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Progesterone Messaging Toolkit
Progesterone Messaging Toolkit

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This Toolkit is designed to provide tools and guidance to Credible Messengers in talking with women about the importance of early prenatal care, and the benefits of progesterone in reducing the risk for premature birth and infant mortality.

It was developed by the Ohio Collaborative to Prevent Infant Mortality (OCPIM) with special support from the Ohio Department of Health, Ohio Department of Medicaid, Government Resource Center, March of Dimes, and the Ohio Perinatal Quality Collaborative. 

This toolkit is for credible messengers

This Toolkit is intended for Credible Messengers, such as community health workers, home visitors, local public health nurses, social workers, WIC staff and others whom pregnant women trust to provide them with helpful and accurate health information. It was designed in consultation with Credible Messengers, and women who might benefit from progesterone treatment during pregnancy.

In this Toolkit you will find information and resources to help you talk with your clients about improving the chances of having a healthy full-term pregnancy

Go when you know logoEarly entry into prenatal care is important for a variety of reasons. Talking with the provider about progesterone is one of them. As a Credible Messenger you have a unique role in encouraging your clients to seek prenatal care as soon as she knows she is pregnant. The Go When You Know campaign slogan can help you share the importance of seeking early prenatal care and talking with the provider about progesterone.

 

A woman who has had a previous premature birth, has used progesterone in a past pregnancy, or has been told by a health care professional that she has a short cervix, should ask her health care provider about progesterone.

 

The Issue

"The Issue" banner

Ohio had the eighth highest infant mortality rate in the U.S. in 2017, according to the Centers for Disease Control (CDC). African American babies were almost three times as likely to die before their first birthday than white babies. Premature birth is the leading cause of serious health problems and death for newborn babies in Ohio.

Progesterone can help reduce the chances of a premature birth for some women. Progesterone is known as the “hormone of pregnancy.” It is a natural and important hormone because of the role it plays in getting pregnant and carrying the baby to full term. During pregnancy, every woman’s progesterone levels naturally increase. Research has shown that women who have had a baby born more than three weeks early may benefit from extra progesterone in a future pregnancy. Her prenatal care provider can prescribe extra progesterone, if it is right for her.

But many women do not know about progesterone and have not talked with their prenatal care providers about whether it could benefit them. Other women have heard about progesterone but have received inaccurate information that may prevent them from considering it.

To understand and explain the potential benefit of progesterone, it can be helpful to be familiar with how infant mortality, prematurity and progesterone treatment are linked.


Call out


Ohio Infant Mortality Rates (2000-2017)
by Maternal Race: Black 15.6 – White 5.3 (2017)
Chart: Ohio Infant Mortality Rates (2000-2017) by Maternal Race: Black 15.6 – White 5.3

Source: Ohio Department of Health, Bureau of Vital Statistics


Premature birth is the leading cause of serious health problems and death for newborn babies in Ohio.


Causes of Infant Death in Ohio (2017)

Causes of Infant Death in Ohio (2017)

Source: Ohio Department of Health, Bureau of Vital Statistics

 


Progesterone can reduce the chances of premature birth by 30%


Progesterone Reduced Births Before 32 Weeks (2017)

Progesterone Reduced Births Before 32 Weeks (2017)

Source: Ohio Perinatal Quality Collaborative, 2019


More data and information is available on the ODH website:  

Infant and Fetal Mortality Reports

Infant Vitality

 

About

About the toolkit

The Ohio Collaborative to Prevent Infant Mortality was established in 2010 and has over 350 members representing over 160 agencies and organizations with a common goal of preventing infant mortality. 

Ohio’s infant mortality rate is among the worst in the nation; African American babies are more than twice as likely to die before their first birthday than white babies.

Credible Messengers are community health workers, home visitors, public health nurses and social workers, WIC clinic staff, and others whom pregnant women trust to provide them with helpful and accurate health information. As a Credible Messenger you have a unique role in encouraging your clients to seek prenatal care as soon as she knows she is pregnant.

Ohio’s infant mortality rate is among the worst in the nation; African American babies are more than twice as likely to die before their first birthday than white babies.

This Toolkit is designed to provide tools and guidance for Credible Messengers in talking with women about the importance of early prenatal care, and the benefits of progesterone in reducing the risk for premature birth and infant mortality.

Credible Messengers are community health workers, home visitors, public health nurses and social workers, WIC clinic staff, and others whom pregnant women trust to provide them with helpful and accurate health information. As a Credible Messenger you have a unique role in encouraging your clients to seek prenatal care as soon as she knows she is pregnant.

Ohio Collaborative to Prevent Infant Mortality

The Ohio Collaborative to Prevent Infant Mortality (OCPIM) is working to reduce infant mortality and the reasons that African American babies die at more than twice the rate of white babies. In Ohio the leading cause of infant mortality is prematurity, and African American babies are more than twice as likely to be born prematurely than white babies.

Go when you know logo

There are active projects in Ohio aimed at creating a “supply” of prenatal care providers who are prepared to offer progesterone to women at risk of premature birth because of a prior preterm delivery and/or a short cervix. This toolkit was designed to complement this by increasing the “demand” for progesterone, by preparing women to ask their providers about the risk of prematurity and if progesterone would be right for them.

Early entry into prenatal care is important for a variety of reasons. Talking with a provider about progesterone is one of them. Credible Messengers have a unique role in encouraging the client to seek prenatal care as soon as she knows she is pregnant. The Go When You Know campaign slogan can help Credible Messengers convey the importance of seeking early prenatal care and talking with her provider about progesterone.

In an effort to address the barriers of late entry into care and unfamiliarity with progesterone, members of OCPIM spoke with women at risk for premature birth to find out who they would trust to provide them with information about progesterone. Women told them that they would trust community health workers, home visitors, public health nurses and social workers, WIC clinic staff and others to provide them with that information. The women considered them all to be ‘Credible Messengers’ of that type of information.

Start the conversation banne

OCPIM members then spoke with groups of Credible Messengers and learned that they may not be adequately prepared to talk with their clients about how progesterone can help reduce the risk of premature birth. In order to prepare for those conversations, the Credible Messengers wanted answers to questions such as:

  • What is progesterone?
     
  • Who can benefit from progesterone?
     
  • When is progesterone started?
     
  • How is progesterone given?
     
  • How can I help?

The Progesterone Messaging Toolkit was then designed by OCPIM members and Credible Messengers to answer those questions and to provide information and resources to help Credible Messengers feel confident and prepared to talk with their clients about progesterone. The goal is for Credible Messengers to prepare their clients to ask their prenatal care providers about progesterone.

The Tools, such as the videos, flyers, social media posts, and additional resources in this Toolkit will help the Credible Messenger prepare the client to ask her provider if progesterone is right for her.

 

This toolkit provides information, tools and resources to help Credible Messengers feel confident and prepared to talk with their clients about progesterone

The Progesterone Messaging Toolkit was developed by the Ohio Collaborative to Prevent Infant Mortality (OCPIM) with special support from the Ohio Department of Health, Ohio Department of Medicaid, Government Resource Center, March of Dimes, and the Ohio Perinatal Quality Collaborative.

The Toolkit

The Progesterone Messaging Toolkit

This Toolkit is a collection of resources to help prepare Credible Messengers to talk with women about progesterone. Credible Messengers, such as community health workers, home visitors, local public health nurses, social workers, WIC staff and others are people from the community who pregnant women trust to provide them with helpful and accurate information.

Ohio’s infant mortality rate is among the worst in the nation; African American babies are more than twice as likely to die before their first birthday than white babies. Preterm birth is the leading cause of serious health problems and death for newborn babies in Ohio.

Progesterone can help reduce the chances of a premature birth for some women. Progesterone is known as the “hormone of pregnancy.” It is a natural and important hormone because of the role it plays in getting pregnant and carrying the baby to full term. During pregnancy, every woman’s progesterone levels naturally increase. Research has shown that women who have had a baby born more than three weeks early may benefit from extra progesterone in a future pregnancy. Her prenatal care provider can prescribe extra progesterone, if it is right for her.

But many women do not know about progesterone and have not talked with their prenatal care providers about whether it could benefit them. Other women have heard about progesterone but have received inaccurate information that may prevent them from considering it. By providing the tools in this Progesterone Messaging Toolkit, we hope that Credible Messengers across Ohio will feel confident and prepared to talk with their clients about progesterone. Your voice can make a difference between a baby being born full-term and healthy versus being born too soon.

As a Credible Messenger you have a unique role in encouraging your client to seek prenatal care as soon as she knows she is pregnant.

Go when you know logoEarly entry into prenatal care is important for a variety of reasons. Talking with a provider about progesterone is one of them. Credible Messengers have a unique role in encouraging the client to seek prenatal care as soon as she knows she is pregnant. The Go When You Know campaign slogan can help Credible Messengers convey the importance of seeking early prenatal care and talking with her provider about progesterone.


Progesterone Messaging Toolkit divider

Toolkit Videos Banner

“Let’s Talk About Progesterone: What You Need to Know”

In a four minute video, Dr. Jeffrey Marable, Director of Women’s Health at Primary One Health and Columbus Public Health, shares with Credible Messengers what they need to know to talk with their clients about Progesterone.

Talking With Your Clients About Progesterone” 

In this video Credible Messengers talk with their clients about the benefit of Progesterone in three different scenarios:

Scenario #1 – A woman has just found out she is pregnant and has had a previous premature birth.
Scenario #2 – A pregnant woman has been receiving progesterone, but is wanting to discontinue getting the weekly injections.
Scenario #3 – A woman recently had a premature baby and is going soon to her postpartum visit.


Toolkit Flyers Banner

  • Welcome to the Progesterone Messaging Toolkit
    A two-page description of the purpose of the Toolkit and the Tools (Videos, Flyers, Social Media Posts, Logo, and additional resources) that are included. 
    (Download/Print)  (Email/Digital Use)  (Professional Printing)
     
  • Promotional Flyer for the Progesterone Messaging Toolkit Website
    A one-page promotional flyer to encourage Credible Messengers to use the Tools to prepare for talking with women about progesterone. 
    (Download/Print)  (Email/Digital Use)  (Professional Printing)
     
  • 5 Steps to Get Ready to Talk with Your Client About Progesterone
    A handy list of five practical things a Credible Messenger can do to prepare to talk with women about progesterone. 
    (Download/Print)  (Email/Digital Use) (Professional Printing)
     
  • 5 Steps for a Successful Client Visit When Talking About Progesterone
    A handy list of five specific things a Credible Messenger can do during a client visit when talking about progesterone.
    (Download/Print)  (Email/Digital Use) (Professional Printing)
     
  • Having Another Baby? Ask about progesterone.
    A one-page handout to share with a client during a visit to reinforce the message to go early for prenatal care and ask her prenatal care provider four specific questions about progesterone.
    (Download/Print)  (Email/Digital Use) (Professional Printing)

Toolkit Social Media Banner

A collection of social media posts that Credible Messengers, agencies, and organizations can use to share information about Progesterone with their followers on Facebook, Twitter, and Instagram.


Go When You Know Banner
The logo is available to be used to support the resources in the Progesterone Messaging Toolkit. Various formats are available for download. A Style Guide instructing how to use the logo is available online.  

Go when you know logo

Go When You Know Logos for download

Style Guide for download 

RESOURCES FOR CREDIBLE MESSENGERS
A collection of additional resources to further inform the Credible Messenger about the benefits of progesterone. The resources also may be used by Credible Messengers to share additional information about progesterone with their clients. The various resources, made available by the March of Dimes, the Ohio Perinatal Quality Collaborative (OPQC), Ohio Better Birth Outcomes (OBBO), the American College of Obstetricians and Gynecologists (ACOG), and others include:

  • Bullet points about progesterone
  • Videos about progesterone
  • Printed materials about progesterone to share with clients
  • Links to websites with more information

 

Contact Us

Contact Us banner

For further information about this Progesterone Messaging Toolkit, as well as your comments and suggestions, please contact Kira Bryant at kira.Bryant@odh.ohio.gov