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IMPLICIT Network

IMPLICIT Network

Innovations for Maternal and PerinataL Care ImprovemenT

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    • About IMPLICIT
    • Where We Work
    • Meet the Team
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  • Projects
    • Interconception Care – ICC
    • 4th Trimester – 4TM
    • Committees
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Projects

Interconception Care (ICC)

This model focuses on screening mothers/birthing people for smoking, depression, family planning, and multivitamin with folic acid intake during baby’s well child visits 0-24 months.

4th Trimester (4TM)

This model focuses on redefining postpartum care for mothers/birthing people by assessing of conditions and risks in the prenatal and intrapartum period.

Committees

Initiatives further the IMPLICIT Network’s mission, vision, and values to continuously improve and innovate care models. Sub-committees include: Health Equity, Data Review, and Scholarly Activity.

Our Impact

Dyads (mothers/birthing people and their babies) screened with ICC
214,602 Well Child Visits using ICC
Mothers/birthing people impacted by 4TM
Early postpartum 4TM visits

Testimonial

I saw a patient during her prenatal care as well as for 4th trimester visits. Her contraception plan was to have a bilateral tubal ligation (BTL), we identified this during the prenatal period, and were able to have her scheduled to get her BTL about 6 weeks postpartum. We discussed options for bridging contraception and the patient preferred to use condoms. She received her BTL as planned and found out 3-4 weeks after her BTL that she was pregnant. This news was a big shock for her and she wanted to consider all of the available options. She was in denial about the pregnancy for a long time and chose not to seek prenatal care, but she brought her daughter regularly to her well child visits (WCVs). During the ICC portion of the WCVs, I was able to discuss options for the pregnancy with mom, order her initial prenatal labs and ultrasound, and refer her to counseling. While she ultimately did not come into the office for a prenatal visit until after 20 weeks of pregnancy, I saw her several times prior to that visit during her daughter’s WCVs and was able to have an ongoing discussion with her about options as well as provide care for her immediate needs. The relationship that the patient and I had formed during her prenatal care was important for helping us to continue to work together during her daughter’s WCV and ultimately led to her feeling comfortable coming to establish prenatal care again for her unexpected pregnancy.

~ IMPLICIT Provider

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Get the Latest

Check out this recent article citing the IMPLICIT Check out this recent article citing the IMPLICIT Network as a collaborative that has developed and supported the implementation of the fourth trimester care model at 12 family medicine practices in Pennsylvania and New York. 

Click the link in our bio to read more!

#IMPLICITNetwork #FourthTrimester
Meet our Leadership Council - today we're highligh Meet our Leadership Council - today we're highlighting Dr. Narges Farahi!

Dr. Narges Farahi is a family medicine physician and longtime champion for person-centered and family-centered care. Dr. Farahi is a Professor at UNC, where she served as the Director of the Family Medicine Perinatal and Child Health Program for ten years. Her heart is in community health, and her outpatient practice is at Prospect Hill Community Health Center, a rural federally qualified health center. Prior to her current role, Dr. Farahi served as the medical director of the NC Farmworker Health Program. Her clinical interests include providing seamless care for people with the capacity for pregnancy across the continuum of care, including before, between and after pregnancies. Dr. Farahi is committed to providing trauma-informed care, supporting people and families to meet their reproductive goals, and using quality improvement strategies to help health care practices and systems better meet the needs of patients and families. She has been a leader in implementing enhanced access to comprehensive contraception options and the IMPLICIT interconception care model in the primary care setting. Dr. Farahi works to integrate community engagement and implementation science to transform care with a focus on patients with hypertensive disorders of pregnancy and polycystic ovary syndrome. Her goal is to center the voices of patients and families from marginalized communities and build partnerships with patients and communities to improve health.

#IMPLICITNetwork
Juggling the responsibilities of life and parentho Juggling the responsibilities of life and parenthood often means less time to take care of yourself. Many mothers/birthing people (MBP) don't attend their own doctor's appointments, but almost ALL attend their child's doctor's appointments. 

Smoking/vaping status is one of the screening questions asked during both IMPLICIT Interconception Care (ICC) and 4th Trimester (4TM) models of care. Many times, MBPs who smoke or vape, see quitting during pregnancy as a time limited response and will start again after having the baby. 

IMPLICIT ICC screens mothers/birthing people at their child's Well Child Visits (WCV) from ages 0-24 months and offers the opportunity to meet MBPs where they are at, providing support in maintaining or starting their smoking/vaping cessation. 

IMPLICIT data showed that an overwhelming number of MBPs are willing to receive advice about their health from their child's provider. 

Identifying risks and providing interventions at WCVs in between pregnancies promotes not only healthier future pregnancies, but a healthier mother/birth person, child, and family. 

#IMPLICITNetwork #SmokinginPregnancy #VapinginPregnancy #MaternalandChildHealth #SmokingCessation #InterconceptionCare #IMPLICITICC #4thTrimester #4TM
Check out this recent article citing the IMPLICIT Check out this recent article citing the IMPLICIT Network as a learning collaborative that supports current and early career family physician's training in evidence-based pregnancy care.

Click the link in our bio to read the full article!

#IMPLICITNetwork
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