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Women's Health

Un libro para parteras / A Book for Midwives

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Appropriate information and training empower midwives and other health workers to provide the care needed to reduce dangers in childbirth. Developed with the participation of dozens of community-based midwives, midwifery trainers, and medical specialists, Hesperian's new edition of Un libro para parteras/A Book for Midwives has been reorganized and extensively revised to better support care during labor and management of obstetric emergencies, and expanded to include lifesaving reproductive health information.

Essential Clinical Issues Webinar #4: Health Care for Migrant Women-Taking it to the next level

Candace Kugel, FNP, CNM and TBA

Content Forthcoming


Webinar Presentation Slides: Women's Health at the Intersection of Poverty and Migration

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This webinar is the sixth in a series of seven in our Clinician Orienatation to Migration Health.

Reproductive Health Care through the Eyes of Latina Women: Insights for Providers (2012)

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Latinas are experiencing high rates of sexually transmitted diseases (STDs), teen childbearing, and unintended pregnancy. This report presents nine recommendations for sexual and reproductive health clinics and providers to increase young Latina women’s access to reproductive health services.

Safe Pregnancy and Birth mobile app now available for Android phones

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In honor of Mother’s Day, we’re proud to announce that our Safe Pregnancy and Birth mobile app is now available for free as a beta release for Android phones.  Click" target="_blank">here to download it now from the Google Play app store.  In January, we released our app for iPhones;

Women's Telehealth

Their Story: 

Women's Telehealth was formed by a small group of health care executives and board certified physician providers that had worked together for years, become adept at using healthcare technology and had ties to the rural Georgia obstetrical community. Women's Telehealth principals had noticed that, increasingly, high risk OB (obstetrics) women in rural locations of the state had to travel hours to appointments, and at times were transferred 1 to 3 hours away (and often at great expense) from family and support for specialized care.Most MFM (maternal fetal medicine) providers are based in large tertiary care centers. However, recent advances in telemedicine, combined with a favorable HIT (healthcare IT) and reimbursement structure in the State of Georgia, scarce MFM physician resources nationwide, and a desperate need for sub-specialty OB care in the rural parts of our state, all have allowed this breakthrough service to be born.


Their Story: 

CommuniCare Health Centers (CommuniCare) is a private, non‐profit community health organization providing health care services to the culturally diverse, low‐income, uninsured, and under‐insured populations of Yolo County and parts of Solano County in California.CommuniCare has worked with MCN to design an environmental and occupational health invention in their extensive perinatal program. CommuniCare first incorporated exposure screening questions into their initial intake encounter. This encounter lasts one hour and is conducted by health educators. The information is compiled for the attending Certified Nurse Midwives (CNM) who use the information to determine risk status and plan the patient’s prenatal care. After piloting a series of questions and assessing the wording and effectiveness, CommuniCare incorporated the following three screening questions into their intake process:

  • What kind of work do you do?
  • What kind of work do members of your household do?
  • Are you now, or have you previously been exposed to pesticides, solvents, or other chemicals, dusts, fumes, radiation, or loud noise?

If the patient presented with a specific problem the following questions were asked:

  • Do you think your health problems are related to your home or other location?
  • Do you think your health problems are related to your work?
  • Are your symptoms better or worse while you are at home or at work?

CommuniCare also altered the format of their charts to allow for space to document responses to the screening questions. If the screening noted possible risks, the charts were flagged and the CNM conducted a more thorough environmental and occupational history. CommuniCare also implemented a system to facilitate reporting and consulting with or referring patients to an Occupational-Environmental Health Specialist. In addition, CommuniCare made resources such as the California Birth Defects Monitoring System and the Pregnancy Risk Information Line more readily available to clinicians. In addition to these clinical systems changes, CommuniCare also incorporated patient education into the initial prenatal visit and the post partum visit. MCN facilitated a specific training for the health educators to help them with the integration of the pesticide screening questions into their intake process and understand ways to promote pesticide safety education with their patients. CommuniCare health educators received MCN’s comic book, Lo Que Bien Empieza… Bien Acaba, to use during the initial visit. Designed for women of reproductive age, the comic book discusses the problem of pesticide exposure, health effects of exposure, and ways to prevent it. To use in the post partum visit, MCN gave CommuniCare, Aunque Cerca… Sano, a comic book to help farmworker families minimize the risk of pesticide exposure. Focusing on children, this comic book explains the problem of pesticide exposure, the health effects associated, and methods for prevention.

Abnormal Pap Smear Guidelines

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All abnormal pap results will have a follow-up plan documented in the patient’s chart within four weeks of receiving the report.

Established Depo Provera Protocol

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For patient receiving at least her 3rd Depo Provera Injection

Contraceptive Injectable (Depo-Provera) DMPA

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It is the policy of Shasta Community Health Center to prescribe injectable contraceptive medications to female patients at risk of pregnancy.
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