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Healthy Before Pregnancy March of Dimes NC Preconception Health Campaign
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Pathways to poor birth outcomes: Lesson Plan 1
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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.
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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
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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
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Section 1: Birth outcome terms
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Birth outcome terms Infant mortality Birth defects Unintended pregnancies Environmental factors Prenatal care Premature birth (prematurity) Epidemic Low birthweight
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Infant mortality
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Birth defects
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Unintended pregnancies
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Environmental factors
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Prenatal care
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Premature birth (prematurity)
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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
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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
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Low birthweight =
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Section 2: Causes of poor birth outcomes Genetic birth defects Maternal illness Medication Environment (smoking, drugs, drinking) Age of mother “Don’t know” category
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Genetic birth defects
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Causes of poor birth outcomes: Maternal illness
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Medication
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Environment
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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
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“Don’t know” category
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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
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Single gene defects Achondroplasia Marfan syndrome Tay-Sachs disease Cystic fibrosis
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X-linked birth defects For example: Hemophilia
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Birth defects: Chromosomal For example: Down syndrome Down syndrome. Source: U.S. Department of Energy Human Genome Program.
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Birth defects: Metabolic disorders For example: Phenylketonuria (PKU) Copyright © March of Dimes Foundation, Inc.
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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
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Neural tube defects Anencephaly Spina bifida Source: Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities
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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
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Section 4: North Carolina and birth outcomes
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An average week in NC: How many babies are born? 2,459
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How many babies are born to teen mothers (ages 15-19)? 283 An average week in NC:
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How many babies are born to mothers who receive inadequate prenatal care? 226 An average week in NC:
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How many babies are born prematurely? 334
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An average week in NC: How many babies are born low birthweight (weighing less than 5 lbs, 8 oz)? 223
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An average week in NC: How many babies die before their first birthday? 21
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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?
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Healthy birth outcomes
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Main messages Make your life simple - take a multivitamin Eat smart, move more Know your risks, have a plan Be a healthy babies champion
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