IHA Daily Briefing: Oct. 3

Thursday, October 3, 2019
14 Organizations Receive Well-Woman Care Grants
Hypertension Risk after 1st Pregnancy Complications
RWJF Develops Beverage Guidelines for Kids Under 2
Briefly Noted

14 Organizations Receive Well-Woman Care Grants
The Illinois Dept. of Public Health (IDPH) Office of Women's Health and Family Services announced yesterday that it has issued $350,000 in competitive grant funding to 14 organizations across the state. OSF St. Joseph Medical Center, Bloomington, the sole hospital recipient, was awarded $22,000.

Organizations receiving funding are charged with developing plans to increase the number of women in their community who obtain a wellness check by removing obstacles for those seeking care, delineating what services are available and identifying opportunities to educate underserved women about the importance of wellness visits.

IDPH said in a press release that during 2016, seven in 10 Illinois women ages 18-44 years (69.2%) had a well-woman visit in the past year. A variety of factors— cost, availability of providers, transportation, competing priorities, and health literacy—impact a woman's ability to receive care.

Hypertension Risk after 1st Pregnancy Complications
A study published in the Journal of the American Heart Association finds that women who experience complications such as preterm births and preeclampsia during their first pregnancy are nearly twice more likely than women without complications to develop high blood pressure later in life — some as quickly as three years later.

Nearly 4,500 women—62% white, 14% black, 16% Hispanic, 3% Asian, and 5% other—participated in the study funded largely by the National Heart, Lung, and Blood Institute, part of the National Institutes of Health (NIH). The average age during their first pregnancy was 27.

The researchers found that 31% of the women with at least one adverse outcome during their first pregnancy experienced chronic hypertension, while only 17% of those who did not experience complications developed this condition. The risk of developing chronic hypertension grew even higher with additional adverse outcomes, they said.

Past studies have shown that adverse pregnancy outcomes — a smaller-than-average baby, a stillbirth, a preterm delivery, for example — are associated with a high risk for hypertension, cardiovascular disease, and diabetes in women at younger ages than those without adverse outcomes. But those studies have relied on retrospectively-collected data and self-reported reproductive histories.

Researchers say their findings underscore the need for doctors to focus more aggressively on knowing the health histories of women—both during their pregnancies to help prevent adverse outcomes, and afterwards to flag their risks for future cardiovascular events.

Read more in a NIH press release.

RWJF Develops Beverage Guidelines for Kids Under 2
A recent Culture of Health Blog post by the Robert Wood Johnson Foundation (RWJF) discusses what young kids should drink and avoid. The blog highlights a RWJF collaboration that developed beverage recommendations for children under age 2 to age 5.

The recommendations are:

  • 0-6 month: breast milk or formula;
  • 6-12 months: breast milk or formula, small sips of water;
  • 12-24 months: whole milk, water and 100% fruit juice (limited consumption); and
  • 2-5 years: Low-fat milk, water and 100% fruit juice (limited consumption).

Prior to this guidance, there had only been healthy beverage recommendations for children ages 2 and older.

Briefly Noted
Experts from the Centers for Disease Control and Prevention’s Division of Healthcare Quality Promotion are presenting at IDWeek on antibiotic prescribing, antibiotic resistance, sepsis, C. diff, device-associated infections, and other topics. IDWeek is the joint annual meeting of the Infectious Diseases Society of America, Society for Healthcare Epidemiology of America, the HIV Medical Association, and the Pediatric Infectious Diseases Society.