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March of Dimes Birth Defects Foundation. - Healthy Babies Are Worth the Wait

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Book:
Healthy Babies Are Worth the Wait
Author:
March of Dimes Birth Defects Foundation / Ashton Diane M / Damus Karla / McCabe Edward R B
Publisher:
Elsevier Science & Technology;Elsevier;AP
Genre:
Books / Home and family
Year:
2015
City:
Kentucky
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5 / 5
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Healthy Babies are Worth the Wait

Editor

EDWARD R.B. McCABE

Table of Contents

Academic Press is an imprint of Elsevier

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This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

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Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Library of Congress Cataloging-in-Publication Data

A catalog record for this book is available from the Library of Congress

British Library Cataloguing-in-Publication Data

A catalogue record for this book is available from the British Library

ISBN: 978-0-12-803482-8

For information on all Academic Press publications visit our website at http://store.elsevier.com/

Typeset by TNQ Books and Journals

www.tnq.co.in

Printed and bound in the United States of America

Authors

PRIMARY AUTHORS

Diane M. Ashton , March of Dimes Foundation, National Office, White Plains, NY, USA and Department of Obstetrics & Gynecology, SUNY Downstate Medical Center, Brooklyn, NY, USA

Karla Damus

March of Dimes Foundation, National Office, White Plains, NY, USA (at commencement of study)

Department of Family Medicine, Boston University School of Medicine/Boston Medical Center, Boston, MA, USA (current)

CONTRIBUTING AUTHORS

Vani R. Bettegowda , Perinatal Data Center, March of Dimes Foundation, National Office, White Plains, NY, USA (at time of study)

Gerard E. Carrino , Program Research Development and Evaluation, March of Dimes Foundation, National Office, White Plains, NY, USA

Todd Dias , Perinatal Data Center, Program Research Development and Evaluation, March of Dimes Foundation, National Office, White Plains, NY, USA

Tracey Jewell , Division of Maternal & Child Health, Kentucky Department for Public Health, Frankfort, KY, USA

Joy Marini , Maternal, Newborn and Child Health, Johnson & Johnson Corporate Contributions, New Brunswick, NJ, USA

Rebecca Russell , Perinatal Data Center, Program Research Development and Evaluation, March of Dimes Foundation, National Office, White Plains, NY, USA

Ruth Ann Shepherd , Maternal and Child Health, Kentucky Department for Public Health, Cabinet for Health and Family Services, Frankfort, KY, USA

Julie Solomon , J. Solomon Consulting, LLC, Mountain View, CA, USA

CONTRIBUTORS FOR DATA ANALYSIS OF THE HEALTHY BABIES ARE WORTH THE WAIT CONSUMER AND PROVIDER SURVEYS

Lorena Ortiz , J. Solomon Consulting, LLC, Mountain View, CA, USA

Monika Sawhney , J. Solomon Consulting, LLC, Mountain View, CA, USA

EDITOR

Edward R.B. McCabe , March of Dimes Foundation, National Office, White Plains, NY, USA

Foreword

Healthy Babies are Worth the Wait: Reducing Preterm Birth through the Integration of Primary Care and Public Health

The Challenge

In a report of births occurring in the US during the year 2006, it was stated, Preterm and low birthweight rates continued to rise . This pessimistic statement, suggesting a rise that could not be altered, was justified by more than two decades of steadily increasing rates of preterm birth or births less than 37 weeks of gestation. The preterm birth rate had risen by more than 20% from 1990 and 36% from the early 1980s. This increase in preterm birth was influenced not as much by births before 34 weeks, which rose modestly from 3.32% in 1990 to 3.66% in 2006, and more by late preterm birth (3436 weeks) which increased by 25% from 7.3% in 1990 to 9.15% in 2006. This same report noted that efforts to effectively prevent preterm birth were limited, even though over one-third of infant deaths were thought to be related to late preterm birth, and infants born late preterm had increased risks of long-term consequences.

Fortunately, not everyone considered the prevention of preterm birth an intractable problem, including the March of Dimes Foundation, which, supported by its Board of Trustees, declared preterm birth prevention to be a priority for the Foundation in 2003, ultimately revising the March of Dimes mission in 2005 to include the problem of premature birth in the US as a major focus and expanding this to a global campaign in 2008. Through the hard work of many organizations and individuals the preterm birth rate dropped in 2012 for the sixth straight year since the peak in 2006 to 11.5%, the lowest in a decade .

Notably, the Association of State and Territorial Health Officials (ASTHO) created the Healthy Babies Presidents Challenge of 2012 led by Dr David Lakey, Texas Commissioner of Health. This led to a committed pledge from the 50 states, Washington, DC, and Puerto Rico to reduce preterm births by 8% by 2014 .

Mobilizing an Integration of Primary Care and Public Health

The efforts of these individuals and organizations to reduce preterm birth have included programs involving the integration of primary care and , both in 2012.

The IOM report describes a continuum of integration between primary care and public health from isolation to merge with the goal being to achieve more efficacious improvement of the health of individuals, their communities, and the entire population. The intermediate steps along this continuum of integration include: mutual awarenessinforming each other of their activities; cooperationsharing resources between those in primary care and public health; collaborationplanning and executing with more intense and joint activity between these sectors; and partnershipintegrating the activities of the two sectors programmatically so that they appear inseparable. The report recognizes that initiatives may not be at the partnership or merger levels of integration at the outset, but their position within this continuum should not be a barrier to their initiation; the understanding of the steps along the way will provide a roadmap for improving integration in the process. The report boldly states, Beginning is more important than waiting until all of the requisite components are in place. Key principles in this process include strong leadership to foster integration across perceived disciplinary, programmatic, and jurisdictional boundaries; sustainability to maintain continuing success; and collaboration in the acquisition and analysis of data.

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