Prematurity Campaign Programs and

Resources

Vicki Lombardo, MSN, RN

November 8, 2012

Objectives• Understand March of Dimes Prematurity

Campaign goals and milestones• Describe March of Dimes CA Chapter

programs and resources• Identify ASTHO Challenge prematurity

prevention partnership opportunities with CPSP

2

Our Mission

Fund Research to understand problems

& discover answers leading to prevention &

treatment.

To improve the health of babies by preventing birth defects, premature birth and infant

mortality

Help Moms have full-term pregnancies & healthy babies.

Support Families

providing comfort when their baby

needs help to survive and thrive.

Our Impact

• Lifesaving Research

• Professional Education & Resources

• Healthy Babies are Worth the Wait®

• NICU Family Support®

• Healthy Babies, Healthy Business ®

Prematurity Campaign:2003 - 2020 and Beyond

• Decrease the rate of preterm birth • Raise public awareness of the

problems of prematurity• Focus on critical investment

opportunities & intervention targets

• Transdisciplinary research in the United States

• NICU Family Support• Healthy Babies are Worth the Wait®

• Develop a global constituency engaged in prematurity prevention

• Expand access to quality health care services to improve maternal and infant health outcomes

March of Dimes National Preterm Birth Goals

*Preliminary dataPreterm is less than 37 completed weeks of pregnancy.Source: National Center for Health Statistics, 1990-2009 final natality data and 2011 preliminary data.Prepared by March of Dimes Perinatal Data Center

8% reduction by 2014

21% reduction by 2020

Percent of live births

6

Important Campaign Moments• U.S. preterm birth rate has decreased for the 5th

year in a row• Prematurity on the national agenda

• U.S. Dept of Health and Human Services (HHS)• “Strong Start” campaign announcement • Infant Mortality National Strategy announcement

• Association of State and Territorial Health Officials (ASTHO) and MOD 8% Challenge

• HRSA Collaborative Improvement & Innovation Network (COIN) to Reduce Infant Mortality

• The National Governors Association (NGA) Learning Network on Improving Birth Outcomes

7

HHS Strong Start Initiative

• Secretary Kathleen Sebelius has released a new grant program to reduce prematurity.

• Grant funding will total up to $43 million.

• Two strategies:1. Broad-based campaign to

reduce early elective deliveries

2. Funding opportunity for testing new approaches to prenatal care

Campaign Partnership:Assoc. of State and Territorial Health OfficialsGoals:•Challenge State Health Officers to reduce their state’s rate of preterm birth by 8% by 2014•Build awareness of state’s prematurity rates•Initiate and accelerate programs and policies to reduce prematurity birth rates

March of Dimes Involvement: •Healthy Babies are Worth the Wait Awareness Campaign

• Use of Co-branded PSA’s• Distribution of educational

materials•Collaboration with states on interventions

Activation of ASTHO Challenge in California• Partnering with California Department of Public Health

(CDPH) Maternal Child Adolescent Health Division on:• “Healthy Babies are Worth the Wait” hospital initiative and

public education campaign• Preterm Labor Assessment Toolkit• Preconception/interconception health initiatives

• MOD presenting our programs to and actively partnering with:• Maternal Child and Adolescent Health Directors• Black Infant Health Coordinators• Perinatal Services Coordinators • Regional Perinatal Programs of California Directors

CA is Fighting for an A!

Contributing Factors

Scope of Work Sample Objectives for LHJs• Implementation of prematurity

awareness campaign• Education of women of reproductive age• Quality improvement program/policy

using the Elimination of Elective Deliveries <39W Toolkit

• Improvement of prenatal care access

How can we work together?March of Dimes can help with the following SOW sample intervention activities: •Utilize existing educational materials, websites, and resource centers for prematurity prevention task forces and campaigns•Provide training and/or materials on prematurity prevention to relevant health department programs

Opportunities

PSAprematurityprevention.org

Educational Material Program

Partnerships

March of Dimes CA Chapter Programs

• Healthy Babies are Worth the Wait

• Preterm Labor Assessment Toolkit

• Preconception/Interconception• Becoming a Mom/ Comenzando

bien

Healthy Babies are Worth the Wait Campaign

PlaceholderYoutube PSA

Supporting the Call to Action and Prematurity Campaign Goals, March of Dimes…

Strives to eliminate non-medically indicated

(elective) deliveries prior to 39 weeksgestation, through outreach and

education to:

• Hospitals• Health care professionals• Pregnant women and the general public

Patient Education Resource Materials

Posters and Print PSAs

Healthy Babies are Worth the Wait Campaign - TV PSA

Preterm Labor Assessment Toolkit (PLAT)

Evidence–based toolkit that aims for:

• uniform assessment of women presenting with signs and symptoms of preterm labor

• appropriate disposition decisions and improved outcomes 

• increased appropriate use of antenatal steroids

Coming soon…. revised edition of PLAT will be released this winter

Pathway for Standardized Preterm Labor Assessment for Symptomatic Women

Patient Education

Home Care Instructions

Home Care Instructions in English and Spanish are available to download at: prematurityprevention.org

Pre/Interconception HealthGoal: Increase health care providers’ knowledge, resources

and understanding of preconception health and improve pre/interconception health for consumers.

Key Projects:• Partnered on Interconception Care Project of CA (ICPC):

Postpartum visit guidelines and patient handouts for women with pregnancy and delivery complications now available on www.EveryWomanCalifornia.org.

• From 2008-2011, funded 3 successful multi-year preconception and interconception demonstration projects. Best practice toolbox in development.

• Currently funding 2 multi-year grants to Sansum Diabetes Institute and to Sutter Medical Center, Sacramento - addressing preconception and interconception health for diabetics and teens.

Pre/Interconception Health Resources

Becoming a Mom/Comenzando bien®

Bilingual curriculum designed for pregnant women and women of childbearing age in a supportive group setting to learn about having a healthy baby.

Becoming a Mom/Comenzando bien Session components Each session includes the following:•Learning objectives•Key messages•Special notes for the facilitator•Background section•A step-by-step lesson plan•Reproducible handouts

• Handouts are available online: www.marchofdimes.com/curriculumhandouts

Becoming a Mom/Comenzando bien Curriculum is made up of nine 2-hour

sessions:

Session 1: You and Your PregnancySession 2: Prenatal CareSession 3: Eating Healthy During Pregnancy Session 4: Stress During Pregnancy Session 5: Things to Avoid During Pregnancy Session 6: The Big Day: Labor & BirthSession 7: Caring for Your BabySession 8: Postpartum Care Session 9: Graduation

Who can utilize Becoming a Mom/ Comenzando bien?

• Clinics

• Family Resource Centers

• Early Head Start Programs

• BIH Programs

• Promotoras

Trainings• January 8 & 9, 2013, from 8am-5pm, March of Dimes

will host a facilitator training at the San Diego County Department of Health and Human Services in San Diego. To register for this training or for more information, please contact Miriam Erdosi at (949) 333-4977 or merdosi@marchofdimes.com

• July 31st & August 1st, 2013, from 8-5pm , March of Dimes will host a facilitator training at the CA Endowment in LA. To register for this training or for more information, please contact Fernanda Crivici at (818) 539-2178 or fcrivici@marchofdimes.com

• March of Dimes observations for active sites • Facilitator receive feedback and

recommendations

• Become part of March of Dimes Becoming a Mom/Comenzando bien e-mail list

• Receive March of Dimes education material

Benefits for Active Sites

Key Successes

• Reached over 7,000 women in 2011 through Becoming a Mom/Comenzando bien, a culturally and linguistically appropriate prenatal education curriculum

• Evaluation shows statistically significant improvement in participants’ knowledge and health behaviors

Becoming a Mom/Comenzando bien Resources• March of Dimes Becoming a Mom/Comenzando bien

curriculum handouts• www.marchofdimes.com/curriculumhandouts• March of Dimes videos• http://www.marchofdimes.com/pregnancy/

yourbody.html• March of Dimes videos – Spanish

• http://blog.nacersano.org/• You tube videos

• Prenatal Care http://www.youtube.com/watch?v=qZqGZLwDfdE

• Pregnancy Time Lapse http://www.youtube.com/user/marchofdimes?feature=results_main

Becoming a Mom/Comenzando bien Resources (cont.)• March of Dimes DVD – Healthy Pregnancy, Healthy

Babies: Family Health History and newborn Screening Edition (English and Some Spanish videos)

• March of Dimes – Healthy Pregnancy, Healthy Baby (English Only)

• Available to purchase at www.marchofdimes.com/catalog , item # 09-2407-08 or by phone 800-367-6630 for $74.95 each

• March of Dimes iPad apps - My 9 months and Mis 9 meses

Questions?

Thank you!

Vicki Lombardo, MSN, RNAssociate State Director of Program

ServicesMarch of Dimes vlombardo@marchofdimes.com