1. Healthy Before Pregnancy March of Dimes NC Preconception Health Campaign

2. Pathways to poor birth outcomes: Lesson Plan 1

3. Healthy before pregnancy Achieve a healthy lifestyle BEFORE becoming pregnant. Making healthy choices before pregnancy can greatly improve birth outcomes. A daily multivitamin, eating smart and moving more NOW makes a big difference.

4. Main messages Make your life simple—take a multivitamin Eat smart, move more Know your risks, have a plan Be a champion for healthy babies

5. Overview Section 1: Birth outcome terms Section 2: Causes of poor birth outcomes Section 3: Overview of birth defects Section 4: NC and birth outcomes Section 5: What a healthy pregnancy looks like

6. Section 1: Birth outcome terms

7. Birth outcome terms Infant mortality Birth defects Unintended pregnancies Environmental factors Prenatal care Premature birth (prematurity) Epidemic Low birthweight

8. Infant mortality

9. Birth defects

10. Unintended pregnancies

11. Environmental factors

12. Prenatal care

13. Premature birth (prematurity)

14. Epidemic Source : National Center for Health Statistics, final natality data. Retrieved September 29, 2010, from marchofdimes.com/peristats. © 2010 March of Dimes Foundation. All rights reserved.marchofdimes.com/peristats Preterm Births: US, 2007

15. Epidemic Source : National Center for Health Statistics, final natality data. Retrieved September 29, 2010, from marchofdimes.com/peristats. © 2010 March of Dimes Foundation. All rights reserved.marchofdimes.com/peristats Preterm Births by race/ethnicity: North Carolina, 2005-2007 Average

16. Low birthweight =

17. Section 2: Causes of poor birth outcomes Genetic birth defects Maternal illness Medication Environment (smoking, drugs, drinking) Age of mother “Don’t know” category

18. Genetic birth defects

19. Causes of poor birth outcomes: Maternal illness

20. Medication

21. Environment

22. Age of mother Teen mothers are more likely to: Have babies born to soon and/or too small Have babies that die Go into labor too early, have anemia and high blood pressure

23. “Don’t know” category

24. Section 3: Overview of birth defects 120,000 or 1 in 33 U.S. babies are born with birth defects Most common include: Heart defects Cleft lip/palate Down syndrome Spina bifida

25. Single gene defects Achondroplasia Marfan syndrome Tay-Sachs disease Cystic fibrosis

26. X-linked birth defects For example: Hemophilia

27. Birth defects: Chromosomal For example: Down syndrome Down syndrome. Source: U.S. Department of Energy Human Genome Program.

28. Birth defects: Metabolic disorders For example: Phenylketonuria (PKU) Copyright © March of Dimes Foundation, Inc.

29. Birth defects: Multifactorial Cleft lip/palate Neural tube defects Heart defects Source: Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities

30. Neural tube defects Anencephaly Spina bifida Source: Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities

31. Neural tube defects 2,500-3,000 U.S. babies are born each year with NTDs Another 1,500 are still born or terminated because of this birth defect In NC, approximately 200 pregnancies are affected by a NTD each year

32. Section 4: North Carolina and birth outcomes

33. An average week in NC: How many babies are born? 2,459

34. How many babies are born to teen mothers (ages 15-19)? 283 An average week in NC:

35. How many babies are born to mothers who receive inadequate prenatal care? 226 An average week in NC:

36. How many babies are born prematurely? 334

37. An average week in NC: How many babies are born low birthweight (weighing less than 5 lbs, 8 oz)? 223

38. An average week in NC: How many babies die before their first birthday? 21

39. NC ranks 45 th for infant mortality NC ranks 41 st for premature birth © 2009 March of Dimes Foundation. All rights reserved. How does NC compare?

40. Healthy birth outcomes

41. Main messages Make your life simple - take a multivitamin Eat smart, move more Know your risks, have a plan Be a healthy babies champion