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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
Session: Does Maternal Risk Predict Pregnancy Outcomes?
3041.0: Monday, December 12, 2005: 8:30 AM-10:00 AM
Does Maternal Risk Predict Pregnancy Outcomes?
In all cultures, pregnant women hope to give birth safely to a baby that is alive and well and to see it grow up in good health. Their chances of doing so are better in 2005 than ever before - not least because they are becoming aware of their options. The US has achieved substantial gains in improving the health and well-being of mothers, babies and children in recent years, with noticeable results. In the 20th century, the health of mothers and children was transformed from a purely domestic concern into a public health priority with corresponding responsibilities for the state. As we have improved prenatal care to a great extent in this country, it is now time to work toward, preventing root causes of adverse outcomes through risk assessment and risk management. Most of the damage caused by the issues raised in this session occur during the periconceptional period. Advocacy to addressing such issues can usefully supplement efforts to improve health of women themselves and that of their offsprings. The WHO year of safe motherhood emphasizes the fact that prevention of maternal risk provides the best hope for addressing the adverse outcomes from the risks covered in this session.
Learning Objectives: 1. Identify changes in rates of maternal alcohol use during pregnancy in Western Washington and their parallels to national data. 2. Describe two groups most at risk for an alcohol-exposed pregnancy. 3. Discuss how future alcohol-exposed births can be prevented. Understand the possible link between periodontal disease, preterm birth and low birth weight. 4. Describe the process of establishing a community based collaborative effort to get pregnant moms dental care. 5. State the infant mortality rate in the People's Republic of China 6. Describe the public health campaign to use folic acid to reduce neural tube defects in the People’s Republic of China. 7. Recognize the possible role of folic acid in the reduction of infant mortality. 8. Describe the epidemiological association between maternal diabetes, malnutrition and smoking, and obesity in the offspring 9. Develop an understanding of the biological mechanisms underlying prenatal programming of obesity.
Organizer(s):Hani K. Atrash, MD, MPH
Karen Bell, MPH
Moderator(s):Shahul Ebrahim, MD, MSc, PhD
8:30 AMTrends in alcohol use among pregnant women: Urban Western Washington, 1987-2004
Therese M. Grant, PhD, Janet Huggins, PhD, Ann P. Streissguth, PhD, Cara C. Ernst, MA, Helen M. Barr, MA, MS
8:45 AMAccessing dental care for First Steps clients: The treatment, education and resources for mothers project  [ Recorded presentation ]
Alicia Thompson, MSW, Karen Davis, BA, Marilyn Walli, RN, Ida Ovnicek, MPH
9:00 AMFolic acid supplements during pregnancy and infant mortality, People's Republic of China
Lorraine Yeung, MD, MPH, Jianmeng Liu, MD, PhD, Jacqueline Gindler, MD, Zhu Li, MD, RJ Berry, MD, MPHTM, Junchi Zheng, MD
9:15 AMBirth defects in Tennessee: A population-based study of birth defects and birth defect risk factors  [ Recorded presentation ]
David Law, PhD, John Daley, MS
9:30 AMPrenatal programming of obesity
Michael C. Lu, MD, MPH, Jennifer S. Huang, Tiffany Lee
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Maternal and Child Health
Endorsed by:APHA-Committee on Women's Rights; Epidemiology; Public Health Nursing; Socialist Caucus; Women's Caucus
CE Credits:CME, Health Education (CHES), Nursing, Oral Health

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA