Clinica Sierra Vista is currently one of the largest providers of the Comprehensive Perinatal Services Program (CPSP) in Kern County. Since the initiation of the program, our patients have exhibited better outcomes than the area population from which they are drawn.
The Comprehensive Perinatal Services Program has three main components: medical care, patient education, and support services. The patient becomes part of a team that includes the doctor or nurse practitioner/midwife, nursing support staff, CPSP staff, nutritionists and counselors.
The initial visit for the prenatal patient consists of a prenatal history taken by a Comprehensive Perinatal Health Worker, followed by an enrollment in Women Infants and Children Program (WIC) and the physical examination. The CPHW and the nurse become the patient's case managers throughout the entire pregnancy, until six weeks postpartum. Throughout the pregnancy, the patient is seen by a medical provider, who may also offer her delivery services. Following delivery, the new mother is assessed in the hospital and given bedside guidance as needed. Return appointments are scheduled at this time to ensure continuity of care. Home visits can also be conducted when needed.
In addition to the medical care component, the Comprehensive Prenatal Services Program offers patient education and support services. All expecting patients participating in CPSP are offered an array of services including AFP screening, HIV information, antibody testing, counseling, nutrition services and early-pregnancy and childbirth classes. These classes include not only labor and delivery preparation, but infant care, parenting and family planning. Family planning, including tubal ligation counseling, is also offered on a one-to-one counseling session basis.
The success of this program can be attributed to attentive case management and review of the prenatal patient's chart after each visit. Follow-up is conducted on every appointment that is missed.