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N.C.Department of Environment,Health,and Natural Resources Page 11 of 11 <br /> Division of General Services FY 97-98 <br /> CONTRACT ADDENDUM <br /> DMCH/wHS/Maternal Health 98 51010 068 <br /> Office,Section,or Branch Contract Number <br /> Grane Maternal Health <br /> Contractor Activity <br /> ,S—!"TT0N Tl. QIT A T TTV A CSTTT2 A NCF DFT TUFT?A T2T F C (rentind) <br /> 2. First or Second trimester: <br /> • preterm labor <br /> • ruptured/leaking membranes <br /> • change in fetal activity <br /> 3. Third trimester: <br /> • signs of labor <br /> • contraception <br /> • car seat instructions <br /> • basic techniques with infant feeding <br /> • immunizations <br /> (b) Additional educational components: <br /> Any of the following components which are clinically relevant will be provided: <br /> • clinical routines <br /> • anatomy/physiology <br /> • prenata postnatal exercises - <br /> • sex during pregnancy <br /> • labor and delivery/cesarean delivery <br /> • postpartum period <br /> • dental care during pregnancy <br /> • early parenting/inf int care <br /> 3. Pregnant women who have participated in a prenatal education <br /> series in a past pregnancy will be provided an educational review <br /> and update which: <br /> • is conducted either by class or by individual sessions, <br /> • is planned and carried out according to procedures for this <br /> review as set forth in written clinic policy, and <br /> • includes the following required components, at a minimum: <br /> ! preterm labor <br /> ! ruptured/leaking membranes <br /> ! severe headaches <br /> ! visual changes <br /> ! bleeding <br /> ! changesin fetal activity <br /> ! over-the-counter medications <br /> ! substance abuse <br /> ! nutrition/weight gain <br /> ! signs of labor <br /> ! contraception <br /> ♦ car seat use <br /> ! immunizations <br /> Reviewed by <br /> ___nT7TJWR 1100(Revised 2/90) li r <br />