CLEARLAKE, Calif. – The prospect of giving birth and learning to care for a newborn baby can be a joyful but daunting experience, and one for which not every expectant mom is prepared.
For uncertain new moms who can use education, support and encouragement, St. Helena Hospital Clear Lake offers the “Bright Start” program.
Bright Start provides coordinated care and education to eligible low-income pregnant women, according to Kari Donley, the nurse who serves as Bright Start coordinator and educator.
Donley said 97 percent of the women who come to the Bright Start program are from Clearlake.
What makes the existence of Bright Start – a state-approved comprehensive perinatal services program – critical is that for a large segment of the newborn in Clearlake there is the likelihood of:
– Being born poor. Approximately 36.4 percent of Clearlake residents live below the poverty line – more than double state poverty level of 15.3 percent and well above the overall 24 percent poverty rate for all of Lake County – with 52.7 percent of children under age 18 in Clearlake living below the poverty line, according to the most recent data available for 2008-2012 by the American Community Survey.
– Being born into an area that is disadvantaged in health care.
– Being born – often to a single mother – in an area known to have a high incidence of substance (drug, alcohol and tobacco) abuse.
The problem, asserted Donley, is too many expectant women – often those who use drug substances – don't take advantage of the program's many services or don't even know it exists.
“We typically don't see a lot of moms who use substances,” Donley said. “They'll show up at the hospital to have their babies. So getting these moms in here early in their pregnancy is our goal.”
For good reason. Prenatal substance use has been associated with potentially deleterious and even long-term effects on exposed children.
On a more positive note, there are many expectant mothers such as Dawn Gaddy who are wise enough to avail themselves of this six-year-old service.
Has Bright Start really helped her with the birth and care of Jakob, her 6-month-old son?
“Absolutely,” said Gaddy, who with Jakob and her mother, Patricia Stone, were present for a reporter's interview in Donley's office in the Clearlake Family Health Center.
Gaddy, 29, gave birth to her first child on Sept. 17 of last year.
“It's helped me take care of him and take care of myself before Jakob was born,” Gaddy added. “They even offered to help educate me on how to breastfeed him.”
Donley beamed.
“Dawn is one of our rare moms,” she said, “because she takes advantage of the whole program.”
Bright Start is a St. Helena Hospital Clear Lake-based program. It is indeed comprehensive.
“Beginning with prenatal we take (expectant mothers) through the various stages of pregnancy up to the delivery and childbirth package,” Donley explained. “We follow up providing care and support for mothers during the postpartum period.
“We offer the program to every new (low-income) mom in Clearlake that comes in. We have a constant caseload of about 120 women,” Donley said.
Taken from the top, the Bright Start process for expectant mothers begins when they come into the hospital’s Clearlake Family Health Center.
For prenatal care, they will be counseled by one of two doctors or one of two midwives.
“We provide transportation if there's a need,” said Donley.
She said the program can provide vouchers for high-risk pregnant women who need to go to, for instance, University of California San Francisco Medical Center. “That's a fairly new program we've had for just a couple of months.”
The bedrock of the program is a document that welcomes pregnant women to Bright Start and spells out the program's goals, which are to decrease the incidence of low birth weight; improve the outcome of every pregnancy; give every baby a healthy start in life; and lower health care costs by preventing catastrophic and chronic illness in infants and children.
The document also lists Bright Start's plethora of services, beginning with the fetal development stage and ending two months after childbirth.
Expectant mothers can create their own program by picking and choosing from this document what they want to learn.
As an incentive for coming into the program, Bright Start provides five “Baby Bucks” for each visit by an expectant mom to spend at its recently established baby store.
“Women are able to gather what they need for themselves or their baby while they're pregnant at the baby store and it helps them build their nursery,” said Donley.
For more information, contact the Clearlake Family Health Center at 707-995-4500.
Email John Lindblom at This email address is being protected from spambots. You need JavaScript enabled to view it. .