Vicki Land, SSCO Chelsie Melkvik, OSDH/OCAP Leslie Roberts, OSDH/Dental Persephone Starks, OSDH/OCAP Judy Tidwell, Delta EHS Sherie Trice, OSDH/FSPS Jana Winfree, OSDH/Dental Linda Wise, OSDH/FSPS IPower Attendees: Liz Biolley, Center for Children & Families-Cleveland County Marien Breckenridge, Comm Health Ctrs, Positive Parents-OK County Amanda Burgan, Tulsa Parent Child Center Joy Burris, Chickasaw Nation-Pontotoc County Evelyn Cummings, Comm Health Ctrs, Positive Parents-OK County Ginger Dunn, Chickasaw Nation-Pontotoc County Sarah Franke, Help-In-Crisis-Cherokee County Lisa Frederick, Chickasaw Nation-Pontotoc County Donna Holiday, Tulsa Parent Child Center Sally Johnson, Bartlesville Early Childhood Resource Ctr-Washington County Cindy Lane, Okmulgee-Okfuskee County Youth Services Jackie Miller, Okmulgee-Okfuskee County Youth Services Marilyn Powell, Bartlesville Early Childhood Resource Ctr-Washington County Brenda Rose, Northwest Family Services-Woods County Ashley Sikes, Bartlesville Early Childhood Resource Ctr-Washington County Beverly Washington, Youth & Family Services for Hughes and Seminole Dori Lientz, Great Plains Youth & Family Svcs-Kiowa County (attempt failed) Sherie Trice opened the meeting at 10:04 a.m. All in attendance introduced themselves.

Transcript of Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership...

Page 1: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Home Visitation Leadership Advisory CoalitionJanuary 16, 2013

10:00 a.m. to 12:00 p.m.OSDH, Room 314

Minutes

In Attendance: Allison Ball, OHCAValene Bartmess, OK Indian ClinicNorma Beard, Delta HeadStartMindy Bellack, McClain-Garvin Youth & FamilyEvelyn Young Cummings, Positive ParentsDenise Harris, Delta EHSMarkia Hines, OCCHDMonica Inciarte, Latino AgencySharonda Irving, Parent PromiseAnnette Jacobi, OSDH/OCAPVicki Land, SSCOChelsie Melkvik, OSDH/OCAPLeslie Roberts, OSDH/DentalPersephone Starks, OSDH/OCAPJudy Tidwell, Delta EHSSherie Trice, OSDH/FSPSJana Winfree, OSDH/DentalLinda Wise, OSDH/FSPS

IPower Attendees:Liz Biolley, Center for Children & Families-Cleveland CountyMarien Breckenridge, Comm Health Ctrs, Positive Parents-OK CountyAmanda Burgan, Tulsa Parent Child Center Joy Burris, Chickasaw Nation-Pontotoc County Evelyn Cummings, Comm Health Ctrs, Positive Parents-OK CountyGinger Dunn, Chickasaw Nation-Pontotoc County Sarah Franke, Help-In-Crisis-Cherokee CountyLisa Frederick, Chickasaw Nation-Pontotoc County Donna Holiday, Tulsa Parent Child CenterSally Johnson, Bartlesville Early Childhood Resource Ctr-Washington CountyCindy Lane, Okmulgee-Okfuskee County Youth Services Jackie Miller, Okmulgee-Okfuskee County Youth ServicesMarilyn Powell, Bartlesville Early Childhood Resource Ctr-Washington CountyBrenda Rose, Northwest Family Services-Woods CountyAshley Sikes, Bartlesville Early Childhood Resource Ctr-Washington CountyBeverly Washington, Youth & Family Services for Hughes and SeminoleDori Lientz, Great Plains Youth & Family Svcs-Kiowa County (attempt failed)

Sherie Trice opened the meeting at 10:04 a.m. All in attendance introduced themselves.

Page 2: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Sharing of Program Information/Announcements

Annette addressed the group first with a legislative update that consisted of the new HB 1063. She briefly read over the bill and provided copies for the attendees.

Persephone addressed the Home Visitation Core Training. She said the workgroup is still focused on getting the Core Training finalized and hopes to be done soon.

SoonerCare Updates:

1) Safety Items Exclusion

Effective January 1, 2013 OHCA has determined that TXIX coverage will exclude coverage of safety items such as adaptive full-length side safety rail beds, manual or electric safety bed systems, bed exit monitors, fire extinguishers, first aid kits, restraints, smoke and carbon monoxide detectors, and telephone alert systems.

2) 2013 New Call Center Hours

Due to changes in call center operations, the hours for the provider customer service unit will change from 7:30am -5:30pm to 8:00am to 5:00pm effective January 2, 2013. OHCA apologizes for any inconvenience this change in business hours might cause. Thank you for your continued service to Oklahoma SoonerCare members.

CAP Action Committee: Sherie shared that there has been a lot of work in social media efforts and as a result Oklahoma Child Abuse Prevention now has a Facebook and Twitter account. Asked members to ‘Like’ on Facebook and subscribe to the Twitter feed.

Special Guest Presentations

Dr. Jana Winfree, Chief, OSDH Dental Health Service announced that February is National Children’s Dental Health month and shared a PowerPoint presentation on Oral Health. Please see a copy of the presentation attached. Susan Wegrzynski, Nurse Abstractor and Care Coordinator, OSDH Screening and Special Services/Oklahoma Birth Defects Registry announced that January is Nation Birth Defects Prevention month and gave a PowerPoint presentation on Birth Defects. A copy of the slideshow is attached.

April CAP Month/CAP Action Activities

-CAP day will be Tuesday, April 9th this year and the mini-conference will immediately follow. The theme for the conference will be “Connect the Dots” and the next meeting is scheduled for Friday, February 8th. -The prevention newsletter/eblast continues to be a success. -We will do the Blue Ribbon Trees again this year and packets should go out in February with a press release. -This year there will be a book drive and Smart Start Oklahoma with be the beneficiaries.

Page 3: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Home Visitation collaborative meetings

Members voiced that they really enjoy the guest speakers/presenters. They serve as a good reminder of services out there and opportunities to bring speakers to sites. The meeting was adjourned at 11:32a.m.

Page 4: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 5: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Good Dental Health Starts Early in LifeFebruary is National Children’s Dental Health Month

The Oklahoma State Department of Health (OSDH) joins with the American Dental Association (ADA) every year to promote the importance of dental health for children and local dental health events during February, which is National Children’s Dental Health Month. Parents and caregivers can help children get an early start in learning how to take care of their teeth and gums. The slogan for this year’s observance is, “Get a Gold Medal Smile!”

“Remember, children learn their oral habits from you. As a parent or caregiver, be a good example, and your children will forever thank you with a healthy smile,” said Dr. Jana Winfree, chief, OSDH Dental Health Service.

The OSDH and ADA offer the following dental health tips for parents or caregivers:Do not feed a baby by “propping” the bottle.Limit the use of sippy cups. Sippy cups function in the same way bottles do – the child must suck to drink. Encourage toddlers to learn to sip by using a cup without a valve.Both bottles and sippy cups can contribute to early childhood cavities.Start brushing as soon as the first tooth erupts. You can just use a soft cloth to clean baby’s teeth, and there are special soft toothbrushes for small children.Brush your child’s teeth daily until the child can be taught to do this alone. A child normally develops skills to brush during the early elementary school age. Introduce flossing and continue to supervise children as they learn.Make sure your child gets the fluoride needed for decay-resistant teeth. Check your city’s water system for fluoridation by visiting the “My Water’s Fluoride” website at http://apps.nccd.cdc.gov/MWF/Index.asp or check with your public water utility. Adentist or dental hygienist can apply topical fluoride twice a year. Also, most toothpastes are fluoridated and there are many over-the-counter fluoride rinses available. Just a pea-sized amount of fluoridated toothpaste is recommended.For young children, care should be taken so they do not swallow toothpaste; consider not using toothpaste for children under age 2, or use a very thin smear.Take your child regularly to visit a dentist. Ask about sealants, which provide a protective barrier that covers the chewing surfaces of back teeth – especially first molars.Discuss with the coach about your child using a mouth guard during contact sports.Discourage tobacco use and oral piercings.Encourage and provide proper nutrition.

o Sugary and acidic drinks should be limited. Try diluting juices with water.Water is the best drink for thirst and to sip throughout the day.

o Sugary foods should be consumed with meals. Saliva production increases during meals and helps neutralize acid, and rinse food particles from the mouth.

o Limit between meal snacks. o If your kids chew gum, make it sugarless. Chewing sugarless gum after eating

can increase saliva flow and help wash out food and decay-producing acid.

Page 6: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

For more information about Children’s Dental Health Month and events planned during February, or for posters, fun activity sheets, and educational resources, browse the American Dental Association website at http://www.ada.org/5578.aspx.

Finally, please note that the Oklahoma Mission of Mercy (OkMOM) free dental clinic will be held Feb. 1-2, 2013, first come, first served, at the Great Plains Coliseum, Lawton, OK. This two-day clinic is designed to meet the critical needs of dental patients of all ages by providing free dental care to as many adults and children as time, volunteers and supplies will allow.

There are more than 50 sponsors for the OkMOM event. Major sponsors include the Oklahoma Dental Association, the Oklahoma Dental Foundation, Delta Dental of Oklahoma Oral Health Foundation, and the Oklahoma State Department of Health. Local contributors include the Comanche County Health Department, the McMahon Foundation, the Lawton Country Club, and local eateries that are supplying food and beverages for the event. More than 1,200 volunteers have signed up to work at the OkMOM this year. To find out more, including photos and frequently asked questions, visit http://www.okmom.org/.

Page 7: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 8: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 9: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 10: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 11: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 12: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 13: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 14: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 15: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 16: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 17: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 18: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 19: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 20: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 21: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 22: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 23: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 24: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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Page 25: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes
Page 26: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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2��2

and

2�

1�

Page 27: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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ct o

f Birt

h D

efec

ts

1. �

ait�

man

et. a

l, E

stim

ates

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he E

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ts o

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efec

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ry 3

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left

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s �2

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.

Page 28: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

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geni

tal A

nom

alie

s by

Org

an S

yste

mO

klah

oma,

200

0-20

09

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stem

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omal

, 122

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er,

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, �.�

Page 29: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

�act

ors

�nflu

enci

ng �

ealth

of

Pre

gnan

cy

Page 30: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

�ue

stio

n�

�he

n is

the

best

tim

e to

talk

with

w

omen

abo

ut th

eir p

regn

ancy

Page 31: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

AN

SWER

: Dur

ing

Inte

rcon

cept

ion

•�nte

rcon

cept

ion

is d

efin

ed a

s th

e tim

e pe

riod

betw

een

a w

oman

�s p

regn

anci

es•�

o re

duce

the

risk

of b

irth

defe

cts,

in

terc

once

ptio

n ca

re s

houl

d fo

cus

on:

•Mat

erna

l �eh

avio

rs•M

anag

emen

t of E

xist

ing

�ea

lth C

once

rns

•Med

icat

ions

•�ei

ght �

oss

and

�ut

ritio

n•�n

fect

ions

•�mm

uni�

atio

ns•�

amily

�is

tory

Page 32: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Inte

rcon

cept

ion

Car

e•M

ater

nal B

ehav

iors

:•�

top

smok

ing,

drin

king

alc

ohol

and

usi

ng il

licit

drug

s at

le

ast 3

mon

ths

befo

re p

regn

ancy

•�ob

acco

use

has

bee

n as

soci

ated

with

a ra

nge

of b

irth

defe

cts

incl

udin

g se

vere

hea

rt, a

bdom

inal

and

ske

leta

l de

fect

s

•�et

al A

lcoh

ol �

yndr

ome

��A

�� i

s 1�

�� p

reve

ntab

le

•cha

ract

eri�

ed b

y ab

norm

al fa

cial

feat

ures

, sm

all h

ead

si�e

, vis

ion

and

hear

ing

issu

es

�n O

klah

oma,

mot

hers

of c

hild

ren

with

birt

h de

fect

s w

ere:

•5 ti

mes

mor

e lik

ely

to d

rink

alco

hol

•1.5

tim

es m

ore

likel

y to

sm

oke

whi

le p

regn

ant

Page 33: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Inte

rcon

cept

ion

Car

e•M

anag

emen

t of E

xist

ing

Hea

lth C

ondi

tions

:•�

iabe

tes

•One

in e

very

1��

wom

en o

f chi

ld b

earin

g ag

e �1

��44

� ha

s �y

pe 2

dia

bete

s

•Poo

rly c

ontro

lled

in fi

rst t

rimes

ter c

an in

crea

se ri

sk o

f bi

rth

defe

cts

by 2

0%

•Can

affe

ct s

pina

l cor

d, h

eart,

urin

ary

and

dige

stiv

e sy

stem

s of

bab

y

•�mpo

rtant

to m

onito

r blo

od s

ugar

clo

sely

, use

med

icat

ion

as d

irect

ed, s

tick

with

die

t and

exe

rcis

e pl

an B

EFO

RE

and

durin

g pr

egna

ncy

Page 34: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Inte

rcon

cept

ion

Car

e•�

iabe

tes

cont

.

•Ges

tatio

nal D

iabe

tes

•dia

gnos

ed d

urin

g pr

egna

ncy

and

linke

d to

ho

rmon

es p

rodu

ced

in p

lace

nta

•has

bee

n lin

ked

to in

crea

se in

hea

rt an

d sp

inal

de

fect

s if

the

wom

an is

als

o ob

ese

•usu

ally

goe

s aw

ay a

fter d

eliv

ery

but f

ollo

w�u

p po

stpa

rtum

car

e is

nec

essa

ry to

con

firm

•HO

WEV

ER, t

hese

wom

en h

ave

over

60%

cha

nce

of

deve

lopi

ng T

ype

II so

met

ime

in th

eir l

ifetim

e

Page 35: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Inte

rcon

cept

ion

Car

e•M

anag

emen

t of E

xist

ing

Hea

lth C

ondi

tions

:

•�yp

erte

nsio

n•�

inke

d to

hea

rt, b

rain

and

spi

nal d

efec

ts•C

once

rn fo

r med

icat

ions

use

d

•Obe

sity

•�in

ked

to d

iabe

tes

and

hype

rtens

ion

•Ass

ocia

ted

with

def

ects

of h

eart

and

spin

e

•�ep

ress

ion

•Con

cern

for m

edic

atio

n us

ed, p

oor b

ehav

iora

l cho

ices

, non

co

mpl

ianc

e of

car

e

•�ei

�ure

s•M

ain

conc

ern

is m

edic

atio

ns u

sed

Page 36: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Inte

rcon

cept

ion

Car

e•M

edic

atio

ns:

•�ev

iew

saf

ety

of c

urre

nt p

resc

riptio

ns a

nd O

�C m

edic

atio

ns

•AC

E �a

ngio

tens

in�c

onve

rting

�en�

yme

inhi

bito

r� m

edic

atio

ns u

sed

to c

ontro

l hig

h bl

ood

pres

sure

hav

e be

en a

ssoc

iate

d w

ith h

eart

defe

cts

•Exa

mpl

es o

f AC

E d

rugs

incl

ude

Enal

april

and

�isi

nopr

il•P

axil,

a s

elec

tive

sero

toni

n re

upta

ke in

hibi

tor �

��

���

antid

epre

ssan

t has

bee

n as

soci

ated

with

incr

ease

d he

art

defe

cts

if ta

ken

in th

e fir

st tr

imes

ter

•�bup

rofe

nus

e in

the

first

trim

este

r has

bee

n lin

ked

to

abdo

min

al w

all a

nd h

eart

defe

cts

•Ant

i��ei

�ure

med

icat

ions

suc

h as

�ep

akot

e,�

alpr

oic

Acid

and

�egr

etol

hav

e be

en s

how

n to

incr

ease

the

risk

of h

eart

defe

cts

and

neur

al tu

be d

efec

ts

Page 37: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Inte

rcon

cept

ion

Car

e

•Wei

ght L

oss

and

Nut

ritio

n

•Eat

a h

ealth

y di

et a

nd e

xerc

ise

to re

duce

wei

ght

•Alm

ost 1

�3 o

f Okl

ahom

a w

omen

of c

hild

bea

ring

age

�1��

44� a

re o

bese

•Ove

rall

poor

�ua

lity

of d

iet i

ncre

ases

the

risk

of c

erta

in

birth

def

ects

•Obe

sity

has

bee

n lin

ked

to d

efec

ts o

f the

hea

rt an

d sp

ine

•Obe

sity

is a

ssoc

iate

d w

ith h

igh

bloo

d pr

essu

re a

nd

diab

etes

�tw

o ot

her d

isor

ders

link

ed to

birt

h de

fect

s�

Page 38: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Inte

rcon

cept

ion

Car

e•E

xist

ence

/Pre

vent

ion

of In

fect

ions

:C

ytom

egal

oviru

s (C

MV)

•C

M�

is tr

ansm

itted

thro

ugh

cont

act w

ith in

fect

ed b

odily

flui

ds s

uch

as u

rine

and

saliv

a

•M

ost p

eopl

e ha

ve a

lread

y be

en e

xpos

ed to

CM

� a

nd d

on�t

real

i�e

it� th

ere

are

usua

lly n

o sy

mpt

oms

�C

M�

is u

sual

ly c

ontra

cted

in e

arly

chi

ldho

od� p

artic

ular

ly �

day

care

or p

resc

hool

•�f

mom

has

not

alre

ady

deve

lope

d im

mun

ity to

CM

� a

nd b

ecom

es in

fect

ed

durin

g pr

egna

ncy,

she

can

pas

s th

e vi

rus

to h

er u

nbor

n ch

ild

•M

ater

nal e

xpos

ure

can

caus

e bi

rth d

efec

ts s

uch

as s

mal

l hea

d si

�e, v

isio

n an

d he

arin

g lo

ss

��

ays

to p

reve

nt e

xpos

ure

to C

M�

incl

ude

was

hing

han

ds fr

e�ue

ntly

afte

r ch

angi

ng d

iape

rs, f

eedi

ng, w

ipin

g no

se o

r dro

ol o

r han

dlin

g ch

ildre

n�s

toys

Page 39: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Inte

rcon

cept

ion

Car

e•E

xist

ence

/Pre

vent

ion

of In

fect

ions

:•S

exua

lly T

rans

mitt

ed D

isea

ses

(STD

)

•�ee

k te

stin

g an

d tre

atm

ent f

or w

oman

and

par

tner

bef

ore

getti

ng

preg

nant

•Pra

ctic

e sa

fe s

ex b

y us

ing

cond

oms

•�om

an a

nd p

artn

er s

houl

d ta

ke a

ll m

edic

atio

n pr

escr

ibed

for �

��

•�om

en d

iagn

osed

with

a �

�� a

nd u

rinar

y tra

ct in

fect

ion

����

� one

m

onth

bef

ore

and

thro

ugh

end

of fi

rst t

rimes

ter h

ad 4

tim

es h

ighe

r ris

k of

abd

omin

al w

all d

efec

t �ga

stro

schi

sis�

•�om

en a

ge 2

� ye

ars

or y

oung

er w

ere

11 ti

mes

mor

e lik

ely

to

have

chi

ld w

ith d

efec

t tha

n th

ose

age

25 y

ears

and

old

er

Page 40: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Inte

rcon

cept

ion

Car

e•E

xist

ence

/Pre

vent

ion

of In

fect

ions

:•U

rinar

y Tr

act I

nfec

tion

(UTI

)

•�om

en s

houl

d le

t the

ir do

ctor

kno

w if

ther

e is

any

cha

nce

they

co

uld

be p

regn

ant i

f the

y ar

e di

agno

sed

with

a �

��

•�om

en c

an re

duce

risk

of �

�� b

y w

ipin

g fro

nt to

bac

k, w

earin

g co

tton

unde

rwea

r, dr

inki

ng p

lent

y of

flui

ds, n

ot re

sist

ing

urge

, and

ur

inat

ing

afte

r sex

Page 41: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Inte

rcon

cept

ion

Car

e•Im

mun

izat

ions

:•M

ake

sure

vac

cina

tions

are

up

to d

ate

•Mat

erna

l rub

ella

infe

ctio

ns d

urin

g pr

egna

ncy

can

caus

e ey

e de

fect

s su

ch a

s ca

tara

cts,

gla

ucom

a, a

nd b

lindn

ess,

de

afne

ss a

nd c

onge

nita

l hea

rt de

fect

s in

th

e de

velo

ping

bab

y

Page 42: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Inte

rcon

cept

ion

Car

e•F

amily

His

tory

:•�

alk

with

fam

ily m

embe

rs a

bout

his

tory

of h

ealth

co

nditi

ons

or b

irth

defe

cts

•1��

of

pare

nts

of c

hild

ren

with

birt

h de

fect

s ha

d fa

mily

his

tory

of b

irth

defe

ct o

r gen

etic

dis

orde

r

Page 43: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Neu

ral T

ube

Def

ects

•�eu

ral �

ube

�ef

ects

����

� occ

ur e

arly

in p

regn

ancy

whe

n th

e ne

ural

tube

, whi

ch b

ecom

es th

e sp

inal

col

umn

and

brai

n, fa

ils to

cl

ose

•�eu

ral t

ube

deve

lopm

ent o

ccur

s ve

ry e

arly

in p

regn

ancy

, us

ually

aro

und

the

28th

day

afte

r con

cept

ion

•�ef

ore

mos

t wom

en e

ven

know

they

are

pr

egna

nt

Page 44: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Neu

ral T

ube

Def

ects

Exa

mpl

es o

f �eu

ral �

ube

�ef

ects

:

Spin

a Bi

fida

A

nenc

epha

ly

En

ceph

aloc

ele

Page 45: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Neu

ral T

ube

Def

ects

•40

0 m

cg o

f fol

ic a

cid

per d

ay re

duce

s ris

k of

ha

ving

a b

aby

with

neu

ral t

ube

defe

ct ��

���

•IF

take

n 3

mos

. bef

ore

and

durin

g 1s

t8

wee

ks

of p

regn

ancy

(rem

embe

r the

28t

hda

y?)

Page 46: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Neu

ral T

ube

Def

ects

�ynt

hetic

form

of �

�ola

te� �

itam

in �

� es

sent

ial f

or c

ell

grow

th, d

ivis

ion

and

in �

�A

prod

uctio

n

•�e

nefit

s a

wom

an�s

hea

lth e

ven

if sh

e is

not

pre

gnan

t

•�o

lic a

cid

and

fola

tear

e no

t cre

ated

e�u

al

•�o

urce

s:•

Dai

ly m

ultiv

itam

in•

�orti

fied

grai

ns a

nd p

asta

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�orti

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brea

kfas

t cer

eals

Page 47: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Neu

ral T

ube

Def

ects

�ig

her r

ecur

renc

e ra

te in

wom

en w

ho h

ave

alre

ady

had

a ch

ild w

ith a

���

Mus

t tak

e 4

mg

�1��

reco

mm

ende

d am

ount

� of �

olic

A

cid

at le

ast o

ne m

onth

bef

ore

and

durin

g ne

xt

preg

nanc

y

•�hi

s am

ount

can

onl

y be

obt

aine

d w

ith a

pr

escr

iptio

n

•�om

en s

houl

d no

t try

to ta

ke th

is

amou

nt o

n th

eir o

wn

Page 48: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

Pre

parin

g �o

r a �

ifetim

e : �

t�s

Eve

ryon

e�s

�es

pons

ibili

tyP

repa

ring

�or A

�ife

time

http

:��iio

.hea

lth.o

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ahom

a �

irth

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ect �

egis

tryob

dr.h

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gov�

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ani�

atio

n of

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ogy

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cial

ists

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.otis

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nanc

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ters

for �

isea

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Page 49: Home Visitation Leadership Advisory Coalition Minutes Minutes 1 16 13.pdfHome Visitation Leadership Advisory Coalition January 16, 2013 10:00 a.m. to 12:00 p.m. OSDH, Room 314 Minutes

susa

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