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Thu Dec 9 03:57:02 EST 2010


Physicians should conduct psychosocial
screening of all women who present for pregnancy evaluation
or prenatal care, according to a new Committee
Opinion, Psychosocial Risk Factors: Perinatal Screening and
Intervention.
The document, published in the August issue of Obstetrics
& Gynecology, was developed by the ACOG Committee on Health
Care for Underserved Women. The document advises that “because
problems may arise during the pregnancy that were not present at the
initial visit, it is
best to perform psychosocial screening at least once each trimester
to increase the likelihood of identifying important issues and
reducing poor birth outcomes.The document includes a well-regarded
screening tool developed
by the Healthy Start Program of the Florida Department of Health.
Questions from the tool are included in ACOG’s
Obstetric Medical History Form."

Heads UP FIMR Programs: Query from Dr Judy Thierry, Maternal and Child
Health Coordinator, Indian Health Service - Dr Thierry wrote:
“ACOG and the Committee on Native American Child Health in April
2006
presented to staffers on the Hill in both the Senate and House on
methamphetamine and drug endangerment of families and children.  
I was wondering if methamphetamine is discussed at all by the FIMR
projects *.  We know that in the Indian Health Care System pregnant
women are using and exposure to infants is occurring. While an infant
death is relatively rare event and methamphetamine exposure probably
even more rare, it may come up.  Could you let me know if there are any
projects that have discussed this or brought this forward as a training
and technical assistance issue?”  
FIMR projects, if you have any information about this problem that you
can share, could you respond directly to Dr Thierry at
jthierry at hqe.ihs.gov 

New from the Columbia University National Center for Children in
Poverty(NCCP):The New Poor: Regional Trends in Child Poverty Since 2000
In 2004, NCCP says that approximately 18 percent of all children in the
United States lived in poverty. Over the last five years, child poverty
has risen substantially, increasing by 12 percent. After hitting a low
of 12.1 million children in 2000, more than 1.4 million children have
been added to the poverty rolls, becoming members of this country’s
“new poor.” Children who grow up in poverty experience
significant hardships that can have lasting effects well into adulthood.

At the national level, family characteristics have had little
relationship with whether children experienced increasing poverty
between 2000 and 2004. Overall, increases in U.S. child poverty did not
vary by parents’ employment status, parents’ education level, or
parents’ nativity. NCCP says that these national statistics mask
varying economic realities across regions. This report examines regional
differences in the family characteristics of children who have seen the
greatest rise in poverty. During the last five years, children living in
the Midwest experienced the biggest increases in child poverty,
accounting for 43 percent of the national rise in the number of poor
children. At the same time, poverty did not increase among children
living in the West. To read this important document, go to
http://www.nccp.org/pub_npr06.html 



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