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Lunch Time Research Seminar April 18 Featuring Dr. Wendy Lane, MD, MPH

wendy lane

DATE: April 18, 2019 TIME: 12:15 -1:45 PM ROOM: 3E34B of SSW Bldg. 525 W. Redwood Street, Baltimore, MD 21201 **Pizza and refreshments will be provided** please RSVP by Tuesday April 16, 2019 to Dr. Wendy Lane, MD, MPH Clinical Associate Professor Department of Epidemiology & Public Health Director, Preventative Medicine Residency Program University of Maryland School of Medicine Title: Improving Birth Outcomes in West Baltimore through an Academic-Community Partnership Abstract: Background: Birth outcomes have been persistently poor in many Baltimore City neighborhoods. Between 2005 and 2009, Upton/Druid Heights had an average infant mortality rate (IMR) of 15/1000, 15.4% of births were low birthweight and 18.2% were preterm. Objective: To assess whether a place-based academic-community partnered initiative can improve birth outcomes in a high-risk community.

Methods: B’more for Healthy Babies Upton/Druid Heights (BHB U/DH) is one component of a citywide initiative to improve birth outcomes. In addition to citywide messaging, home visiting, and fatality review, U/DH services include intensive community outreach, identification, assessment, and service linkage for pregnant women, postpartum services including breastfeeding, and resources for fathers. Community Health Workers coordinate with community partners, including home visiting, local businesses, faith-based institutions, and public agencies. We compared trends in birth outcomes for U/DH to those of Baltimore City using vital statistics data and examined trends in risk and protective factors for enrolled moms.

Results: U/DH has had no sleep related deaths in 5 years. The infant mortality rate decreased to 10/1000 for 2011-2014. Preterm birth and low birthweight rates decreased by 24% and 18% respectively. Breastfeeding initiation increased by 30%. Neonatal ICU admissions dropped by 5.4% over the course of the intervention. Improvements exceeded those for Baltimore City as a whole. Conclusions: Place-based interventions including community outreach and education, and community health workers can improve birth outcomes for high-risk communities.

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