PREGNANCY AND BEYOND Resource Guide - Taking Care of Baby and Me - Dell ...
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Taking Care of Baby and Me® PREGNANCY AND BEYOND Resource Guide 1025571TXMENDCT 08/20 DellChildrensHealthPlan.com/members
Here are a few steps to take as you prepare
to welcome your baby into the world:
What questions do you have
for your OB?
You can write them below to take with
you to your next visit:
To stay healthy in your
pregnancy, set up a visit 1. ________________________________
with your OB doctor ________________________________
An obstetrical doctor (OB) is a medical
expert in pregnancy care. You will see
2. ________________________________
this doctor for prenatal visits during your
pregnancy and after you give birth. When ________________________________
you visit your OB, they’ll work with you
to determine your health risks. Your OB
3. ________________________________
will help you set up the appointments
you need to monitor you and your baby ________________________________
throughout pregnancy.
During your visits, your OB can answer
4. ________________________________
your questions about pregnancy and
Support at each stage of delivery, including topics such as: ________________________________
pregnancy and delivery
• Foods to eat • Birth options
or avoid • Mood changes 5. ________________________________
• Safe exercises • Feeding
• Medicines • Family planning ________________________________
A healthy pregnancy is a team effort. You took an
important step to make informed decisions about your
health care by joining Dell Children’s Health Plan. While To keep your benefts, tell
your Health and Human You can use the
you are on your pregnancy journey, this guide can teach
Services Commission Find a Doctor
you about plan benefits and resources to support your
(HHSC) you’re pregnant: tool on our
well-being. You are not going through this alone. We
• Visit yourtexasbenefits.com. website to find an
are ready to answer any questions you may have along
• Call 2-1-1. OB near you.
the way. You can call our Member Services team or
24-hour Nurse HelpLine at any time, day or night.
1
Healthy Rewards
You can earn rewards for
going to your health visits! If you have both Medicare
You can redeem your and Medicaid (dual
Healthy Rewards with gift
benefits), you may
cards from a list of stores on
not qualify for Healthy
your Benefit Reward Hub. To join the
Rewards. The Centers
Healthy Rewards program, visit your
benefits page at DellChildrensHealthPlan.
for Medicare & Medicaid Services
com/members. From here, you can log in
(CMS) has rules for dual benefits.
to your Benefit Reward Hub and visit the Please call Member Services to find
Healthy Rewards portal. You also can call out which benefits apply to you.
888-990-8681 (TTY 711), Monday through
Friday from 8 a.m. to 7 p.m. Central time.
HEALTHY PREGNANCY AND SAFE DELIVERY
Your choices throughout pregnancy Extra support
My Advocate® can lead to a healthy pregnancy and
You can receive one-on-one support with
My Advocate is a health program that safe delivery of your baby. You can be
a nurse who learns about your personal
makes your care personal. The program confident knowing your wellness team is
health needs and pregnancy through our
starts with a health screener meant to here for you.
case management program. Your OB case
help us find out more about you. The During visits with your OB, they will manager can help you set up health visits,
answers you give during the screener help you prepare for your baby’s birth. find community resources, and partner
inform us of how to provide you with Together, you can make a birth plan, with you to make informed decisions
the best level of support based on your talk through your questions, and find before and after you deliver.
health needs. You may participate in ways to help you gain peace of mind
My Advocate by phone, through the about your care. Helpful resources:
smartphone app, or on the web. • Show your love!: This app has
You can choose how you want to receive
There are also tools in the app and updates: by mobile app, website, or steps to keep you and your
website to help you: Our 24-hour Nurse baby healthy. Download Show
weekly calls from MaryBeth, your virtual
pregnancy coach.
HelpLine is ready your love! in your app store today.
• Track your baby’s growth.
24/7 to answer any
• Count the kicks in your pregnancy. When you join My Advocate, you’ll
• Prepare for your baby’s birth
health questions, even
receive a screening call from MaryBeth, With My Advocate,
with checklists. when your OB’s office
your virtual pregnancy coach. She will MaryBeth makes it easy
is closed. When your doctor
ask questions about your health and to connect with your
pregnancy to see if you could benefit
is not available, you also can case manager. She will
To join My Advocate, download My from case management. If you want a
use LiveHealth Online to see let your case manager
Advocate in your app store or create referral for case management, please call a doctor on your smartphone, know right away if you have any
an account at myadvocatehelps.com. Member Services to ask for one. tablet, or computer. questions or concerns. Your case
manager will follow up with you.
2 Pregnancy and beyond 3
Substance use and pregnancy Your birth plan
There is no safe amount of A birth plan helps make sure your choices
alcohol, tobacco, or drugs to are respected during labor and delivery.
use when you are pregnant. Your birth plan describes what you want
Your OB’s priority is to make to the doctor and nurses who help deliver
sure both you and your baby are your baby. It can include the types of
healthy. We encourage you to talk openly medicine you do or do not want to take,
with your OB about the substances you who you want to be in the room with
are taking. They can work with you to you when you have your baby, and any
make a safe plan to stop using alcohol, religious or cultural practices you follow.
tobacco, and drugs that can harm you
and your baby.
Making a birth plan can help
Helpful resources:
you feel better prepared
• Smokefree.gov: Support, tips, for labor and delivery.
tools, and expert advice to help you
quit smoking.
• Substance Abuse and Mental Below are questions to answer
Health Services (SAMHSA) National to start your birth plan:
Helpline: This free helpline offers Where do you want to have
treatment referral for people facing your baby?
mental health or substance use
problems. You can call SAMHSA 24/7 CARING FOR YOURSELF AND YOUR BABY
at 800-662-4357 (TTY 711).
Do you want skin-to-skin contact
• Smoke-Free Women: This website
with your baby within an hour of In your follow-up visit with your OB after
provides support, tips, tools, and If your Medicaid coverage
birth (recommended)? your baby’s birth, they will make sure your
expert advice to help you quit will end after your
body is healing and help you adjust to
smoking. Visit women.smokefree.gov. baby’s birth, plan your
life with a newborn. It’s best to see them
Who do you want in the room with you postpartum visit before
within 1 to 3 weeks, but no later than
during labor and delivery? you lose coverage. You can
12 weeks after delivery. Your doctor may
It is helpful to find a want to see you sooner than call the Health and Human Services
doctor (pediatrician) three weeks if you had a high-risk Commission (HHSC) at 2-1-1 to ask
Are there any traditions you want for
you trust for your pregnancy or delivered by C-section. about keeping your coverage.
your baby’s birth?
baby before you
deliver. You can use the With My Advocate, you can
Find a Doctor tool on the Dell Who do you want to cut the You can earn Healthy
receive tips from MaryBeth
Children’s Health Plan website umbilical cord? Rewards for going to
or online to help you with
this postpartum visit!
to search for one. self-care, recovery, stress
For a sample birth plan, go to management, and support
marchofdimes.org, go to Health Topics, with parenting.
and visit the Labor and Delivery section.
4 Pregnancy and beyond 5
Well-baby care Helpful resources: Breastfeeding
Your baby’s primary care provider can • Centers for Disease Control and Breastfeeding is a healthy decision
provide the best care by working closely Prevention (CDC): You can to make for your baby’s growth and
with you. For the first year of life, the track child development at development. The American Academy
American Academy of Pediatrics suggests cdc.gov/ncbddd/actearly/index.html. of Pediatrics suggests that babies are
your baby have a checkup at birth, 3 to • March of Dimes: Read about only breastfed for at least the first
5 days old, and at 1, 2, 4, 6, 9, 12, 15, 18, 24, the latest research and topics to six months of their lives, unless you
and 30 months old.1 keep you and your baby healthy have a medical reason not to breastfeed.
at marchofdimes.org.
You may earn Healthy Rewards for Helpful resources:
• CDC Milestone tracker: Track
taking your baby to their health visits!
Log in to your Benefit Reward Hub at
your baby’s milestones from age • Women, Infants, and Children (WIC):
2 months to 5 years. Download WIC provides community support for
DellChildrensHealthPlan.com/members
the CDC Milestone tracker in your breastfeeding. Learn how to apply in
or call 888-990-8681 (TTY 711) to see if
you qualify.
app store today. the Community Resources section Neonatal intensive care unit
of this guide.
1 American Academy of Pediatrics website, The neonatal intensive care unit (NICU) is
Recommendations of Preventative Pediatric Health
• La Leche League International: This
With My Advocate, a unit in the hospital for babies who need
Care (accessed September 2020): downloads.aap. program provides mother-to-mother
MaryBeth will teach you org/AAP/PDF/periodicity_schedule.pdf.
special care after birth. If your baby is
breastfeeding support, encouragement,
about vaccines (shots) and premature at birth or you had a high-risk
and education. To find your local
your baby’s well-child visits. pregnancy, your baby may need to stay in
league, visit llli.org.
the NICU. A team of trained doctors and
• Infant Risk Center: Find answers to
nurses will work with your baby to help
your questions about breastfeeding
them fully recover.
and medicines. Call 806-352-2519
(TTY 711) or visit infantrisk.com. You can trust your case manager in our
NICU Case Management program to
support you while your baby is in the
You may qualify for a NICU. We are committed to making sure all
of our high-risk infants have a detailed plan
breast pump. for care in the NICU and a safe transition
home. If you have any questions about the
NICU Case Management program, please
call Member Services for help.
Helpful resources:
• Graham’s Foundation: Provides
Please call Member Services
support, advocacy, and research
to ask if you qualify for a
for preemies and their families.
breast pump and how you
Visit grahamsfoundation.org.
can receive one. • My NICU Baby: Created with the March
of Dimes to provide answers, tools, and
support for families of a NICU baby.
6 Pregnancy and beyond 7
Postpartum depression Family planning Helpful resources:
Postpartum depression (PPD) is common If you want to have another baby, you • Healthy Texas Women (HTW)
and treatable. should talk to your doctor before you program: HTW is an eligibility
try to become pregnant again. Having a program specific to Texas members
pregnancy too soon after you give birth that offers family planning and
According to the CDC, may cause your next pregnancy to be preventive care to members when
about 1 in 8 women high-risk for an early delivery or preterm
birth. It’s best to wait at least 18 months
they lose eligibility. You can apply
by visiting healthytexaswomen.org
experience symptoms of between pregnancies. Your body needs or by calling 2-1-1.
postpartum depression.2 proper time to heal and recover.3 • Office on Women’s Health: You can visit
the website at womenshealth.gov or call
Until you are ready for another pregnancy,
800-994-9662 (TDD 888-220-5446)
you can choose from many birth control
You may be experiencing PPD if you: with questions about health topics or
options. Talk with your doctor about the
• Feel anxious or depressed most of the their special programs.
best options for you and how they may
day, every day.
affect your body. 24-hour Nurse HelpLine
• Have trouble bonding with your baby.
can answer any questions you have about
• Do not feel better two weeks after With My Advocate,
the method you choose. You should
giving birth. you can receive tips
call Member Services to ask about your
By asking for help, you are taking the from MaryBeth or
benefits for birth control.
first step to heal. Your doctor can make online to help you with
If you have any health conditions or take family planning and
a support plan for you if you are willing
any medicines, you should also talk to birth control options.
to share how you feel. Your emotional
your doctor about how they can affect
well-being is just as important as your
your next pregnancy. They may suggest
physical health.
you take a prenatal vitamin with folic acid
Helpful resources: before you become pregnant to protect
your baby’s health.4
• Postpartum Support International:
Visit postpartum.net or call
800-944-4773 (TTY 711) 24/7 and
You can read about family
follow the prompts to be connected
with someone.
planning at cdc.gov by
Call 911 right away • What to Expect: Visit whattoexpect.com searching “preconception.”
You also can search
if you feel like and search “postpartum depression.”
“contraception” for birth
hurting yourself or control methods.
your baby. You also With My Advocate, you can
can call the Behavioral receive tips from MaryBeth
or online to help you cope 3 The American College of Obstetricians and
Health and Substance Use Gynecologists website, Interpregnancy Care
with mood changes.
Disorder services line at (accessed September 2020): acog.org/clinical/
clinical-guidance/obstetric-care-consensus/
888-596-0268 (TTY 711) 24/7. articles/2019/01/interpregnancy-care.
2 Centers for Disease Control and Prevention website, 4 March of Dimes website, Folic Acid (accessed
Depression During and After Pregnancy (accessed September 2020): marchofdimes.org/pregnancy/
September 2020): cdc.gov/reproductivehealth/ folic-acid.aspx.
features/maternal-depression/index.html.
8 Pregnancy and beyond 9
Community resources
Do you need help paying bills or finding food or
housing? We partner with local organizations to
help you find resources for assistance. When you
type in your ZIP code at dellchildrens.net/health-
plan/members/additional-resources/resource-
library, you can find local organizations near you.
Women, Infants, and Call 24-hour Nurse HelpLine to find out
Children (WIC) if there is a CenteringPregnancy site
close to you.
WIC is a program that provides many
HEALTH COVERAGE FOR YOU AND YOUR BABY resources to families with children. Nurse-Family Partnership
You can receive food vouchers, health — Helping First-Time
education, and peer counseling for moral
Our goal is to keep you and your baby You should also receive a subscriber ID
support in parenting.
Parents Succeed®
healthy. You or your baby could lose number for your newborn. If you do not
Are you a first-time parent in your first or
coverage with Dell Children’s Health Plan receive your newborn ID or Medicaid card, To read about the program and find out if
second stage of pregnancy (trimester)?
after birth. To keep your baby covered, please call the QM team at 888-743-3508. you qualify:
If yes, Nurse-Family Partnership may be
it is best to tell your Health and Human They will help speed up the process to 1. Visit fns.usda.gov/wic. a great resource for you. A nurse will
Services Commission (HHSC) about your help your baby join the health plan and 2. Go to How to Apply. come to your home to offer support
pregnancy before and after you deliver can assist with any questions. 3. Search for your state’s toll-free number throughout your pregnancy and until
by calling 2-1-1. or visit hhs.texas.gov. your baby is 2 years old. To read about
You can make sure your baby stays a the program or see if there is a site near
member by following these steps:
CenteringPregnancyTM
You want to make sure you, visit: nursefamilypartnership.org.
you stay a member as well There’s a new way to receive prenatal
• Newborns born to Medicaid eligible
mothers who are members of the every year by: care. It’s called CenteringPregnancy. It Healthy Families
health plan in the STAR program • Visiting the Your Texas Benefits
allows a group setting with other parents America (HFA)
for discussion with your OB and nurse.
become members of the health plan website and completing your This program provides home visit
With CenteringPregnancy:
for 90 days following the date of birth. online renewal. services and community support
• Babies automatically join the mother’s • If you need help with your renewal, • You can go to your prenatal visits with referrals for your family. You can
CHIP health plan at birth with CHIP call 2-1-1 or the Member Services other parents who are at the same or receive help with support groups,
eligibility and renewal following the number on your member ID card. similar time in their pregnancies. prenatal and postpartum care,
timeframe as that of the mother. • You meet as a group and share with child development, and family goal
You can call us with any questions
each other to learn about pregnancy. planning. To find an HFA site near you,
After your baby is born, please call at Member Services. We’re happy
• You have 10 prenatal visits that last up visit healthyfamiliesamerica.org or
Quality Management (QM) Member to help!
to two hours long and includes private call 312-663-3520.
Experience at 888-743-3508 to complete
time with your OB.
the Delivery Confirmation Screening.
10 Pregnancy and beyond 11
Thank you
Healthy Texas Women (HTW) • Imaging studies, including
blood pressure monitoring, and
and HTW Plus
diabetes testing
HTW provides a wide variety of • Anticoagulant, antiplatelet,
core women’s health and family antihypertensive, and for trusting Dell Children’s
planning services.
Members may be eligible for HTW Plus, a
asthma medications
• Substance use disorder treatment,
Health Plan with your
program that offers enhanced postpartum including for drug, alcohol, and health care.
care to women who have had a pregnancy tobacco use
in the past 12 months. HTW Plus offers After 12 months, members of HTW Plus
services that focus on treating major will continue to receive services through
health conditions, like: the HTW program.
• Individual, family, and group For more information about HTW
psychotherapy services and HTW Plus, visit the HTW website
• Peer specialist services at healthytexaswomen.org.
Notes
References and sources:
• CDC website: Breastfeeding (July 2020): https://cdc.gov/breastfeeding/index.htm.
• March of Dimes website: Why at least 39 weeks is best for your baby (July 2020):
https://marchofdimes.org/pregnancy/why-at-least-39-weeks-is-best-for-your-baby.aspx.
• American Academy of Pediatrics. Healthychildren.org: Depression and Anxiety During
Pregnancy and After Birth: FAQs (Accessed September 2020): https://healthychildren.
org/English/ages-stages/prenatal/Pages/Depression-and-Anxiety-During-Pregnancy-
and-After-Birth-FAQs.aspx.
• Mayo Clinic website: Family planning: Get the facts about pregnancy spacing
(February 5, 2020): https://mayoclinic.org/healthy-lifestyle/getting-pregnant/
in-depth/family-planning/art-20044072.
• Office on Women’s Health website: Prenatal care and tests (January 2019):
bit.ly/2KdrNbP.
• ACOG Long-Acting Reversible Contraception Program: bit.ly/2mdwcEP.
12 Pregnancy and beyond 13
Member Services: 888-596-0268 (TTY 711) 24-hour Nurse HelpLine: 888-596-0268 (TTY 711) DellChildrensHealthPlan.com/members The information in this document is for educational purposes only. It is not to be used as medical advice.
You can also read
