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Delivering Interconception Care During Well-Child Visits: An IMPLICIT Network Study.

J Am Board Fam Med

September 2019

From the University of Pittsburgh Medical Center (UPMC) St. Margaret Family Medicine Residency, Pittsburgh, PA (SS); UPMC Shadyside Family Medicine Residency, Pittsburgh (LS); Middlesex Hospital Family Medicine Residency Program, Middletown, CT (SER); MAHEC Family Health Centers, Asheville, NC (DJF); Department of Family Medicine, University of Rochester, Rochester, NY (SGH); Lancaster General Research Institute, Lancaster, PA (MAH); IMPLICIT Network and UPMC McKeesport, Shadyside and St. Margaret Family Health Centers, Pittsburgh (JLB); Lancaster General Family Medicine Residency, Lancaster (SR).

Background: Preterm birth, birth defects, and unintended pregnancy are major sources of infant and maternal morbidity, mortality, and associated resource use in American health care. Interconception Care (ICC) is recommended as a strategy to improve birth outcomes by modifying maternal risks between pregnancies, but no established model currently exists. The Interventions to Minimize Preterm and Low Birth Weight Infants through Continuous Improvement Techniques (IMPLICIT) Network developed and implemented a unique approach to ICC by assessing mothers during their baby's well-child visits (WCVs) up to 24 months.

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