Lesley,

In New Orleans, in a Federally-funded Healthy Start program, we were able
to get a significant increase in the % of women coming in in the first
trimester and were able to shift a good number of 3rd trimester 'first
visits' to second trimester. However, we had no effect on birth weights.
We did, however, see a dramatic drop in neonate deaths. We feel that that
might be the result of surfactant and other NICU interventions. My
personal feeling is that the package of prenatal interventions is too
ineffectual to have much of an impact. I believe that other Healthy Start
cities had similar results.

Bill Ward
[log in to unmask]


On Tue, 11 Feb 2003 09:07:52 -0600 TOM CARSON <[log in to unmask]> writes:
> Lesley, I will check with the Healthy Child Manitoba staff and see if
> they
> have some well studied applications and ask them to get back to you.
>  They
> have done some pretty good analytical work on this.
>
> -----Original Message-----
> From: Health Promotion on the Internet [mailto:[log in to unmask]] On
> Behalf
> Of Dyck, Lesley
> Sent: Monday, February 10, 2003 6:00 PM
> To: [log in to unmask]
> Subject: Low birth weight - models for population health
> interventions
>
> Greetings list-serve participants!
>
> I am looking for models of population health interventions to
> prevent/reduce
> low birth weight outcomes. We have considerable evidence related to
> determinants and clinical practices, but are having difficulty
> identifying
> models for community and population based interventions that have
> been
> evaluated and are effective.  If anyone has any examples or
> suggestions
> please forward them to the contact information below.
>
> Thanks very much in advance,
>
> Lesley Dyck
> Facilitator - Population Health
> Interior Health Authority
> 740 Carmi Ave., Penticton, BC   V2A 8P9
> Phone (250) 770-3430    Fax (250) 770-3410
> E-mail: [log in to unmask]
>
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