228240 Epidemiological analyses of perinatal outcome data from Healthy Babies are Worth the Wait

Tuesday, November 9, 2010

Karla Damus, PhD, MSPH, RN, FAAN , Bouve College of Health Sciences, School of Nursing, Northeastern University, Boston, MA
Todd Dias, MS , Perinatal Data Center, March of Dimes, White Plains, NY
Tracey D. Jewell, MPH , Department for Public Health, Cabinet for Health and Family Services, Frankfort, KY
Julie Solomon, PhD , J. Solomon Consulting, LLC, Mountain View, CA
Diane M. Ashton, MD, MPH , Office of the Medical Director, March of Dimes, White Plains, NY
Joy Marini, MSPA-C , Johnson & Johnson Pediatric Institute, New Brunswick, NJ
Ruth Ann Shepherd, MD, FAAP, CPHQ , Department for Public Health, Cabinet for Health and Family Services, Frankfort, KY
Healthy Babies are Worth the Wait/HBWW, a March of Dimes, Johnson & Johnson Pediatric Institute, and Kentucky Department for Public Health partnership, is a 3-year (2007-2009), ecological design, national model to prevent preterm birth (PTB). Kentucky was selected as it met specific eligibility criteria: high rates of PTB, large increases in late PTB (34-36 weeks) in the preceding decade, high rates of modifiable PTB risk factors, demonstrated collaboration of MCH agencies, a willingness for targeted clinical sites and their respective local health departments to work together, and the ease and availability of obtaining extant data in a timely fashion for evaluation from the state Department for Public Health. HBWW engaged perinatal providers, public health workers, and community partners to provide information and bundled, evidence-based care to promote healthy, term pregnancies in the 3 intervention sites. Epidemiological analyses of perinatal outcomes from the birth certificate files for the eligible deliveries (singleton, inborn) in the 3 intervention (~11,000) and 3 comparison (~11,000) sites were conducted focusing on the changes in rates from baseline (2007) to follow-up (2009) and the difference between intervention and comparison sites for the following outcomes: PTB, late PTB, inductions, cesarean sections, and smoking in pregnancy. Data were analyzed in 6 month intervals and stratified by selected maternal factors including parity, maternal age, onset of prenatal care, smoking status, previous history of PTB, mode of delivery. Multivariate analyses were also conducted and a summary of key findings with implications for MCH programs and public health policy will be presented.

Learning Areas:
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Public health or related research

Learning Objectives:
Describe selected perinatal outcomes from HBWW and discuss the implications for MCH programs to prevent preterm birth.

Keywords: Perinatal Outcomes, Epidemiology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for because: I have served as the External Program Evaluator for Healthy Babies are Worth the Wait since the planning phase of the Initiative.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Johnson & Johnson (J&J) J&J Corporate Contributions:evaluation infrastructure development Consultant

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.