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ED 336 904 AUTHOR Berendes, Heinz W., Ed.; and Others TITLE Advances in the Prevention of Low Birthweight. Proceedings from an I

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ED 336 904 AUTHOR Berendes, Heinz W., Ed.; and Others TITLE Advances in the Prevention of Low Birthweight. Proceedings from an I ED 336 904 EC 300 636 AUTHOR Berendes, Heinz W., Ed.; And Others TITLE Advances in the Prevention of Low Birthweight. Proceedings from an International Symposium (Cape Cod, Massachusetts, May 8-11, 1988). INSTITUTION National Center for Education in Maternal and Child Health, Waseington, DC. SPONS AGENCY Health Resources and Services Administration (DHHS/PHS), Rockville, MD. Bureau of Maternal and Child Health and Resources Development.; National Inst. of Child Health and Human Levelopment (NTH), Bethesda, Md. PUB DATE 91 CONTRACT MCU-117007 NOTE 247p. AVAILABLE FROMNational Maternal and Child Health Clearinghouse (NMCHC), 38th and R Streets, N.W., Washington, DC 20037 (single copies free). PUB TYPE Collected Works - Conference Proceedings (021) EDRS PRICE MFC1/PC10 Plus Postage. DESCRIPTORS *Birth Weight; *Congenital Impairments; Etiology; Infants; Medical Researcn; Neonates; Nutrition; Perinatal Influences; Pregnancy; *Premature Infants; *Prenatal Influences; *Prevention; *Preventive Medicine; Smoking; Social Support Groups; Stress Variables ABSTRACT This proceedings document contains papers addressing trends, determinants, and interventions in preventing low birthweight. Papers have the following titles and authors: "Trends in Rates of Low Birthweight in the United States" (Mary McCormick); "Evolution of the Preterm Birth Rate in France" (Gerard Breart); "The Etiology and Prevention of Low Birthweight: Current Knowledge and Priorities for Future Research" (Michael Yramer); "Support and Stress during Pregnancy: What Do They Tell Us about Low Birthweight?" (Jeanne Brooks-Gunn); "Results of a Three-Year Prospective Controlled Randomized Trial of Preterm Birth Prevention at the University of Pittsburgh" (Eberhard Mueller-Heubach); "Decrease and Rise in Rates of Prete= Deliveries: Haguenau Prenatal Study, 1971-1988" (Emile Papiernik et al.); "The West Los Angeles Prematurity Prevention Project: A Progress Report" (Calvin Nobel et al.); "The South Carolina Multicentered Randomized Controlled Trial To Reduce Low Birthweig1it,9 (Henry Heins et al.); "A Prematurity Prevention Project in Northwest North Carolina" (Paul Meis et al.); "The Family Workers Project: Evaluation of a Randomized Controlled Trial of a Pregnancy Social Support Service" (Brenda Spencer); "The Social Support and Pregnancy Outcome Study' (Ann Oakley and Lynda Rajan); "Prevention of Preterm Deliveries by Home Visiting System: Results of a French Randomized Controlled Trial" (Beatrice Blondel et al.); "Smoking Interventions during Pregnancy" (Mary Sexton); "Cervical Cerclage: New Evidence from the Medical Research Council/Royal College of Obstetricians and Gynecologists" (Adrian Grant); "Prevention of Intrauterine Growth Retardation with Antiplatelet Therapy" (Serge Uzan); "Does Calcium Supplementation Reduce Pregnancy-Induced Hypertension and Prematurity?" (Jose Villar); "Magnesium Supplementation in Pregnancy: A Double-Blind Study" (Ludwig Spatling); "An Overview of Trials of Social Support during Pregnancy" (Diana Elbourne and Ann Oakley); "Inhibition of Preterm Labor: Is It Worthwhile?" (Marc Keirse). Appendixes provide the symposium program and list of participants. (DB) U.S. DIAARTINEP4Tor EDUCATION Offtoit of Mahon* Ramtarchand liftgonxemott EDUCA11ONAL RESOURCES INFORMATION CENTER {ERIC) 0 his 000urnitot Disn 1110todoced recfnvirCt from the poison oforganaatton onsinating it hirnof change!, have Plum MO tounpfOr reproductson ovaIlty Pomts of veiny or opinions tatio ri Ms docu- ment do not necessinlir reortient attic* OE RI poalt;on or policy Advana- in the Prewntion qf Low Birthuvight An Intenzational Sympasil tin Proceedings 41 BEST COPY AVAILABLE Advances in the Prevention of Low Birthweight Advances in the Praention of Low Birthtteight Syinpasium May 8-1 I, 1988 Chatham Bais Cape Cod, Massachusetts Proceedings Heinz U. Berendes. .11.11.S.. Sanuwl kessel. .11.1.1.. .11.1).11., Sumner }affe..11.1,1., editors .spfmsiireit by the Bureau (il. Maternal and Child Health mut 14)sources 1.1erelopnu,nt lealtb Resources WU/ SeiTiCeS Ad1111111.tilnitiO1l eind the National Institute qiChild Health curd Human Developuwnt Natimud Institutes (y.1 lealtb (y' the 1'nitecl Slates Public Sen'ice Mpartunent (!l. 1 learn) an(/ Human 4C1Th'es Pmducol by ,Vaticinal Centern- Education in .11aternal and (Aid Health tl'ilshingt( in. 1).C. e". 4 Cite as Berendes, H., Kessel, S., and Yaffe, S. (1991). Advances in the Prevention of Low Birthweight: International Svmposium, Washington, D.C.: Natkmal Center for Education in Maternal and Child Health. Advances in the Prevention of Low Birthweight An International Symposium is not copyright- ed. Readers are free to duplicate and use all or part of the informatkm contained in this publication. In accordance with accepted publishing standards. NCEMCII requests acknowledgment, in print, of any informatkm repa)duced in another publication. Library of Congress Catalog Card No,: 91-60905 The National Center for Education in Maternal and Child I lealth (NCEMCI I) provides information ser- vices, educational materials, and technical assistance to organizations. agencies, and individuals with maternal and child health interests. The Center was established in 1982 at Georgetown I Tniversity, within the Department of Obstetrics and Gynecology. NCEMCH is funded primarily by the LI.S. Department of Health and Human Services, through its Maternal and Child Health Bureau (formerly the Office of Maternal and Child Health. Bureau of Maternal and Child I lealth and Resources Development), Piimhied and published by: National Center for Education in :Maternal and Child lit:Ali (NCEMCI 38th and R Streets. NW Washington, DC 200i7 (202) 625-8-400 Sil447le copies this publication are available at no cost from: National Nlaternal and Child Ilealth Clearinghouse (NMCHC) 38th and R Streets, N\X' 'Washington. DC 200-S7 (202) 62i-8410 or (703) 821-89Si x 25.4 This publication has been produced by the National Centerfor &location in Maternal and Child Health under its cooperatity agreement (MCI'- I 170071 with the Maternal and Child Health Bureau. Health Resources and Services Administration. Public Health Service, IS. Department 411ailth and Human SerliaN. 5 Table of Contents Acknowledgments xiii Foreword XV Section I: 'Rends `Frends in Rates of IJ)w Birthweight in the lnited States .1Iary McCormick, M.D.,Se.D., Boston, Massachnssells 3 Evolution of the Preterm Binh Rate in France Gerard Tht;art, France 13 Section II: Determinants The Etiology and Prevention of Low Birthweight: Current knowledge and Prioritiesfcg Future Research Michael Knimer M.D.. Montreal, Canada )5 Support and Stress During Pregnancy: What Do They Tell l's About LowBirthweight? Jeanne Bmoks-Gunn. PhD.. Princeton. .Ven'ioNey Section III: hzterventions Results of a Three-Year Pnrspective Controlled Randomized Trial of Preterm Birth Prevention at the ITliVQrsitV of Pittsburgh LheriPard Muellerikulmcb, Piltsbitugh. Pow.9'franiel 61 Decrease and Rise in Rates of Preterm Deliveries: I laguenau Prenatal Study, 19-1-1985 Emile papiemik. (..t al., Paris. I,rance 69 The West Los Angeles Prematurity Prevention Project: A Progress Report Ilobel. M.D.. el al., Los Angeles. California 79 The South Carolina Multicentered Randomized Controlled Trial to Reduce LowBirthweight Hem). LleinslLD., et al.. (..harleston. Swab Carolina 1. A Prematurity Prevention Project in Northwest NorthCarolina Paul Meis. MD., et al., Winston-Salem. NorthOtrolina 101 The Family Wcykers Project: Evaluation ofa Randomized Controlled Trial of a Pregnancy Social Support Service Brenda Spencer PhD., Manchester. !niter! Kingdom 109 The Social Support and Pregnancy Outcome Study Ann Oakley awl lynda Rafitn, London. I 'tilled Kingdom Prevention of Preterm Deliveries by I lome VisitingSystem: Results of a French Randomized Controlled Trial Beatrice Blonde!. M.D.. et al.. Paris. France Smoking Interventions During Pregnancy Akin' Sexton, PhD.. M.P.H., Baltimore. Maryland 153 Cervical Cerclage: New Eviclence From the MedicalResearch CounciVRoyal College of Obstetricians and Gynecologists Adrian Gmnt. 046rd, ()tiled Kingdom 107 Prevention of Intrauterine Growth Retardation with AntiplateletTherapy Serge t`zan. MD.. Paris. France 1-- Does Calcium Supplementation Reduce Pregnancy-InducedI lypertension and Prematurity? Jose Villar. MD.. Bethesda. Mar.vland 187 Vagnesium Supplementation in Pregnancy: A Double-lilindStudy Ludwig Vatling, Herne. West Gernutily 197 An Overview of Trials of Social Support During Pregnancy Diana Elhourne. PhD.. a:id Ann Oakkr. 0.0)rd. l'uitedKingdom kl3 Inhibition of Preterm Labor: Is It Worthwhile% Marc Keirse. Leiden. Netherlawls Appoulices Symposium Pr()gra in List of Participants '05 10.1 Tables and Figures Trends in Rates of Low Birthweight in the I Tnited Statc...s (Figure 1.1) Figure 1.1: Proponion of LBW and \IBA Births (By Race) Statistical Findings: Evolution of Preterm Birth in France (Figure 2.1: Tables 2.1-2.9) rgure 2.1: :Maternity l'nits Invoked in the Swdv 20 Table 2,1: Design of the National Surveys 19 'table2.2:Evolution of Gestational Age tl\ati(Whil Data) 19 Table 2.3: Ev()Iuticm ()t. Birthwcight (Natim;t1 Data} 19 Table Ev olution <f Prolatai Carc C National Data t 19 'Ethic.. 2.5: Changes in Demographic Factors tNatictnal Data) 19 'Fable 2.6:Evoltitilm of Pre(erit) Birth Rate t(lrude and Sumdardited Rate. Natittnal Data) 21 Table 27Evollitic WI of Prefenn Birth t 1 lospital I )ata Table 2,8Fvolution ()I Risk Inditait rI li spiial Data) Table 2.9Preterm Ball) Rale t< $n Veckst in Nordic. Countries
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