The aims of the intervention are: 1. Assess the feasibility and effectiveness of preconception health care initiated by pediatric clinicians on outcomes including women's access to primary care and contraceptive services; contraception and rapid repeat pregnancy rate and interpregnancy interval; and women's immunization rate, control of chronic illnesses, nutritional status, smoking and substance use, mental health and violence exposure; child and family health. 2. Assess the cost-effectiveness of preconception health care initiated in pediatric practices. The investigators will evaluate these outcomes with a clinic based trial comparing usual care to preconception care intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
415
Johns Hopkins Harriet Lane Clinic
Baltimore, Maryland, United States
Receipt of preconception care
Time frame: 6 months
Receipt of Preconception Care
Time frame: 12 months
Use of Highly Effective Contraception
Time frame: 6 months
Use of Highly Effective Contraception
Time frame: 12 months
Attendance at Preventive Health Care Visit
Time frame: 6 months
Attendance at Preventive Health Care Visit
Time frame: 12 months
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