{"id":1069,"date":"2022-01-19T18:13:03","date_gmt":"2022-01-19T18:13:03","guid":{"rendered":"https:\/\/showcase.lsa.umich.edu\/history\/?post_type=showcase&#038;p=1069"},"modified":"2023-06-27T18:15:32","modified_gmt":"2023-06-27T18:15:32","slug":"season-3-episode-2-navigating-pregnancy-a-century-of-prenatal-care","status":"publish","type":"showcase","link":"https:\/\/digitalscholarship.umich.edu\/lsa-history\/showcase\/season-3-episode-2-navigating-pregnancy-a-century-of-prenatal-care\/","title":{"rendered":"Season 3, Episode 2: Navigating Pregnancy: A Century of Prenatal Care\ufffc"},"content":{"rendered":"\n<p class=\"has-white-color has-text-color has-background has-medium-font-size wp-block-paragraph\" style=\"background-color:#4d4d4e\">In 1930 the Children&#8217;s Bureau detailed a schedule of prenatal visits during pregnancy. And there the schedule sat while the world changed for nearly 100 years.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/digitalscholarship.umich.edu\/history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_16-9-1024x576.jpeg\" alt=\"\" class=\"wp-image-1070\" srcset=\"https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_16-9-1024x576.jpeg 1024w, https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_16-9-300x169.jpeg 300w, https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_16-9-768x432.jpeg 768w, https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_16-9-1536x864.jpeg 1536w, https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_16-9-1568x882.jpeg 1568w, https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_16-9.jpeg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-rich is-provider-spotify wp-block-embed-spotify wp-embed-aspect-21-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Spotify Embed: Season 3, Episode 2: Navigating Pregnancy: A Century of Prenatal Care\" width=\"100%\" height=\"152\" style=\"[object Object]\" frameborder=\"0\" allowfullscreen allow=\"autoplay; clipboard-write; encrypted-media; fullscreen; picture-in-picture\" src=\"https:\/\/open.spotify.com\/embed\/episode\/2c87jdDfZNBxSjXdQyFekK?si=10fed65f865745d4&#038;utm_source=oembed\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-3e41869c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-25\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/podcasts.apple.com\/us\/podcast\/reverb-effect\/id1486434428\">Apple Podcasts<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-width wp-block-button__width-25\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/podcasts.google.com\/feed\/aHR0cHM6Ly9yZXZlcmJlZmZlY3QubGlic3luLmNvbS9yc3M\">Google Podcasts<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-width wp-block-button__width-25\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/open.spotify.com\/show\/4Otp5KrKnJYZVd1S8guPe6?si=UC24WtvISZaa_B_7JbXrIA\">Spotify<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Why do we have the prenatal visit schedule that we have today? Where did it come from? What was the evidence for the recommended schedule of prenatal visits, and why hasn\u2019t the schedule changed in nearly 100 years, despite medical advances? How can doctors amend that schedule to both increase equitable access to healthcare and keep parents and babies safe?&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">During the Progressive Era, high infant mortality rates captured public attention. Reformers concluded that medicalized prenatal care could positively impact infant and maternal outcomes: it could save lives. In 1930, the Children\u2019s Bureau detailed a new schedule of prenatal visits\u201412-14 visits during pregnancy. The Children\u2019s Bureau provided neither evidence for the schedule nor alternative plans for parents with social, environmental, or medical risk factors, but hoped a uniform schedule could prevent harm to parents and babies. And there the schedule sat while the world changed for nearly 100 years. Despite medical advances and attempts to alter the schedule to take risk factors\u2014or a lack of risk factors\u2014into account, nothing changed. Until everything did.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/digitalscholarship.umich.edu\/lsa-history\/showcase\/season-3-episode-2-navigating-pregnancy-a-century-of-prenatal-care-transcript\/\" data-type=\"showcase\" data-id=\"1072\">View the full episode transcript<\/a><\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"historian-biographies\">Historian Biographies<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Alex Peahl<\/strong>&nbsp;is a health services researcher who studies how to better design and deliver prenatal care services to fit patients\u2019 diverse needs and preferences. She is also a practicing obstetrician gynecologist who provides comprehensive women\u2019s health care services, including in-person and virtual prenatal visits. She is an assistant professor in Obstetrics and Gynecology at the University of Michigan, and the chair of the American College of Obstetricians and Gynecologists Redesigning Prenatal Care Initiative.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Joel D. Howell&nbsp;<\/strong>studies how and why we have come to see medical technology as central for health care in the twentieth and twenty-first century United States. He is also a physician who uses that medical technology as he practices internal medicine in both the outpatient and the inpatient world. He is&nbsp;is Elizabeth Farrand Professor of the History of Medicine, with appointments in the History Department, Internal Medicine, and Health Management and Policy at the University of Michigan.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"production-credits\">Production Credits<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Episode Producers:<\/strong>&nbsp;Alex Peahl and Joel D. Howell<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Voice Actors<\/strong>&nbsp;(in order of appearance): Taylor Sims, Audrey Tieman, Hayley Bowman, Andrew Johnston, and Josh McCurry&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Host and Season Producer:&nbsp;<\/strong>Allie Goodman<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Executive Producer:<\/strong>&nbsp;Gregory Parker<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Editorial Board:&nbsp;<\/strong>Alexander Clayton, Henry Cowles, Christopher DeCou, Allie Goodman, Gregory Parker, Hannah Roussel<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Image:<\/strong>&nbsp;John Ted Daganato, CC BY-SA 2.0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Share your thoughts about&nbsp;<em>Reverb Effect<\/em>&nbsp;by messaging&nbsp;<a href=\"mailto:reverb.effect@umich.edu\">reverb.effect@umich.edu<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00a9 2022 Regents of the University of Michigan<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In 1930 the Children&#8217;s Bureau detailed a schedule of prenatal visits during pregnancy. And there the schedule sat while the world changed for nearly 100 years.<\/p>\n","protected":false},"featured_media":1076,"template":"","format":[51],"categories":[44,80],"tags":[],"contributor":[103,149,108,99,110,102],"authors":[146,147],"department_or_unit":[5],"funding_sources":[66],"project_date":[148],"support_partners":[],"class_list":["post-1069","showcase","type-showcase","status-publish","format-standard","has-post-thumbnail","hentry","category-reverb-effect","category-season-3","contributor-alexander-clayton","contributor-allie-goodman","contributor-christopher-decou","contributor-gregory-parker","contributor-hannah-roussel","contributor-henry-m-cowles","authors-alex-peahl","authors-joel-d-howell","department_or_unit-history","format-podcast","funding_sources-department-of-history","project_date-148","entry"],"uagb_featured_image_src":{"full":["https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_sq.jpeg",1600,1600,false],"thumbnail":["https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_sq-150x150.jpeg",150,150,true],"medium":["https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_sq-300x300.jpeg",300,300,true],"medium_large":["https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_sq-768x768.jpeg",768,768,true],"large":["https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_sq-1024x1024.jpeg",1000,1000,true],"1536x1536":["https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_sq-1536x1536.jpeg",1536,1536,true],"2048x2048":["https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_sq.jpeg",1600,1600,false],"post-thumbnail":["https:\/\/digitalscholarship.umich.edu\/lsa-history\/wp-content\/uploads\/sites\/2\/2022\/01\/pregnancy_silhouette_sq-1568x1568.jpeg",1568,1568,true]},"uagb_author_info":{"display_name":"glparker","author_link":"https:\/\/digitalscholarship.umich.edu\/lsa-history\/author\/"},"uagb_comment_info":0,"uagb_excerpt":"In 1930 the Children's Bureau detailed a schedule of prenatal visits during pregnancy. 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