Orange County NC Website
Browse       Search
N.C. Department of Environment, Health, and Natural Resources <br />Division of General Services <br />CONTRACT ADDENDUM <br />Maternal Health ranch <br />Office, Section, or Branch <br />Page 4 of 5 <br />FY 1991 -92 <br />SIDI <br />92 -5421 g <br />Contract Number <br />e Cottin T4..1 4mk merit <br />Contractor Maternal Health <br />Activity <br />(h) An estimated - 95 '% will have their weights plotted on a weight gain <br />grid for all routine visits. <br />(i) An estimated loo % of those with any of the foll <br />csring hi <br />gh risk <br />om'x itions will receive counseling from a nutritionist that addressers <br />the specific audition or aorditions: <br />(1) Maternal age S 15 years- <br />(2) Chronic hypertension <br />(3) Diabetes mellitus <br />(4) Sickle cell disease <br />(5) Alcohol abuse <br />(6) History of previous LBW <br />infant <br />(7) M ltiple fetuses <br />(8) errwight k 15% for standard body <br />(9) Weight lass 2 2 lb. /month in LZI and <br />(10) Weight gain S 8 lbs. by 26 weeks <br />(11) Intrauterine growth retardation <br />(12) H9b c 9 ar Hot. g 30* <br />(7) An <br />containing estimated 100 % will be provided with a prenatal supplement <br />folic acid and iron. <br />(k) An estimated go % of those patients with abnormal clinical firdirys <br />Will be appropriately followed. <br />(1) An estimated 95 % of those with a high risk condition will reveive <br />consultation from or be referred to an obstetrician or high risk <br />maternity clinic. <br />(m) An estimated 95 !k will have =Wleted a risk for prete= <br />labor if admitted prig to 35 weeks of pregnancy. <br />(n) An estimated 90 8 will receive individual and/or group education which consists of at least ten of the followin prenatal <br />ents : <br />(1) Clinic routines <br />(10) <br />Labor and delivery <br />(2) Medication/drugs <br />(3) Anatomy /physiology <br />(11) <br />(12) <br />RelaxaticrVbreathing techniques <br />Cervical dilation and pushing <br />(4) Danger signs of pregnar y <br />(13) <br />Cesarean Delivery <br />(5) NutritiaVweight gain <br />(6) Prenatal /postrnatal <br />(14) <br />Roaming in at hospital <br />exorcises <br />(15) <br />lust or bottle feeding <br />(7) SO=lity during pregnancy <br />(16) <br />(17) <br />Postpartum Period <br />Early parent=Vbaby cage <br />(8) Signs of labor <br />(9) Preterm labor <br />(18) <br />Car seat instruction <br />(19) <br />Contraception <br />(d) An estimated 100 % of thane with a <br />condition specific educatiorVcoun_seling. <br />risk corx1ition will rive <br />DEHNR 3300 (Revised 2/90) <br />General <br />Services Division ( Review 1/95) <br />Initials Date <br />