Implementing and Evaluating a Telephone-Based Centralized Maternity Care Coordination Program for Pregnant Veterans in the Department of Veterans Affairs
Department of Quantitative Health Sciences
Health Services Administration | Maternal and Child Health | Obstetrics and Gynecology | Telemedicine | Women's Health
PURPOSE: The purpose of this study was to develop and evaluate a comprehensive, telephonic maternity care coordination (MCC) program for all pregnant veterans enrolled for care at New England Department of Veterans Affairs (VA) facilities that comprise the Veterans Integrated Service Network 1.
RESEARCH DESIGN: Telephone interviews were conducted with postpartum women veterans who had participated in the MCC program during their pregnancies. The program evaluation instrument assessed satisfaction and use of MCC services, prenatal education classes, and infant and maternal outcomes (e.g., newborn birthweight, insurance status, maternal depression) using both closed-ended and open-ended questions.
RESULTS: A substantial majority (95%) of women enrolled in the MCC program expressed satisfaction with the services they received in the program. Women were most satisfied with help understanding VA maternity benefits and acquiring VA services and equipment, such as breast pumps and pregnancy-related medications. More than one-third of women noted their infants had experienced health problems since delivery, including neonatal intensive care unit hospitalizations. A majority of women planned to return to VA care in the future.
CONCLUSIONS: Our findings suggest that MCC services play an important role for women veterans as they navigate both VA and non-VA care systems. MCC staff members coordinated maternity, medical, and mental health care services for women veterans. Additionally, by maintaining contact with the veteran during the postpartum period, MCC staff were able to assess the health of the mother and the infant, and refer women and their infants to medical and psychosocial services in the community as needed.
DOI of Published Version
Womens Health Issues. 2017 Sep - Oct;27(5):579-585. doi: 10.1016/j.whi.2017.05.005. Epub 2017 Jul 11. Link to article on publisher's site
Women's health issues : official publication of the Jacobs Institute of Women's Health
Mattocks, Kristin M.; Kuzdeba, Judy; Baldor, Rebecca; Casares, Jose; Lombardini, Lisa; and Gerber, Megan R., "Implementing and Evaluating a Telephone-Based Centralized Maternity Care Coordination Program for Pregnant Veterans in the Department of Veterans Affairs" (2017). University of Massachusetts Medical School Faculty Publications. 1443.