Best Practices in Inter-Conception Health

BPIH provides inter-conceptional case management services to a target population that includes women who have experienced a pregnancy loss or an infant death before thirty days of life. These women and families are primarily referred from the IDPH Fetal Infant Mortality Review (FIMR) program and select Better Births Outcomes (BBO) programs in Chicago. Women receiving these services have multiple medical and/or social risk factors that put them at increased risk of having less than optimal intervals between subsequent pregnancies which lead to an increased risk of infant mortality or morbidity.

The service objectives of the Best Practices in Inter-conception Health (BPIH) program are to:

  • Increase intervals between subsequent pregnancies
  • Improve pregnancy outcomes
  • Reduce the incidence of prematurity and very low/low birth weight

Services provided include, but are not limited to:

  • Deliver of inter-conception-focused case management services that are directed at delaying the onset of subsequent pregnancy to the target population of postpartum women.
  • Enrollment, and case management of women at high-risk of subsequent pregnancy loss referred from the FIMR program; postpartum women at increased risk of a short pregnancy interval referred from Better Birth Outcomes programs.
  • Completion of an initial visit in the home within forty-five (45) days of referral to the program.
  • Completion of a comprehensive needs assessment and development of a care plan development within forty-five (45) calendar days of enrollment.
  • Completion of one contact per month of enrollment in services, either through a face-to-face contact or two-way communication (phone, text or email).
  • Screening for perinatal mood disorders at least one time in the postpartum period.
  • Assistance in accessing needed services based upon results of screening and assessment and medical-social history.
  • Assistance in developing a Reproductive Life Plan with referrals as necessary.
  • Grief support materials and referrals to bereavement support counseling and/or perinatal support group as appropriate.
  • Assistance with arrangement for transportation for medical care visits and appointments, specific to individual health needs.