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N.C. Department of Environment, Health, and Natural Resources <br />Division of General Services <br />CONTRACT ADDENDUM <br />Maternal Health Branch <br />Office, Section, or Branch <br />Orange County Health Dept. <br />Contractor ' <br />Page 3 of 4 <br />F1' 1991 <br />91- 5422 -068 <br />Contract Number <br />`taternal Health <br />Activity <br />(g) An estimated 9 5 $ will receive a dietary recall or food frequency on <br />the initial visit and once each remainirg trimester. <br />(h) An estimated _95 % will have their weights plotted an a weight gain <br />grid for all routine visits. <br />(i) An estimated 100 % of those with any of the following high risk <br />eonditioa-s will receive eourmling from a nutritionist that addresses <br />the specific condition or oanditioais: <br />(1) Maternal age c 15 years <br />(2) Ozonic hypertension <br />(3) Diabetes mellitus <br />(4) Sickle cell disease <br />(5) Alcohol abuse <br />(6) History of previous LIN <br />infant <br />(7) Maniple fetuses <br />(8) Underweight.? 15$ for standard body <br />weight <br />(9) Weight loss 2 2 lb./month in M and <br />(10) Weight gain t 8 lbs. by 26 weeks <br />(11) Intrauterine growth retardation <br />(12) Hgb 5 9 or Hot. 5 30% . <br />(j) An estimated 100A will be provided with a prenatal supplement <br />contadiLing folic acid and iron. <br />(k) An estimated 9 0 % of those patients with abnormal clinical findings <br />will be appropriately followed. <br />(1) An . estimated 9 0 % of those with a high risk condition will receive <br />cmmultation fi°am or be referred to an obstetrician or high risk <br />maternity clinic. <br />(m) An estimated _1Q_% % will have completed a risk mment for preterm <br />labor if admitted prior to 37 weeks of pregnancy. <br />(n) An estimated 90 % will receive individual and/or grow prenatal <br />education which consists of at least ten of the following 19 components: <br />(1) <br />clinic routines <br />(10) <br />Labour and delivery <br />(2) <br />MediaatiorVdrugs <br />(11) <br />RelaxatiorVbreathirg techniques <br />(3) <br />Anatcpy /physiology <br />(12) <br />Cervical dilation and pushing <br />(4) <br />Dranger signs of pregnancy <br />(13) <br />Cesarean Delivery <br />(5) <br />NutritiorVweight gain <br />(14) <br />Roaming in at hospital <br />(6) <br />Prenatal /postnatal <br />(15) <br />Breast or bottle feeding <br />exercises <br />(16) <br />Postpartum period <br />(7) <br />Sexuality d'inl preq=r_y <br />(17) <br />Early parent Wbaby care <br />(8) <br />Signs of labour <br />(18) <br />Car seat instruction <br />(9) <br />Preterm labor <br />(19) <br />Contraception Reviewed by <br />DEHNR 3300 (Revised 2/90) <br />General Services Division (Review 1/95) <br />Initials <br />Date <br />