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AJPH First Look, published online ahead of print Sep 29, 2005
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American Journal of Public Health, 10.2105/AJPH.2004.047068

Research and Practice

Reducing Low Birthweight by Resolving Risks: Results from Colorado's Prenatal Plus Program

Sue Austin Ricketts 1*, Erin K. Murray 1, Renee Schwalberg 2

1 Colorado Department of Public Health and Environment
2 Maternal and Child Health Information Resource Cente

* To whom correspondence should be addressed. E-mail: sue.ricketts{at}state.co.us.


  Abstract

Objectives: This study examines low birth weight (LBW) rates among participants in Colorado's Prenatal Plus program based on prenatal risk factors and their resolution during pregnancy. Methods: Prenatal Plus provides care coordination, nutritional counseling, and psychosocial counseling to Medicaid-eligible pregnant women at high risk of delivering low birth weight infants. Data were analyzed on 3,569 enrollees. Low birth weight rates were analyzed by risk and resolution of risk categories, using chi-square tests of significance. Results: Women who quit smoking had a LBW rate of 8.5%, compared with a LBW rate of 13.7% among women who did not. Women with adequate weight gain had a LBW rate of 6.7%, compared with 17.2% among women with inadequate weight gain. Women who resolved all their risks had a low birth weight rate of 7.0%, compared with a rate of 13.2% among women who resolved no risks. Women who received at least 10 Prenatal Plus visits were more likely to resolve their risks than were women who had fewer visits. Conclusions: Multidisciplinary prenatal interventions targeted toward specific risks demonstrate success at significantly improving infant birth weight.

Key Words: Maternal and Infant Health, Birth Outcomes, Pregnancy, Obesity, Overweight, Underweight, Public Health Practice, Smoking Cessation




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