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through the baby's first year. A participant can receive as many as 20 visits if enrolled during her 2nd month of
<br />pregnancy, for example, and continuing until the baby's first birthday.
<br />Length of visit: Each visit is 60-90 minutes in length and Is provided by a bilingual Maternal -Child Health Coordinator
<br />under RN supervision. Prior to the COVID-19 pandemic, visits were conducted in the client's home. Visits have since
<br />been delivered virtually. In late Fall 2021, MOMS Orange County may resume in -person visits, or we may offer a
<br />combination of in -person and virtual encounters, or only virtual, depending on the client's comfort level.
<br />Monthly Prenatal Home Visits
<br />Quantity provided for each participant: 1-9
<br />(Additional visits and follow up for COVID19 clients)
<br />- Initial Prenatal Health Risk Assessment (at 1st prenatal visit)
<br />- Health Risk Re -assessment (each subsequent visit)
<br />- Depression screening using the Edinburgh Postnatal Depression Scale© (formal test at 1st prenatal visit; post-test
<br />at 2nd postpartum visit)
<br />Depression screening (informal at each interim visit) and education (ROSE curriculum)
<br />Pregnancy education (stages of pregnancy, medical visits)
<br />Self -Care education (nutrition, stress management, exercise, emotional wellness, lifestyle, coping skills)
<br />Access to health care (connecting to a medical home and selecting a doctor, Medi-Cal insurance enrollment,
<br />importance of attending appointments and follow-up, what to expect at each medical apptmt, making
<br />appointments, mitigating barriers such as language or transporation, oral health, COVID-19 education and
<br />vaccination promotion, other medical issues)
<br />- COVID19 specific support and education, other
<br />- Breastfeeding education
<br />- Referral to MOMS' group classes such as Prenatal Education, Childcare Preparation, Taller Para Papas and
<br />Breastfeeding support group
<br />- Enrollment in WIC and other eligible benefits
<br />- Assessment of social determinants of health (food, clothing, personal well-being, housing security, other) and
<br />referral to community resources; provision of maternity clothing and other relevant pregnancy Items
<br />Postpartum Home Visits
<br />Quantity provided for each participant: 2
<br />(Additional visits and follow up for COVID19 clients)
<br />Postpartum health assessment & reassessment (recovery, sleep, nutrition, partner and family support)
<br />Newborn care and education (feeding, sleep, selecting a pediatrician, other)
<br />Importance of attending the medical postpartum visit and newborn wellness visits; follow-up to ensure
<br />appointments are completed; mitigation of barriers
<br />Breastfeeding education, problem -solving
<br />Infant developmental assessment using the ASQ© tool (Postpartum visit# 2)
<br />Formal depression screening using the EPDS© and education (ROSE curriculum)
<br />- Self -Care education (nutrition, stress management, exercise, emotional wellness, lifestyle, coping skills)
<br />- Assessment of social determinants of health (food, clothing, diapers, personal well-being, housing security, other)
<br />and referral to community resources; provision of diapers, baby clothes, etc, from donations
<br />- COVID19 specific support and education, other
<br />sources
<br />Mother - Baby Home Visits
<br />Quantity provided: up to 10
<br />(Additional visits and follow up for COVID19 clients)
<br />- Health Risk Reassessment (including informal depression screenings)
<br />- Infant health and wellness assessment
<br />EXHIBIT A
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