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Tuesday, March 31, 2009
Carrying out the Action Plan
We have carried out our action plan. We have contacted Sen. Mark Warrner (D-VA) and Sen. Jim Webb (D-VA) for support for this bill and have not heard a response. Also we have contacted many stakeholders, including the Waynesboro Health Department, Healthy Families, Harrisonburg Pregnancy Center, Planned Parenthood, Virginia Nurses Association, and the Virginia Department of Health. Since contacting them to look at our blog, the only agency that responded was the VNA. They said that the bill was very interesting and that they were excited to see students getting involved in politics, but that they did not deal with the national level and referred us to the ANA (who has currently not responded). We are hoping that in the weeks to come we will get more responses from both the Senators and stakeholders contacted.
Tuesday, March 24, 2009
Update On Bill Actions
Unfortunately this bill has not moved since it's introduction to Congress on January 15, 2009. It is currently waiting to be voted on by Congress. Keep petitioning your legislators to support this bill and encourage them to move it in to action!
Stakeholders Contacted
Due to the beneficial impact of the Pregnant Women Support Act, we thought it necessary to spread knowledge about the advantages this bill offers pregnant women to our community and stakeholders and to increase the amount of support for the bill. The stakeholders contacted were the Waynesboro Health Department, Healthy Families, Harrisonburg Pregnancy Center, Planned Parenthood, Virginia Nurses Association, and the Virginia Department of Health. These stakeholders were chosen because they frequently interact with pregnant women and see the negative impact that mothers lacking resources, high risk pregnancies, and mothers who are uninformed about pregnancy options has on the outcome and general feelings of the pregnancy and child. We are hoping that by contacting them they will be able to show support for increasing resources and information available to women and their child. We will be able to update you with feedback received within the week from the various stakeholders. We encourage you to contact your legislators and additional stakeholders to show increased support for the bill.
Tuesday, March 17, 2009
Scholarly Evidence
According to a research study by Brown and Amankwaa, pregnant women attending college feel an overwhelming responsibility to their pregnancies though they are often left alone without the support of their partner. The women studied said that providing unconditional love, dealing with the baby’s father, pursing education and finding extra help in childcare were important in their decisions to keep their pregnancies. This is why the Pregnancy Support Act of 2009 would be beneficial to these women and their new families by providing childcare so that the mother will have the ability to pursue higher education, thus have the means to support her family in the future.
Brown, R. L., & Amankwaa, A. A. (2007). College females as mothers: Balancing the roles of student and motherhood. ABNF Journal, 18(1), 25-29. Retrieved March 17, 2009 from CINAHL Plus with Full Text database
Brown, R. L., & Amankwaa, A. A. (2007). College females as mothers: Balancing the roles of student and motherhood. ABNF Journal, 18(1), 25-29. Retrieved March 17, 2009 from CINAHL Plus with Full Text database
Our Position, Key stakeholders, and Action Plan
Our Position
We support the Pregnant Women's Support Act. We think that this bill will be beneficial to all parties involved in a woman's pregnancy. It will help prevent complications during pregnancy and will hopefully allow for more healthy deliveries in the United States. Also it will provide financial support and more community resources for families after the pregnancy. We think that through education and more resources available to women who are pregnant or who might become pregnant will allow them to feel more comfortable before, during and after the pregnancy, more in control of the pregnancy, and more informed of options if complications do arise.
Key Stakeholders
The key stakeholders involved in this bill include constituents, pregnant women and their children, women who desire to become pregnant, pregnant teenagers attending high school, pregnant women attending college, doctors, nurses, State Children's Health Insurance Program (SCHIP), and numerous health care agencies.
Supporters of this bill include Sen. Robert Casey and Sen. Bill Nelson.
Action Plan
To get the word out about this bill we plan to first off update this blog as often as possible with current information. We hope to do this by researching scholarly journals and posting the impact that this bill could have on the health of pregnant women. We also will be watching what the bill does and the progress it is making within the senate. Secondly, we have already contacted Sen. Mark Warrner (D-VA) and Sen. Jim Webb (D-VA) to support this bill. We encourage everyone to also contact their senators to support this bill. Lastly we plan to inform key stakeholders about the bill and the issues that it covers. We plan to contact local agencies that are involved with the care of pregnant women and their babies within our community and let them know about the bill and our blog. Some agencies include a school run program for high school students with children (4T program), a community based program that works with mothers through parenting classes, hold play dates, and provide necessary items for babies (car seats, high chairs, etc.) and local pregnancy clinics.
We support the Pregnant Women's Support Act. We think that this bill will be beneficial to all parties involved in a woman's pregnancy. It will help prevent complications during pregnancy and will hopefully allow for more healthy deliveries in the United States. Also it will provide financial support and more community resources for families after the pregnancy. We think that through education and more resources available to women who are pregnant or who might become pregnant will allow them to feel more comfortable before, during and after the pregnancy, more in control of the pregnancy, and more informed of options if complications do arise.
Key Stakeholders
The key stakeholders involved in this bill include constituents, pregnant women and their children, women who desire to become pregnant, pregnant teenagers attending high school, pregnant women attending college, doctors, nurses, State Children's Health Insurance Program (SCHIP), and numerous health care agencies.
Supporters of this bill include Sen. Robert Casey and Sen. Bill Nelson.
Action Plan
To get the word out about this bill we plan to first off update this blog as often as possible with current information. We hope to do this by researching scholarly journals and posting the impact that this bill could have on the health of pregnant women. We also will be watching what the bill does and the progress it is making within the senate. Secondly, we have already contacted Sen. Mark Warrner (D-VA) and Sen. Jim Webb (D-VA) to support this bill. We encourage everyone to also contact their senators to support this bill. Lastly we plan to inform key stakeholders about the bill and the issues that it covers. We plan to contact local agencies that are involved with the care of pregnant women and their babies within our community and let them know about the bill and our blog. Some agencies include a school run program for high school students with children (4T program), a community based program that works with mothers through parenting classes, hold play dates, and provide necessary items for babies (car seats, high chairs, etc.) and local pregnancy clinics.
Wednesday, March 4, 2009
Potential Impact
Nurses: This act enables nurses to become more active in school systems by providing education on pregnancy. Nurses will have more access to ultrasound equipment with the assistance of grants, leading to earlier diagnoses of problems with the fetus or mother, increasing faster treatments and support of mothers.
Client: With the Pregnant Women Support Act, mothers will receive more financial support to raise their child, have more accessible ultrasound resources, and have health insurance coverage for their unborn child. They will also receive more information about the importance of prenatal care.
Health Care System: Overall, the health care system will be positively influenced by the passage of the act. There will be more financial support for pregnant women, parents, and children. A decreased number of abortions, unintended pregnancies, and teen pregnancies will be seen. There will also be increased information available about prenatal care, birth defects, and abortion.
Client: With the Pregnant Women Support Act, mothers will receive more financial support to raise their child, have more accessible ultrasound resources, and have health insurance coverage for their unborn child. They will also receive more information about the importance of prenatal care.
Health Care System: Overall, the health care system will be positively influenced by the passage of the act. There will be more financial support for pregnant women, parents, and children. A decreased number of abortions, unintended pregnancies, and teen pregnancies will be seen. There will also be increased information available about prenatal care, birth defects, and abortion.
Scholarly Evidence
Pregnant teens are at a high risk for not obtaining prenatal care and also for delivering a low birth weight child. The study showed that teens who received prenatal care expended less funds than those who received no care.
Hueston, W. J., Quattlebaum, R. G., & Benich, J. J. (2008). How much money can early prenatal care for teen pregnancies save?: A cost-benefit analysis. Journal of the American Board of Family Medicine, 21(3), 184-190. Retrieved March 3, 2009 from CINAHL Plus with Full Text database <http://www.jabfm.org/cgi/reprint/21/3/184>
In the past, reasons women may have choosen to have an abortion included 1) having a baby would interfere with school, 2) work or other responsibilities, and 3) that they could not afford a child. This recent study indicates that the decision to have an abortion has multiple factors which include not being able to afford to have a child, responsibilities to their own living children, partner issues, and unreadiness to parent. The Pregnancy Support Act proposes helping pregnant women become prepared to raise a child by providing educational and financial support during and after pregnancy.
Finer, L., Frohwirth, L., Dauphinee, L., Singh, S., & Moore, A. (2005, September). Reasons U.S. women have abortions: quantitative and qualitative perspectives. Perspectives on Sexual & Reproductive Health, 37(3), 110-118. Retrieved March 4, 2009, from CINAHL Plus with Full Text database <http://www3.interscience.wiley.com/cgi-bin/fulltext/118716537/PDFSTART>
Hueston, W. J., Quattlebaum, R. G., & Benich, J. J. (2008). How much money can early prenatal care for teen pregnancies save?: A cost-benefit analysis. Journal of the American Board of Family Medicine, 21(3), 184-190. Retrieved March 3, 2009 from CINAHL Plus with Full Text database <http://www.jabfm.org/cgi/reprint/21/3/184>
In the past, reasons women may have choosen to have an abortion included 1) having a baby would interfere with school, 2) work or other responsibilities, and 3) that they could not afford a child. This recent study indicates that the decision to have an abortion has multiple factors which include not being able to afford to have a child, responsibilities to their own living children, partner issues, and unreadiness to parent. The Pregnancy Support Act proposes helping pregnant women become prepared to raise a child by providing educational and financial support during and after pregnancy.
Finer, L., Frohwirth, L., Dauphinee, L., Singh, S., & Moore, A. (2005, September). Reasons U.S. women have abortions: quantitative and qualitative perspectives. Perspectives on Sexual & Reproductive Health, 37(3), 110-118. Retrieved March 4, 2009, from CINAHL Plus with Full Text database <http://www3.interscience.wiley.com/cgi-bin/fulltext/118716537/PDFSTART>
Monday, March 2, 2009
Healthy People/Government Objectives
Governmental Objectives:
Healthy People 2010 (16-1 through 16-23) provides a list of the government’s objectives regarding maternal and child health. The objectives highlight major maternal health issues that need to be addressed, such as: fetal and infant death rates, low birth weights, maternal illnesses and complications due to pregnancy, and substance abuse during pregnancy.
Political Influences:
Maternal and Child Health Bureau:
-plans to provide national leadership for maternal and child health, promote an environment that supports maternal and child health, eliminate health barriers and disparities, improve the health infrastructure and systems of care, and assure quality of care.
-programs administered by MCHB include Maternal and Child Health Services Block Grant, Universal Newborn Hearing Screening, and Abstinence Education Program
UNICEF:
-promotes the improvement in maternal health by working with the United Nations Population Fund, the World Health Organization, and policy makers to provide quality emergency obstetric care and information to local communities about prenatal care.
Association of Maternal & Child Health Programs:
-works to strengthen national policy and increase resources for maternal and child health programs.
-supports full funding of the MCH Block Grant and other federally funded program (WIC, healthy start, etc) to improve maternal and child health.
American Pregnancy Association (APA):
-“A national health organization committed to promoting reproductive and pregnancy wellness through education, research, advocacy, and community awareness.” This organization advocates women’s health by lobbying legislature, businesses, and other organizations to promote maternal health issues.
National Advocates for Pregnant Women (NAPW):
-“encompasses litigation, litigation support and legal advocacy; local and national organizing; public policy development, public education and outreach.” One of their goals is to help local community organizations and activists network with national organizations and policy work. They engage “in local and national organizing and public education efforts among the diverse communities that are stakeholders in the issue,” including women and policy makers.
Healthy People 2010 (16-1 through 16-23) provides a list of the government’s objectives regarding maternal and child health. The objectives highlight major maternal health issues that need to be addressed, such as: fetal and infant death rates, low birth weights, maternal illnesses and complications due to pregnancy, and substance abuse during pregnancy.
Political Influences:
Maternal and Child Health Bureau:
-plans to provide national leadership for maternal and child health, promote an environment that supports maternal and child health, eliminate health barriers and disparities, improve the health infrastructure and systems of care, and assure quality of care.
-programs administered by MCHB include Maternal and Child Health Services Block Grant, Universal Newborn Hearing Screening, and Abstinence Education Program
UNICEF:
-promotes the improvement in maternal health by working with the United Nations Population Fund, the World Health Organization, and policy makers to provide quality emergency obstetric care and information to local communities about prenatal care.
Association of Maternal & Child Health Programs:
-works to strengthen national policy and increase resources for maternal and child health programs.
-supports full funding of the MCH Block Grant and other federally funded program (WIC, healthy start, etc) to improve maternal and child health.
American Pregnancy Association (APA):
-“A national health organization committed to promoting reproductive and pregnancy wellness through education, research, advocacy, and community awareness.” This organization advocates women’s health by lobbying legislature, businesses, and other organizations to promote maternal health issues.
National Advocates for Pregnant Women (NAPW):
-“encompasses litigation, litigation support and legal advocacy; local and national organizing; public policy development, public education and outreach.” One of their goals is to help local community organizations and activists network with national organizations and policy work. They engage “in local and national organizing and public education efforts among the diverse communities that are stakeholders in the issue,” including women and policy makers.
Why We Need a Policy Change (Part IV)
Another potential impact:
4) Reduce the incidence of child abuse and neglect by offering the parent(s) support and education about parenting.
About 2 in every 100,000 children die every year from child abuse and neglect.
Very young children (ages 3 and younger) are most frequently victims of such child abuse and neglect because of their dependency, small size, and inability to defend themselves.
Most frequently the abuser is a young adult in his or her mid-20s, without a high school diploma, living at or below the poverty level, depressed, and who may have difficulty coping with stressful situations.
Info from: http://www.childwelfare.gov/pubs/factsheets/fatality.cfm
The support this bill can offer to women and their families could help prevent the many health issues discussed in the last few posts. As advocates for our patients, we as nursing students believe this bill to be needed to help those who may not have the ability to help themselves. With a little support, these women can better care for themselves and their children, resulting in a healthier, happier population.
4) Reduce the incidence of child abuse and neglect by offering the parent(s) support and education about parenting.
About 2 in every 100,000 children die every year from child abuse and neglect.
Very young children (ages 3 and younger) are most frequently victims of such child abuse and neglect because of their dependency, small size, and inability to defend themselves.
Most frequently the abuser is a young adult in his or her mid-20s, without a high school diploma, living at or below the poverty level, depressed, and who may have difficulty coping with stressful situations.
Info from: http://www.childwelfare.gov/
The support this bill can offer to women and their families could help prevent the many health issues discussed in the last few posts. As advocates for our patients, we as nursing students believe this bill to be needed to help those who may not have the ability to help themselves. With a little support, these women can better care for themselves and their children, resulting in a healthier, happier population.
Why We Need a Policy Change (Part III)
Another potential impact this bill can have on women and their families is:
3) To decrease the number of low birth weight babies born in the United States.
In 2005, 8.2% of all newborns were low birth weight (less than 5.5 lbs), the highest percentage since the early 1970s.
Babies who are very low birth weight (less than 3lbs, 4oz) have a 25% chance of dying before age one.
Low birth weight babies are at an increased risk for long-term disability and impaired development, more likely to experience delayed motor and social development, and are more likely to be enrolled in special education classes or to repeat a grade than those babies born at a normal weight.
Info from: http://www.childtrendsdatabank.org/indicators/57LowBirthweight.cfm
3) To decrease the number of low birth weight babies born in the United States.
In 2005, 8.2% of all newborns were low birth weight (less than 5.5 lbs), the highest percentage since the early 1970s.
Babies who are very low birth weight (less than 3lbs, 4oz) have a 25% chance of dying before age one.
Low birth weight babies are at an increased risk for long-term disability and impaired development, more likely to experience delayed motor and social development, and are more likely to be enrolled in special education classes or to repeat a grade than those babies born at a normal weight.
Info from: http://www.
Why We Need a Policy Change (Part II)
Another potential impact on women and their families would be:
2) To decrease the number of premature (babies born before 37 weeks gestation) births.
Premature birth rate in the U.S. is up 29% since 1981.
Premature babies are at increased risk for newborn health complications, as well as lasting disabilities, such as mental retardation, cerebral palsy, lung and gastrointestinal problems, vision and hearing loss, and even death.
Many premature infants will need to be cared for in a neonatal intensive care unit (NICU).
Info from: http://search.marchofdimes.com/cgi-bin/MsmGo.exe?grab_id=6&page_id=9896192&query=risks+of+premature+babies&hiword=PREMATURELY+PREMATURES+PREMATURITY+PREMATURLY+PREMATURO+PREMATUROS+PREMATURY+RISK+RISKO+RISKY+babies+of+premature+risks +
2) To decrease the number of premature (babies born before 37 weeks gestation) births.
Premature birth rate in the U.S. is up 29% since 1981.
Premature babies are at increased risk for newborn health complications, as well as lasting disabilities, such as mental retardation, cerebral palsy, lung and gastrointestinal problems, vision and hearing loss, and even death.
Many premature infants will need to be cared for in a neonatal intensive care unit (NICU).
Info from: http://search.marchofdimes.
Contacting our Senators
We have contacted our local senators about supporting the Pregnant Women Support Act and encourage you to contact yours. To identify your local senator please see www.senate.gov
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