Cedar Valley United Way
Progress Report 2013/2014
Target Issue: Health-Maternal Health and Infant Well-Being
Allen Hospital
2013/2014 Request: $26,585
Maternal Health Enhanced Services
2013/2014 Award:
$10,172
Number of anticipated participants to be directly served by the program annually:
 Changes to the number of anticipated participants based on current conditions:
decrease, due to Maternal Health nurse on maternity leave in 2013
 Total number of actual participants: Phase 1: 435
Phase 2: 435_
# of participants who
achieve at least one
health goal related to
pregnancy
# of participants that
are on track to
successfully exit this
program
Number of patients
who quit smoking
through our program
900
Phase 1*
435**
(See below)
Phase 2*
435
(re-checked number
3 times, # is the
same as first phase)
Cumulative Totals*
435**
435
(re-checked number
3 times, # is the
same as first phase)
870 total patients
will successfully exit
program
45
49
(58 of the 435 had
reported smoking)
(60 of the 435
reported smoking)
94 patients quit
smoking through our
program
870 total patients
achieved at least one
health goal
*Report only unduplicated numbers
** The Maternal Health nurse was on maternity leave between May 13th and August 5th, so
numbers are a little lower than originally projected.
Based on the above information, what changes, challenges or improvements are being
implemented or experienced to impact the effectiveness of the program?

Phase 1: The maternal health nurse attended a seminar about Dental Health in the
pregnant mother in December 2013. The seminar discussed ways to reduce the
occurrence of tooth infections and complications, in the pregnant mother. It also
reinforced the importance of preventative care and regular dental checkups throughout
pregnancy, and also post pregnancy.
Phase 1= July 1, 2013-December 31, 2013
Phase 2=January 1, 2014-June 30, 2014
Report Due: January 15, 2014
Report Due: July 15, 2014
Cedar Valley United Way
Progress Report 2013/2014
Target Issue: Health-Maternal Health and Infant Well-Being
The maternal health nurse has also worked directly with our Maternal Health
population in educating on the importance of dental health. We have a 45 minute
appointment discussing proper dental care, brushing, flossing, signs of infection, when to
see a dentist, and we also educate on when the mother needs to take her child for their
first dental checkup (at age 1 year.) We also educate at each appointment the importance
of quitting smoking, if the patient is a smoker. We follow up each time to see how they
are doing with their goal of quitting. We have seen a good number of people quit
smoking in this 6 month phase.
 Phase 2: The maternal health nurse has been trained to start doing at home listening
visits with our patients who score high on their Edinburgh Depression screen at their first
prenatal appointment at Allen Women’s Health. If the patient scores between 10 and 23
on this screening, we will recommend they meet with a nurse in their home for these
visits in an effort to show them that counseling may be a beneficial thing for them. If the
patients agree to the listening visits, they will meet with the maternal health nurse for a
total of 4 sessions throughout their pregnancy. Listening visits will last between 30-50
minutes. The nurse will simply meet with the patient and act as a sounding board for the
patient to discuss anything that may be going on in their life at the time, and the nurse
will act as a resource to help get that patient the resources they need. We will begin
these visits in August, and we hope that they will really have a positive impact on our
patients and help them get the counseling and help that they need.
Share at least one of the “success stories” or accomplishments that a participant has experienced
during each reporting period. This must be participant focused and aligned with the intent of
this award.
 Phase 1: In October, 2013, the enhanced services nurse saw a pregnant mother for her
dental education visit. When asked if she had a regular dentist, she replied, “No, I do not
have insurance and I cannot afford to go. I have not seen a dentist for over 5 years.” At
that time, the nurse told her she now has insurance coverage through Title 19 and dental
visits would be covered. She helped the patient choose a dentist, and then offered to call
and set up an appointment for her. The patient was happy for assistance in this process.
The nurse called the dental office and was able to schedule an appointment for a checkup and cleaning. She also scheduled a follow up appointment with Allen Women’s
Health, and we will check to be sure she made it to her dental appointment. We stressed
the importance of keeping this appointment, especially since she had not seen a dentist in
5 years.
Phase 1= July 1, 2013-December 31, 2013
Phase 2=January 1, 2014-June 30, 2014
Report Due: January 15, 2014
Report Due: July 15, 2014
Cedar Valley United Way
Progress Report 2013/2014
Target Issue: Health-Maternal Health and Infant Well-Being
It is important for patients to maintain good oral health during pregnancy, because
their risk for periodontal disease is higher due to the changes in hormones. An oral
infection during pregnancy can also affect the baby’s health. Allen Women’s Health does
a whole appointment on dental health education for this reason.
At all appointments, the nurse checks with patients to see if they have heard about
Stork’s Nest. Patients are encouraged to keep all of their scheduled appointments and to
see a dentist during pregnancy; by keeping appointments, they can earn points to be
redeemed for items for the baby.

Phase 2 : In June 2014, the maternal health nurse met with a patient who was 38 weeks
pregnant and had not been seen at our clinic prior to now. She had been receiving her
prenatal care at Allen OBGYN, but had not been referred to us for our services until now.
This will be her first child, and she is a single parent. She lacks support/help with the
pregnancy and also once the baby is born. She has a number of mental health needs and
has gone off her mental health medications during the pregnancy. She has continued to
meet with her psychiatrist, but she is still having a lot of anxiety about things related to
the pregnancy. She was feeling overwhelmed with the decisions she was going to have to
make by herself. She voiced concern with not knowing how to tell when she is in labor
and when to go to the hospital. We were able to counsel her on pre-labor signs and
symptoms, signs of labor and when to present to hospital. We also discussed planned
length of stay the hospital, who will be with her and what to expect. Discussed pain
medication options while in labor and what her preference might be. She was referred to
a home visiting program from the community for additional pregnancy and parenting
education and support.
When she left the appointment, she told us how much more at ease she felt with
everything, and she was so thankful she had met with us and had her questions answered.
She felt that she had support through us, when there was no one else there for her.
Phase 1= July 1, 2013-December 31, 2013
Phase 2=January 1, 2014-June 30, 2014
Report Due: January 15, 2014
Report Due: July 15, 2014