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Preconception Education in the Workplace

Preconception Education in the Workplace. Presented at the Third National Summit on Preconception Health and Health Care Steve Abelman Director, Educational Outreach and Marketing. March of Dimes. Mission:

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Preconception Education in the Workplace

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  1. Preconception Education in the Workplace Presented at the Third National Summit on Preconception Health and Health Care Steve Abelman Director, Educational Outreach and Marketing

  2. March of Dimes • Mission: • To improve the health of babies by preventing birth defects, premature birth and infant mortality • 4 Strategies to Reach our Mission • 1: Research • 2: Advocacy • 3: Community Services • 4: Education

  3. Background • Labor Force (Women 16-44) – 41.6 Million • Women (16-44) as % of Labor Force – 46% • Birth Rate (per 1000) among women 16-44 in labor force – 46 • U.S. Births – 4.2 Million • Births among women 16-44 in labor force – 1.9 Million Bureau of Labor Statistics and US Census - 2008

  4. When does education begin? • For this population, in general, the carrier and/or employer does not provide any information regarding healthy behaviors that may lead to healthy pregnancies until the first claim is filed. • That information tends to be prenatal and not preconception.

  5. Average Payment by Health Plan for Newborn Care Dollars Source: Thomson Healthcare Babies were chosen from MarketScan Commercial Claims and Encounter database for 2005 and were only included if they had at least twelve months of continuous enrollment after birth.

  6. Some Risk Factors for Adverse Pregnancy Outcomes • Chronic health problems (High blood pressure, diabetes, obesity) • Medical risks in current pregnancy • Behavioral & environmental risks (Smoking, alcohol or drug use) • Demographic risks (African-American, over 35) • Other risks – stress, periods of standing

  7. www.marchofdimes.com/hbhb

  8. “My 9 Months”

  9. Results to Date • Currently over 300 organizations ranging from 25 to over 1 million employees are using “My 9 Months” • Average monthly unique users = 2000 • Average monthly page views =3150 • Most popular content: • Getting Healthy (9 Questions) • How Your Baby Grows • Due Date Calculator • Ovulation Calculator • Weight Gain • Just for Dads • Why the Last Weeks Count

  10. Limitations • Behavior change and/or outcomes as a sole result of this tool is difficult to measure. • Employers have other tools at their disposals, such as Health Risk Assessments and financial incentives that can influence actions of their employees. • However, education, easily accessed, is the first step in making improvements in the health of women of childbearing age in the workplace.

  11. Implications • Encouraging women in the workplace to adapt healthy behaviors prior to conception is an important concept in the preconception arena as employers and insurances carriers tend to neglect this audience until the pregnancy is identified.

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