October 2021

SAFE SLEEP FOR BABIES There have been dramatic improvements in reducing baby deaths during sleep since the 1990s, when recommendations were introduced to place babies on their back for sleep. However, since the late 1990s, declines have slowed. Other recommended safe sleep practices today include eliminating hazards, such as keeping blankets, pillows, bumper pads, and soft toys out of the sleep area. Recommendations also include room sharing but not bed sharing. These practices can help lower the risk of sleep-related infant deaths, including sudden infant death syndrome (SIDS), accidental suffocation, and deaths from unknown causes. Not all caregivers follow these recommendations. We have the opportunity to counsel our caregivers on safe sleep practices during pregnancy and after the baby is born. Healthy Start Home Visitors can: Advise caregivers to place babies on their back for every sleep. Keep soft bedding such as blankets, pillows, bumper pads, and soft toys out of baby's sleep area, and room share but not bed share with babies. Ask caregivers about how they place the baby to sleep, challenges to following recommendations, and help them find solutions to those challenges. Model safe sleep practices when you are in the home for your visit. Follow the latest recommendations from the American Academy of Pediatrics for safe sleep. The problem is that ever year, there are thousands of sleep-related deaths among babies. For an infographic on safe sleep to use with your Healthy Start participants, please click here. Also, click here for a safe sleep infographic specific for dads. You can find a copy of our Healthy Start Safe Sleep poster here. Source: https://www.cdc.gov/vitalsigns/safesleep/ FROM THE DIRECTOR Greetings, We are just about there - the time when we fall into the hustle and bustle of the holiday season. It's hard to believe that there are only 3 more months left in the 2021 year! We hope 2022 will be brighter and healthier for everyone! Please consider using Amazon Smile this holiday season as you make your purchases. In doing this, a percentage of what you spent will be sent to our Coalition, completely free to you. Here at the Coalition, we wish you and your family a very happy holiday season! Our hope is that you will be able to rest and spend time with your families and those you love most. Best,   Julie Moderie, MPH Program Director UPCOMING MEETINGS CHS Healthy Start Home Visitors Meeting Thurs., October 7th @ 9:00 AM CHS CI&R Home Visiting Advisory Committee Meeting Thurs., October 7th @ 11:00 AM CHS Service Provider Advisory Council Meeting - NEW TIME! Thurs., Nov. 4th @ 11:00 AM CHS Executive Committee Meeting - NEW TIME! Thurs., Nov. 4th @ 12:00 PM CHS Board of Directors Meeting Thurs., Dec. 2nd @ 1:00 PM COALITION SCREENING RATES July 2021 Prenatal (Goal = 70%) Citrus County - 72% Hernando County - 55% Lake County - 68% Sumter County - 57% Coalition - 65% State - 64% Infant (Goal = 85%) Citrus Memorial - 100% Bayfront Seven Rivers - 100% Bayfront Spring Hill - 100% Oak Hill Hospital - 100% Advent Health Waterman - 100% UF Health Leesburg - 100% South Lake Hospital - 59% Community Birth & Wellness Ctr - 100% Coalition - 92% State - 96%

PREVENTING PRETERM BIRTH WITH PROGESTERONE TREATMENT 17P

What is 17P? The progesterone treatment known as 17 alpha-hydroxyprogesterone caproate (17P) has been shown to reduce the risk of preterm birth among women with a history of a prior preterm birth. In 2003, two major research studies found that the use of 17P resulted in a 33% reduction in risk of recurring preterm birth. Additionally, although a woman may still deliver a few weeks early, women who use 17P are more likely to carry the pregnancy at least one week longer than are women who do not take 17P. Who Should Get 17P? Women eligible for 17P must meet the following criteria: Have a history of a previous singleton spontaneous preterm birth between 200 and 366 weeks gestation. Have a current singleton pregnancy Initiate treatment between 160 and 216 weeks gestation. If an eligible woman presents to prenatal care late, 17P may be initiated as late as 236 weeks gestation. Currently, studies have not demonstrated that 17P is an effective intervention for the prevention of preterm birth in other pregnant women. The use of 17P is not appropriate for women with a multi-fetal pregnancy, women with a short cervix and no prior preterm birth, or women with a previous medically indicated preterm birth. Is It Safe? Studies show that 17P is safe and that there are no serious side effects for the mother or the baby. Results also demonstrate that there is no increase in the rate of birth defects for infants whose mothers used 17P during pregnancy. One study continues to follow infants into childhood and has observed no increased risk for birth defects or other health problems. Side effects are very rare. If side effect do occur, they commonly include soreness, itching, or bruising at the site of injection. When Should the 17P Treatment Be Given? Treatment should be initiated between 160 and 216 weeks of pregnancy and continued every week until 366 weeks gestation.

The use of 17P does not guarantee that the pregnancy will be carried to term. Therefore, it is important that participants be educated about how to reduce the risk of preterm birth and ways to recognize the signs of preterm labor. Source: msdh.ms.gov/msdhsite/_static/resources/5376.pdf

TOBACCO AND PREGNANCY

You can find our Healthy Start tip sheet on Tobacco and Pregnancy here. Source: https://www.acog.org/womens-health/infographics/tobacco-and-pregnancy

COALITION UPDATES

Board Membership Please contact Heather Hollingsworth if you have someone interested in becoming a Board Director. We are currently looking for representation from all three categories: community; advocacy and consumer. CHS is on AmazonSmile Don't forget to shop using AmazonSmile! With every purchase made using the following link, Amazon will make a donation to Central Healthy Start at no additional cost to you. How cool is that? Go ahead and get your "shop" on! https://smile.amazon.com/ch/59-3118984. Lake County Baby Shower Lake County hosted their World's Greatest Baby Shower on Friday, September 10, 2021. The drive-thru event was held at the Lake Square mall in Leesburg, Florida and approximately, 40 cars attended. A virtual presentation was held on Friday, September 17, 2021 where 25 families participated and 15 prize winners were selected. CAC of Hernando County Moving Crib Display Congratulations to the Children's Advocacy Center of Hernando County! They are helping prevent infant sleep-related deaths by educating parents and caregivers on the importance of practicing safe sleep for their babies. Stop by and see the Moving Crib Project on display now!

October Anniversary Angie Bowdoin, QA Specialist, Healthy Start (10/9/2017) - 4 Years November Anniversaries Karen Woulf, Provider Liaison, Healthy Start of North Central Florida (11/7/2011) - 10 Years Heather Hollingsworth, Business Operations Specialist, Healthy Start (11/14/2008) - 13 Years Erin Peterson, Women's Intervention Specialist, Nurse-Family Partnership (11/21/2016) - 5 Years Jo Aine Clarke, Family Partner, NewboRN Home Visiting Program (11/30/2020) - 1 Year December Anniversaries Tiffany King, Administrative Assistant, Healthy Start (12/8/2020) - 1 Year Katherine Murhead, Nurse Home Visitor, Nurse-Family Partnership (12/8/2020) - 1 Year Hannah Rains, Data Entry Clerk, Nurse-Family Partnership (12/28/2020) - 1 Year Happy Work Anniversary to all those who are celebrating this quarter! Congrats to Karen and Heather - they are in the double digits! CAC of Citrus County Moving Crib Display Congratulations to the Children's Advocacy Center of Citrus County! They are helping prevent infant sleep-related deaths by educating parents and caregivers on the importance of practicing safe sleep for their babies. Stop by and see the Moving Crib Project on display now!

Please help us welcome our newest team members!

Connect Abigail Cato, Connect Representative Also, Christina Wegner is the new Connect Assistant Manager and Brittany Webber is the new Connect Referral Specialist - congratulations to you both! NewboRN Home Visiting Program Alice Maffei, Family Partner

We are currently seeking applicants for the following positions. Those interested in applying should do so using the link provided in the job description below. Positions are open until filled. Connect Representative Provider Liaison NewboRN Home Visiting Program Weekend Family Partner NewboRN Home Visiting Program Weekend Nurse Home Visitor

Dina Martinez Program Supervisor Hernando County Healhty Start

How long have you worked for Healthy Start? 10 Years What do you like most about your job? Being able to work with families and connect them to resources What do you enjoy doing in your free time? Spending time with my family If you could learn to do anything, what would it be? Pottery What is one food you cannot resist? Chocolate Cake What is your favorite season? Spring When you were a kid, what did you want to be when you grew up? I wanted to help people - nothing specific Where is your favorite place to eat? Italian

Barbara Wood Care Coordinator Citrus County Healthy Start

How long have you worked for Healthy Start? 5 Years What do you like most about your job? Support, education, resources, and relationships established and provided to our clients. What do you enjoy doing in your free time? Walking, running, cycling, bowling, beach time, cooking, baking, sewing, family time, socializing with friends, sport events If you could learn to do anything, what would it be ? Play the guitar What is one food you cannot resist? Peanut butter and chocolate What is your favorite season? Winter/Christmas When you were a kid, what did you want to be when you grew up? Work at the World Bank Where is your favorite place to eat? Anywhere my family is

Olga Garcia MCH Quality Management Coordinator Healthy Start

How long have you worked for WellFlorida? 10 Years What do you like most about your job? My work family and how valued they make me feel. The mission of the program and the opportunity of being part of the constant growth of the program, the Coalition and WellFlorida Council. What do you enjoy doing when you are not working? I love dancing (many types of music and cultures), playing the guitar and singing, traveling, swimming and talking to friends What is a fun fact about you that most people do not know? That is a hard one. By now everybody knows a lot about me (I overshare lol) so you all have to be my friends forever, you know too much to leave me. What are three words that best describe you? Loving, Calmness, and good listener What is the one thing you cannot live without? Music and coffee. Hard to decide lol What is one food you cannot resist? Chocolate

Jeanette Pekala Contract Manager Healthy Start

How long have you worked for WellFlorida? 9 Years What do you like most about your job? The wonderful people I get to work with and the community that I feel so fortunate to serve. What do you enjoy doing when you are not working? I love to travel with my family and have a love of photography. What is a fun fact about you that most people do not know? I can play the piano. What are three words that best describe you? Friendly, reliable, funny What is the one thing you cannot live without? Coffee! Nothing is better in the morning than a warm cup of black coffee for me. What is one food you cannot resist? Pizza

Nurse-Family Partnership Program Updates

The following are updates from this past quarter: Currently, all home visits are being conducted via telehealth DMCN database, with its improved reporting capabilities, has been integrated since June 2021 Newly created marketing materials designed in house and distributed to the team New website is live. To visit, please go to NCF-NurseFamilyPartnership.org Collaboration between the NewboRN Home Visiting program and Nurse-Family Partnership will allow for all Nurse-Family Partnership clients in Alachua to receive a newborn assessment The following is training and education our Nurse Home Visitors have participated in this past quarter: Education to overcome telehealth difficulties with the Ages and Stages developmental screenings (ASQ-3); Expanded Eligibility Initiative Education - training on engaging late registrants and serving multiparous clients; bi-monthly case conferences; and the NFP Symposium (September 27th through September 30th) The following outreach efforts have been made by our Women's Intervention Specialist this month: participating in the Alachua County Partnership for Strong Families' Community Networking Fair; involvement in Marion County's Substance Exposed Newborn (SEN) Taskforce; planning and participation with Tri-County Baby Shower event; establishing connections with LifeStream's Anthony House in Lake County; collaborating with the Hernando Substance Exposed Newborn (SEN) Taskforce and Hernando's WIC program and breastfeeding team; participating in the Citrus County Florida Healthy Babies meetings; continuing to set up NFP presentations with the different areas of the Department of Children and Families in the Central region.

July 2021 - 7 referrals, 20 clients enrolled, and 26 home visits completed August 2021 - 2 referrals, 20 clients enrolled, and 36 home visits completed September 2021 (as of September 21st) - 7 referrals, 23 clients enrolled, and 18 home visits completed Year-to-Date Total (As of September 21st) - 52 referrals, 23 clients enrolled, 242 home visits, and 10 infants born

THE HEALTHY START TEAM Board Officers Past President - Lesha Buchbinder President - Dana Selfridge Vice President - Joelle Aboytes Treasurer - Sandra Woodard Secretary - Esmeralda Batiz Board of Directors Joelle Aboytes, Department of Children and Families, Circuit 5 Esmeralda Batiz, Community Health Centers Lesha Buchbinder, Early Learning Coalition of Lake County Dee Dixon, Healthy Families Citrus County Maria Granado, Community Health Worker Program in Lake County Porcha Green, Healthy Families Lake, Sumter and Marion Kristen Hopper, LifeStream Behavioral Health Center Dana Selfridge, Healthy Families Pasco Hernando Sandra Woodard, Early Learning Coalition of the Nature Coast Healthy Start Program Supervisors Coalition Staff

Central Healthy Start, Inc. | www.centralhealthystart.org