Develop Multiple Prevention Materials to Reach At-Risk Pregnant Women

The Perinatal Addiction Prevention Project (PAPP) - Northern NJ Maternal Child /Health Consortium recognizes the deleterious effect of alcohol, tobacco, and other substances on the developing fetus. The PAPP is designed to increase awareness to pregnant women regarding the risks of substance use and domestic violence. 25 prenatal sites are trained to screen patients and supplied with prevention brochures warning of risks that are distributed to patients immediately following a screening. These types of warnings engage some patients to reduce or stop substances, but do little to influence others. To reach this segment 1) Post Cards showing images of healthy infants with a month by month account of fetal development printed on the reverse side 2) Strips of paper inserted into empty lipstick tubes discretely inviting women to contact postpartum, addictions, and domestic violence hotlines, were designed. A Pilot Project will be launched at one hospital's prenatal clinic where materials will be distributed during the first appointment and during a 13th and/or the 20th week ultrasound. Calls made to the hotline centers will be monitored on a bi-weekly basis for three months.