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Division of Reproductive Health: Activities—Research and Evaluation |
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The mission of the Centers for Disease Contol's Division of Reproductive
Health, Applied Sciences Branch, Research and Evaluation Team (RET) is to
improve the health of mothers and infants by—
- Monitoring chronic disease and related risk factors among women of
reproductive age.
- Developing and evaluating innovative interventions, policies, and
integrated services that promote healthy behaviors among women of
reproductive age and improve reproductive health outcomes for women and
infants.
The RET aims to achieve its mission by conducting the following
activities:
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Evaluating state quit lines to help pregnant and
postpartum smokers to quit
Telephone-based counseling via tobacco quit lines has proven to be an
effective method for delivering cessation counseling to the general
adult population. Quit lines are now available in all 50 states and,
therefore, have the potential of reaching diverse populations. In FY
2009, CDC's Division of Reproductive Health (DRH) and CDC's Office of
Smoking and Heath (OSH) are co-funding three states to evaluate the referral
patterns and use of quit lines among pregnant women and their health
care providers. The evaluation results may help to develop several
clinic-based models for promoting quit lines and referring pregnant and
postpartum smokers to them. The three grantees include The
Translational Tobacco Reduction Research Program at the West Virginia
University, The University of Wisconsin’s Center for Tobacco Research
and Intervention, and University of Medicine and Dentistry of New Jersey.
Preventing Smoking and Exposure to Secondhand Smoke Before, During,
and After Pregnancy
For more information about tobacco and pregnancy, please visit
http://www.cdc.gov/reproductivehealth/TobaccoUsePregnancy/
- Quality improvement project to increase postpartum diabetes testing
rates
among women with gestational diabetes
The RET team in collaboration
with the Maternal and Infant Health Team in CDC's DRH are funding a quality
improvement project at the Kaiser Permanente Northwest (KPNW) to increase
postpartum diabetes testing rates among women with gestational diabetes. An
initial study found that postpartum diabetes testing rates at KPNW increased
from 56% in 1999 to 68% in 2006. The quality improvement project will focus
on provider education and feedback for current postpartum testing rates, as
well as system changes to remind providers to order the lab test and
patients to complete it.
- Collaboration between Maternal and Child Health and Chronic Disease Programs
DRH supports collaboration
between state maternal and child health (MCH) departments and state chronic
disease departments through a cooperative agreement with the National
Association of Chronic Disease Directors. This project monitors and
encourages collaboration between MCH and Chronic Disease state staff to
address issues such as prenatal smoking and preventing type 2 diabetes among
women with gestational diabetes and to use Pregnancy Risk Assessment
Monitoring System (PRAMS) data to identify needs and
evaluate programs.
- Cooperative agreement with the Association of Maternal and Child Health
Programs
CDC supports a
cooperative agreement with the Association of Maternal and Child Health
Programs (AMCHP)* to support prenatal smoking cessation programs in
states. AMCHP’s members consist of all state Maternal and Child Health (MCH)
program directors and their staff. AMCHP is partnering with the
American College of Obstetricians and
Gynecologists (ACOG)* and the
Planned Parenthood Federation of
America (PPFA)* to strengthen knowledge, partnerships, and capacity
among state MCH and tobacco professionals, OB–GYNs, and community clinicians
regarding effective tobacco programs for women of reproductive age.
- Maternal Child Health Smoking Attributable Mortality, Morbidity, and
Economic Costs
MCH SAMMEC is an online tool to estimate annual smoking-attributable
medical expenditures, deaths, and years of potential life lost for infants
exposed to tobacco in the United States.
- Ongoing analyses of the Pregnancy Risk
Assessment Monitoring System to help guide and prioritize RET team
intervention efforts. A few examples include the following:
- Describing the burden of chronic disease conditions and risk factors among
low-income women. The results of this analysis can be used to increase
certain types of screenings and referrals for low-income women accessing
publicly funded family planning clinics.
- The
1990 Institute of Medicine recommendations for weight gain during pregnancy
are currently being reviewed. Two analyses are being conducted to evaluate
associations between recommended weight gain and pregnancy outcomes. In
addition, trends in weight gain during pregnancy are being explored.
Publications
Allen AM, Prince CB, Dietz PM.
Postpartum
Depressive Symptoms and
Smoking Relapse. Am J Prev Med 2009;36(1):9–12.
Allen AM, Dietz PM, Tong VT, England LJ, Prince CB.
Prenatal Smoking Prevalence Ascertained from Two Population-Based Data
Sources: Birth Certificates and PRAMS Questionnaires, 2004. Public
Health Rep 2008;123(5):586–592.
Tong VT, England LJ, Dietz PM, Asare LA.
Smoking Patterns and Use
of Cessation Interventions During Pregnancy. Am J Prev Med
2008;35(4):327c333.
Dietz PM, Vesco KK, Callaghan WM, Bachman DJ, Bruce FC, Berg CJ,
England LJ, Hornbrook MC.
Postpartum
Screening for Diabetes After a Gestational Diabetes
Mellitus-Affected Pregnancy. Obstet Gynecol 2008;112(4):868–874.
Kuhlmann AK, Dietz PM, Galavotti C, England LJ.
Weight-Management
Interventions for Pregnant or Postpartum Women.
Am J Prev Med 2008;34(6):523–528. Review.
Dietz PM, Adams MM, Kendrick JS, Mathis MP.
Completeness of ascertainment of prenatal smoking using birth certificates
and confidential questionnaires: variations by maternal attributes and
infant birth weight. Am J Epidemiol 1998;148(11):1048–54.
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Links to non-Federal organizations found at this site are provided solely as a service to our users. These links do not constitute an endorsement of these organizations or their programs by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at these links.
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Page last reviewed: 4/15/09 Page last modified: 4/15/09 Content source:
Division
of Reproductive Health,
National Center for Chronic Disease
Prevention and Health Promotion |
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