Reducing Preterm Births in Underserved Pregnant Women

The primary aim of this proposal is to test the efficacy of a clinic-based, computer-assisted intervention system to significantly reduce preterm births in high-risk populations. This system will: (1) assess a pregnant woman's unique risks in six modifiable areas associated with increased risks of preterm birth including smoking cessation, poor nutrition, domestic violence, maternal depression and stress, urinary and reproductive tract infections and substance use; (2) provide her with tailored advice and action planning tools on reducing her risks; (3) provide her certified nurse midwife or physician with information related to her assessed risks and counseling suggestions tailored for her needs, and [(4) promote effective referrals to, and successful linkages with community-based support organizations.] Because preterm birth rates are much higher for underserved African American women, we are proposing to focus the intervention with this population.

Inclusion criteria

Study inclusion criteria include:

• age 16-48 years,
• 1st trimester of pregnancy,
• race/ethnicity (non-Hispanic Black, or English-speaking Hispanic Black), and 4) a self-reported completion of grade 6 or higher.

Exclusion criteria

Exclusion criteria include:

• a medical condition or risk to the pregnancy that the physician or nurse midwife determines serious and a reason for exclusion, and
• a literacy level of < grade 6. No prior experience using a computer is needed. -