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: 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 data Preterm is less than 37 completed weeks of pregnancy. Source: National Center for Health Statistics, final natality data and 2011 preliminary data. Prepared by March of Dimes Perinatal Data Center 8% reduction by % reduction by 2020 Percent of live births 6

Important Campaign Moments U.S. preterm birth rate has decreased for the 5 th 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 Officials Goals: 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 PSA prematurityprevention.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 Placeholder Youtube PSA

Supporting the Call to Action and Prematurity Campaign Goals, March of Dimes… Strives to eliminate non-medically indicated (elective) deliveries prior to 39 weeks gestation, 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 Health Goal: 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 From , 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:

Becoming a Mom/Comenzando bien Curriculum is made up of nine 2-hour sessions: Session 1: You and Your Pregnancy Session 2: Prenatal Care Session 3: Eating Healthy During Pregnancy Session 4: Stress During Pregnancy Session 5: Things to Avoid During Pregnancy Session 6: The Big Day: Labor & Birth Session 7: Caring for Your Baby Session 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) or July 31 st & August 1 st, 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) or

March of Dimes observations for active sites Facilitator receive feedback and recommendations Become part of March of Dimes Becoming a Mom/Comenzando bien 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 March of Dimes videos March of Dimes videos – Spanish You tube videos Prenatal Care Pregnancy Time Lapse _main _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 item # or by phone for $74.95 eachwww.marchofdimes.com/catalog March of Dimes iPad apps - My 9 months and Mis 9 meses

Questions?

Thank you! Vicki Lombardo, MSN, RN Associate State Director of Program Services March of Dimes