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Maternal and Child Health Journal
Published in: Maternal and Child Health Journal 11/2016

01-11-2016 | Commentary

A Call to Revisit the Prenatal Period as a Focus for Action Within the Reproductive and Perinatal Care Continuum

Authors: Arden Handler, Kay Johnson

Published in: Maternal and Child Health Journal | Issue 11/2016

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Abstract

Objectives The broad maternal and child health community has witnessed increased attention to the entire continuum of reproductive and perinatal health concerns over the past few years. However, both recent discouraging trends in prenatal care access and utilization and a renewed understanding of prenatal care as a critical anchor of the reproductive/perinatal health continuum for women who do get pregnant demand a new effort to focus on the prenatal period as a gateway for maternal and infant health. Methods This commentary: describes the Medicaid expansions and the momentum for universal access to prenatal care of the 1980–1990s; examines the pivot away from this goal and its aftermath; provides a rationale for why renewed attention to prenatal care and the prenatal period is essential; and, explores the potential focus of an updated prenatal care agenda. Conclusion We conclude that increasing women’s access to high quality prenatal care will require substantial effort at the clinical, community, policy, and system levels. Only when attention is paid to all phases of the reproductive/perinatal health continuum with an emphasis on continuity between all periods, and on the social determinants that affect health and well-being, will our nation be able to ensure the health of all women across the life course (whether or not they ever become mothers), while simultaneously fulfilling our nation’s promise that all children—no matter their income or race/ethnicity—will have the opportunity to be born well.
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Metadata
Title
A Call to Revisit the Prenatal Period as a Focus for Action Within the Reproductive and Perinatal Care Continuum
Authors
Arden Handler
Kay Johnson
Publication date
01-11-2016
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 11/2016
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-016-2187-6

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