Orange County NC Website
N.C.Department of Environment,Health,and Natural Resources Page 9 of 11 <br /> Division of General Services FY 97-98 <br /> CONTRACT ADDENDUM <br /> DMCHIWHS/Maternal Health 98 51010 068 <br /> Office,Section,or Branch Contract Number <br /> Orange Maternal Health <br /> Contractor Activity <br /> SECTION D: QUALITY ASSURANCE DELIVERABLES (continued) <br /> (c) An estimated 100%will receive the following component on a subsequent routine scheduled <br /> visits: interm ilsf ory/routine screening questions; weight- flood pressure; fetal heart tones; fundal <br /> height (after 14 wks); and fetal presentation after 31 weeks. <br /> (d) An estimated 95 fo will receive a nutrition assessment and have an appropriate care plan or <br /> referral to a nutritionist documented by the time of the initial physic exam. <br /> (e) An estimated 95 % will have their weights plotted on a weight gain grid for all routine visits. <br /> (This requirement is under study.) <br /> (f) An estimated 98 % of those with any of the following high risk conditions will be assessed by a <br /> nutritionist an receive education that addresses their specific condition(s) and referral as <br /> appropriate: <br /> 1. Maternal age:S 15 years 8. Preconceptional weight:< <br /> 2. Chronic hypertension 90% of standard body weight for <br /> 3. Diabetes mellitus height <br /> 4. Sickle cell disease 9. Weight loss > 21b./month in/2\or <br /> 5. Alcohol or substance abuse /3\ <br /> 6. History of previous LBW 10. Weight gain< 8 lbs. by 26 weeks <br /> infant 11. Intrauterine growth retardation <br /> 7. Multiple fetuses 12. Hgb< 10 or Hct <30% <br /> 13. Pica <br /> 14. Prior history of breastfeeding problems <br /> (g) An estimated 98 %will be provided with a prenatal supplement containing folic acid and iron. <br /> (h) An estimated 99% of those patients with abnormal clinical findings will be appropriately <br /> followed. <br /> (i) An estimated 95 % of those with a high risk condition will receive consultation from or be <br /> referred to an o stetrcian or high risk maternity clinic. <br /> (j) An estimated 95 %will have completed a risk assessment for preterm labor if admitted prior to <br /> 35 weeks of pregnancy. (This requirement is under study.) <br /> (k) -STS on the initial visit and a repeat STS between 30 and 34 weeks. <br /> (I) Screening for hepatitis B on the initial visit, unless known to be infected, and follow-up of an <br /> infant born to an infected mother to assure he/she receives prophylactic treatment. <br /> (m) Screening for HIV on the initial visit, with consent, or documentation in the chart that HIV testing <br /> was refused by the client. <br /> (n) Screening for Gonorrhea(culture) on the initial visit and repeated in the third trimester <br /> -- Reviewed by <br />