219036 Impact of the Healthy Baby campaign pilot program in 2004 on inadequate maternal weight gain among Colorado women in 2005

Wednesday, November 10, 2010 : 8:30 AM - 8:50 AM

Sue Ricketts, MA, PhD , Epidemiology, Planning, and Evaluation Branch, Colorado Department of Public Health and Environment, Denver, CO
Linda Archer, RN, MSN , Women's Health Unit, Colorado Department of Public Health and Environment, Denver, CO
Stephanie Beaudette, MEd, RD , Women's Health Unit, Colorado Department of Public Health and Environment, Denver, CO
Inadequate prenatal weight gain is a major contributor to low birthweight in Colorado. A social marketing campaign, A Healthy Baby is Worth the Weight, was developed by the Colorado Department of Public Health and Environment to address this public health issue. Nine county health departments (in counties covering three-quarters of all Colorado births) received training on the Institute of Medicine's 1990 recommendations for prenatal weight gain and on strategies for implementation in a pilot program carried out between February and September 2004. Both providers and pregnant women were targeted. Women with prepregnancy body mass index <19.8 were a focus of the intervention. Pregnancy Risk Assessment Monitoring System (PRAMS) data were used to analyze changes in prenatal weight gain. In the year immediately following the pilot program, the statewide percentage of women with inadequate prenatal weight gain dropped from one out of four (24.8%) to fewer than one out of five (18.7%), a decline of 25% and a statistically significant change (p=.004). In the nine counties, the percentage of mothers with inadequate prenatal weight gain declined by 30%, from 25.0% to 17.5% (p =.004). Training was effective, but the impact was temporary. The improvements in prenatal weight gain in 2005 were not sustained in subsequent years. The study highlights the need for ongoing training and support to providers because they experience office turnover and care for new groups of pregnant women each year. The campaign addressed the social justice issue of improving health equity among pregnant women in Colorado.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Epidemiology
Implementation of health education strategies, interventions and programs
Public health or related research

Learning Objectives:
1. Describe the two major components of the Healthy Baby is Worth the Weight pilot program. 2. Analyze the changes in the percentage of women with inadequate prenatal weight gain in the nine-county area before and after the pilot program. 3. Identify two possible reasons why the percentage of women gaining weight reverted to pre-pilot levels after the pilot ended.

Keywords: Prenatal Interventions, Public Health Education and Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conduct demographic and epidemiologic research on issues in maternal and child health for the Colorado Department of Public Health and Environment.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.