The Maternal Health Services' maternal health clinics provide prenatal and postpartum care to Medicaid eligible and other low income women. Services include medical and dental assessment, health and nutrition education, psychosocial screening and referral, care coordination, assistance with plans for delivery and postpartum home visiting. Monitoring is directed by the Bureau of Family Health (BFH) staff. Iowa supports 24 maternal health centers. Several modes of service delivery are utilized such as traditional clinic settings; purchase of medical service models with active public health nursing participation; and two clinics providing direct ambulatory obstetric medical care for pregnant women in Woodbury and Scott counties. All of Iowa's 99 counties have access to publicly funded maternal health services. FHB staff provides technical assistance and monitor performance standards for clinics.
Medical services provided by the maternal health centers follow the standards of the American College of OB/GYN for ambulatory obstetric care. The BFH (Bureau of Family Health) maintains a Title V funded contract with the University of Iowa, College of Medicine, Department of Obstetrics and Gynecology for consultation.
For pregnant women who are Iowa residents living in any county except Clinton, Cedar, Scott, Muscatine, Louisa, Washington, Iowa Johnson or Keokuk counties, whose family income is less than 185% of poverty and are not eligible for Title XIX, the maternal health centers may authorize payment for antepartum and postpartum care and for a normal or cesarean section delivery. Maternal health staffs are responsible for determining eligibility for the OB Indigent Care Program. This state funded program has limited funds and is only available until funds have been expended.
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