Preconception Care in the Veterans Health Administration.

Authors:
Lisa S Callegari
Lisa S Callegari
University of Washington
Stephanie W Edmonds
Stephanie W Edmonds
University of Iowa Carver College of Medicine
Iowa City | United States
Sonya Borrero
Sonya Borrero
University of Pittsburgh
United States
Ginny L Ryan
Ginny L Ryan
University of Iowa
United States
Caitlin M Cusack
Caitlin M Cusack
Indiana University School of Medicine
United States
Laurie C Zephyrin
Laurie C Zephyrin
New York University Langone School of Medicine
United States

Semin Reprod Med 2018 11 19;36(6):327-339. Epub 2019 Apr 19.

VA Central Office, Women's Health Services, Washington, District of Columbia.

Preconception care (PCC), defined as a set of interventions to help women optimize their health and well-being prior to pregnancy, can improve pregnancy outcomes and is recommended by national organizations including the Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists. Women Veterans who use the Department of Veterans Affairs (VA) health care system may face elevated risks of adverse pregnancy and birth outcomes due to a high prevalence of chronic medical and mental health conditions as well as psychosocial stressors including sexual trauma history and intimate partner violence. Many women Veterans of childbearing age experience poverty and homelessness, which are key social determinants of poor reproductive health outcomes. Furthermore, racial/ethnic disparities in maternal and neonatal outcomes are well documented, and nearly half of women Veterans of reproductive age are minority race/ethnicity. High-quality, equitable, patient-centered PCC services to address modifiable risks in this population are therefore a priority for VA. In this article, we provide a brief background of PCC, discuss the health risks of Veterans associated with adverse pregnancy outcomes, and highlight VA initiatives related to PCC. Lastly, we discuss implications and future directions for PCC research and policy within VA and across other health systems.

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678753
Publisher Site
http://dx.doi.org/10.1055/s-0039-1678753DOI Listing
November 2018
3 Reads

Publication Analysis

Top Keywords

women veterans
12
adverse pregnancy
8
pregnancy outcomes
8
preconception care
8
health
7
veterans
6
outcomes
5
pcc
5
including sexual
4
stressors including
4
priority article
4
conditions well
4
well psychosocial
4
sexual trauma
4
psychosocial stressors
4
history intimate
4
partner violence
4
violence women
4
intimate partner
4
risks population
4

Similar Publications