Los Angeles County
Department of Public Health
Maternal, Child, and Adolescent Health Programs
600 S. Commonwealth Ave., 8th Floor
Los Angeles, CA 90005
Tel: (213) 639-6400
FAX: (213) 639-1034

Client Orientation: CPSP practitioners provide an initial orientation and continue to orient the client to needed services, procedures, and treatments throughout her pregnancy.

Initial Assessments: The initial obstetric, nutrition, health education, and psychosocial assessments are the first steps taken to determine a client’s individual strengths, risks, and needs in relation to her health and well-being during pregnancy. Ideally, all four assessments are completed within four weeks of entering care.

Individualized Care Plan (ICP): The ICP identifies and documents the client’s strengths and a prioritized list of risk conditions/problems, sets goals for interventions, and identifies appropriate referrals.

Interventions: Appropriate obstetric, nutrition, health education, and psychosocial interventions during pregnancy enable a woman to increase control over and improve her health and the health of her baby. Interventions can include services, classes, counseling, referrals, and instructions as appropriate to the needs and risks identified on the ICP.

Reassessments: Reassessments are offered at least once each trimester and postpartum, and serve as an opportunity to identify other risks and check the client’s progress on those issues the woman wants to change.

Postpartum Assessment and Care Plan: The postpartum period is the time to assess the client’s health, strengths, and needs in relation to infant care skills as well as any needs of the baby. A client may receive nutrition, health education, and psychosocial support services anytime throughout the 60-day postpartum eligibility period.

New Quality Assurance Indicator - Delivery Records

As of March, 2013, hospital delivery records will be required as part of the chart review during CPSP quality assurance visits in LA County. This will ensure that CPSP providers are informed of any complications during birth that may affect postpartum care and future pregnancies. The delivery record documentation should be the typewritten discharge summary or a legible copy of the delivery room record, and must include the infant’s weight, Apgar scores, the type of delivery, and any complications.

New Weight Gain Grids for Women Pregnant with Twins

The California prenatal weight gain charts now include three new grids for normal weight, overweight, or obese women pregnant with twins. The grids continue to be based on the 2009 Institute of Medicine’s (IOM) Weight Gain During Pregnancy: Reexamining the Guidelines. The new forms can be downloaded here. Please visit the IOM website for the weight guidelines and resources to educate women before, during and after pregnancy.

New Recommendations for Tdap Vaccination During Pregnancy

The Centers for Disease Control and Prevention now calls for pregnant women to get a Tdap vaccination with every pregnancy so the baby can have some immunity prior to receiving their first dose of DTaP at 2 months of age. Read CDC’s full recommendation here.