title: The effects of a prematurity prevention program on births to adolescents.
abstract: This study evaluates the effectiveness of the North Carolina Prematurity Prevention Program in reducing low-birthweight births among adolescents seeking prenatal care at the New Hanover Memorial Hospital obstetric clinic. Modeled on programs developed by Papiernik and Creasy, the program includes three components: staff education, patient identification, and patient education. Thirteen percent of the clinic population is 13-17 years old. The same prematurity prevention protocol is used for both adults and adolescents. Overall, 12% of the 847 women who delivered prior to the program had a low-birthweight infant. Among the 748 women who delivered during the program, the number of low-birthweight infants declined to 9.5%. For mothers 13-17 years old, 14% of the preprogram group had a low-birthweight infant, as did 14% of those in the program. A logistic regression model, controlling for certain risk factors, suggests that the program was not effective in reducing low-birthweight births among these adolescents (OR = 0.9; 95% CI = 0.2, 1.8).
authors.affiliation: Area Health Education Center, Wilmington, North Carolina 28402.
authors.forename: D L
authors.initials: DL
authors.lastname: Covington
authors.forename: J G
authors.initials: JG
authors.lastname: Daley
authors.forename: M P
authors.initials: MP
authors.lastname: Churchill
authors.forename: J C
authors.initials: JC
authors.lastname: Carl
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D009657:North Carolina; D011247:Pregnancy; D011253:Pregnancy in Adolescence; D011295:Prenatal Care; D011314:Preventive Health Services / Q000458:organization & administration; D012044:Regression Analysis; D012189:Retrospective Studies; D012307:Risk Factors