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The Interpregnancy Care Program The Feasibility and Impact of Delivering Interpregnancy Care to Mothers of Very-low-birthweight Infants at Grady Memorial Hospital. February 16, 2006. Background . Georgia ranks among the 10 states with the highest infant mortality (IM) rates;
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The Feasibility and Impact of Delivering
Interpregnancy Care to Mothers
of Very-low-birthweight Infants
at Grady Memorial Hospital
February 16, 2006
In particular, a growing body of evidence links VLBW delivery to the following:
To evaluate the effectiveness of interpregnancy care (IPC; primary health care received from delivery of one child until conception of the next) toward improving subsequent reproductive outcomes for African-American women who have delivered a VLBW infant by:
Grady IPC CohortGrady Historical Cohortp-value*
29/29 (100%) 40/58 (69%) 0.0002
Grady IPC CohortGrady Historical Cohortp-value**
24/29 (82.8%) 18/58 (31%) 0.0026
**p-value for Fisher’s exact test; intention-to-treat analysis.
* A composite outcome comprising spontaneous abortions, stillbirths, and liveborn deliveries with birth weight < 2500 grams.
For women who have had a VLBW delivery:
For women who have had a VLBW delivery, the provision of IPC contributes to improvement of women’s health during their reproductive years by facilitating:
Adams, M. M., K. M. Delaney, P. W. Stupp, B. J. McCarthy and J. S. Rawlings. "The relationship of interpregnancy interval to infant birthweight and length of gestation among low-risk women, Georgia." Paediatric and Perinatal Epidemiology 1997, 11(Suppl 1): 48-62.
Klerman, L. V.; S.P. Cliver; R.L. Goldenberg. The impact of short interpregnancy intervals on pregnancy outcomes in a low-income population. American Journal of Public Health 1998, 88, 1182-1185.
Rawlings, J. S., V. B. Rawlings and J. A. Read. "Prevalence of low birth weight and preterm delivery in relation to the interval between pregnancies among white and black women." NEJM 1995, 332: 69-74.
Goldenberg, R. L. and D. J. Rouse. "Prevention of premature birth." New England Journal of Medicine 1998, 339(5): 313-20.
Adams, M. M., L. D. Elam-Evans, H. G. Wilson and D. A. Gilbertz. "Rates of and factors associated with recurrence of preterm delivery." JAMA 2000, 283(12): 1591-6.