Pregnancy Medical Home Care Pathways are developed collaboratively by the OB physician leaders throughout Community Care of North Carolina’s Networks. The intent of the PMH Care Pathways is to promote evidence-based, best practice care in North Carolina. Several PMH Care Pathways with a package of supporting materials were developed as part of the work under the North Carolina Preterm Birth Prevention TeleHealth Network. These PMH Care Pathway Packages were shared with the provider community by the OB nurse and physician leaders in each of the CCNC networks as well as on the website. Materials for providers focus on prevention of preterm birth and other factors related to adverse birth outcomes. Please refer to the CCNC PMH Care Pathways webpage to view these materials.
The PMH Care Pathway Packages developed in partnership with the North Carolina Preterm Birth Prevention TeleHealth Network to date are described below.
Perinatal Tobacco Use
- Billing Guidance: Perinatal Tobacco Use
- Flowchart: Management of Perinatal Tobacco Use
- Management of Perinatal Tobacco Use
- Patient Education Materials: Perinatal Tobacco Use
- Recording: Management of Perinatal Tobacco Use
- Resources for Providers: Perinatal Tobacco Use
- Slides: Management of Perinatal Tobacco Use
Substance Use in Pregnancy
- CAPTA, reporting of substance-exposed pregnancies, and sample script for PMH providers
- Disclosure of information related to substance use for PMH providers
- Management of Opioid Use in Pregnancy
- Management of Substance Use in Pregnancy
- NC Perinatal & Maternal Substance Abuse Initiative
- Pain Contracts/ Treatment Agreements
- Patient Education Resources: Substance Use in Pregnancy
- Prescribing buprenorphine in pregnancy
- Provider Resources: Substance Use in Pregnancy
- Reimbursement and coverage of substance abuse services for pregnant women
- Slides: Management of Substance Use in Pregnancy
- Strategies and Scripts for Brief Interventions for PMH Providers
- Summary Recommendations: Opioid Use in Pregnancy
- Summary: Management of Substance Use in Pregnancy
- Urine Drug Screening Guidance for PMH Providers
- Use of the North Carolina Controlled Substances Reporting System
Reproductive Life Planning and the Use of Postpartum LARC
Preterm Birth Prevention: Management of Patients with History of Spontaneous Preterm Birth and/or Short Cervix
- Flowchart: Progesterone Treatment and Cervical Length Screening
- Patient Education Materials: Progesterone Treatment and Cervical Length Screening
- Progesterone Treatment and Cervical Length Screening
- Provider Resources: Progesterone Treatment and Cervical Length Screening
- Recording: Prevention of Preterm Birth: Cervical Ultrasound Screening
- Recording: Prevention of Preterm Birth: Progesterone Therapy
- Slides: Prevention of Preterm Birth: Cervical Ultrasound Screening
- Slides: Prevention of Preterm Birth: Progesterone Therapy
Management of Hypertensive Disorders of Pregnancy
- Appendix A. Low-Dose Aspirin for the Prevention of Morbidity and Mortality from Preeclampsia
- Appendix B. Patient Education Materials: Management Of Hypertensive Disorders Of Pregnancy
- Appendix C. Provider Resources: Management of Hypertensive Disorders of Pregnancy
- Flowchart: Management of Hypertensive Disorders of Pregnancy
- Management of Hypertensive Disorders of Pregnancy
- Recording: Management of Hypertensive Disorders of Pregnancy
- Slides: Management of Hypertensive Disorders of Pregnancy
Management of Obesity in Pregnancy
Multifetal Pregnancy
Induction of Labor in Nulliparous Patients
Postpartum Care and the Transition to Well Woman Care
- Appendix A. Content Guidance for Elements of the Comprehensive Postpartum Visit
- Appendix B. Ongoing Health Insurance Coverage and Care Beyond the Postpartum Period
- Appendix C. Medicaid Reimbursement in the Postpartum Period
- Appendix D. Resources for Postpartum Care
- PMH Care Pathway: Postpartum Care and the Transition to Well Woman Care
- Slides: Postpartum Care and the Transition to Well Woman Care
