THE NEED FOR FAMILY-PLANNING-SERVICES FOR WOMEN DELIVERING WITH LITTLE OR NO PRENATAL-CARE

A Perinatal HIV/AIDS Reduction and Education Demonstration Activity (P HREDA) project's model of care is described. A sub-sample of women who received four or fewer prenatal visits and known as the ''no prenatal '' group were considered by history and demographic characteristics to be at high risk for HIV infection and unintended pregnancy. A team ap proach was developed utilizing a certified nurse-midwife as the design ated care provider. The first postpartum appointment was scheduled for two weeks after each woman delivered. Subsequent postpartum visits we re to occur at six weeks, three months, six months, one year and eight een months. Pregnancy planning services delivered in a caring, support ive environment help assure accessibility and continuity of contracept ive services to this high risk group.