PERINATAL CONDITIONS

Sacramento County Blue Ribbon Commission Report on Disproportionate African American Child Deaths states African American children comprised 25% (260 of 1041) of all the perinatal conditions deaths.  Deaths resulting from perinatal conditions include prematurity, low birth weight, placental abruption and congenital infections. Perinatal conditions deaths span the time period from the second trimester of pregnancy through one month after birth.  Perinatal conditions are often related to maternal health during pregnancy and preconception.  

An analysis of the 1987 – 2007 fetal-infant death data using the Perinatal Periods of Risk Approach was conducted by the Sacramento County Department of Health and Human Services, 

Public Health Division. The analysis showed that the rate for African American fetal infant deaths was 4.9 per 1000 compared with 2.6 for all races, 2.4 for Caucasian, and 2.2 for Hispanic. The higher rate of deaths for African American fetal-infant deaths was related to maternal health and result in African American infants being born premature and/or with low birth weights. Related risk factors include: stress, chronic disease, smoking, substance abuse, maternal age/health, sexually transmitted diseases, multiple pregnancies such as twins or triplets, and short pregnancy intervals with frequent pregnancies.

Risk factors were known to be present in a nearly half (46%) of perinatal conditions deaths of African American children.

How Racism Impacts Pregnancy Outcomes

WEB-EXCLUSIVE VIDEO, Unnatural Causes

UCLA obstetrician and gynecologist Dr. Michael Lu believes that for many women of color, racism over a life time, not just during the nine months of pregnancy, increases the risk of preterm delivery. To improve birth outcomes, Lu argues, we must address the conditions that impact women’s health not just when they become pregnant but from childhood, adolescence and into adulthood.

LOCAL RESOURCES

Services Offered:
We offer individualized life planning that helps women plan for their futures. In addition, we also provide mother support groups during and after pregnancy that are fun and interactive with activities to help manage and reduce stress, promote healthy behaviors to support health, wellness and relationships.

Focus Population:
African American women
18 years of age or older
30 weeks pregnant or less
Sacramento County resident

Referral Process:
Sacramento County Baby Line: 916.875.BABY (2225)
F: 916.875.0860

VISIT WEBSITE

Nurse-Family Partnership is a FREE evidence-based, community health program that serves income eligible women pregnant with their first child.  Each vulnerable new mom is partnered with a registered nurse early in her pregnancy and receives ongoing home visits.  It is a life-transforming partnership, for the mom and her child.  Nurse-Family Partnership helps families– and the communities they live in—become stronger while saving money for state, local and federal governments.  

Any woman can enroll in the program who:
Is pregnant with her first child
Meets income requirements
Lives within Sacramento County service area.
Under 28 weeks gestation

To make a referral:
Please contact Sacramento County Nurse
Family Partnership at (916) 875-BABY

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Black Mothers United aids expectant African-American women residing in Sacramento County.  Eligible women are paired with a Personal Advocate who provides them with individualized support and guidance throughout their pregnancy, and up to four months after the baby is born. 

Referral FormVISIT WEBSITE

WellSpace Health’s Cultural Broker Program is a pregnancy support program for African American pregnant women who are at high risk for maternal complications and poor pregnancy and birth outcomes.

Services Offered:
Provide one on one support mentor/home visitor
Provide Nurturing Parenting Lessons at least once a week
Education on AA risk factors (preterm labor, low birth weight, infant sleep related deaths, birth defects,  car accidents)
Special 24 week cervical scan & Dental screening at 20 weeks to assess risk for preterm labor.
CAPC Safe Sleep education and pack-n-play crib for baby
Transportation assistance (bus passes) to medical appointments
Access to prenatal care at WellSpace Health
Referrals to community resources (housing, food and baby clothes etc.)

Requirements:
African American
Under 35 weeks pregnant

Service Locations:
WellSpace health centers throughout Sacramento County
Community location
In home

Referral Process:
Fill out the Referral Form
Fax referral to 916-405-6211 or call our office at 916-550-5428

Resources:
BlackDoctor.org / Health Pregnancy
Baby Center – African American Families
The National Healthy Start Association, Infant Mortality Awareness Campaign Toolkit

VISIT WEBSITE

Text4baby is a free, easy way to get important information. When you text BABY to 511411, you receive free text messages three times per week, timed to a due date or a baby’s birth date, through pregnancy and up until the baby’s first birthday. Text4baby sends personalized messages directly to you, and the texts have information you can trust because they are developed by experts from all over the country. There is also an app that provides additional information about baby’s development, pregnancy, childcare tips, and more.

Topics include:
Nutrition for you and your baby
Safe sleep tips
Baby’s milestones
Signs and symptoms of labor
Doctor visit and appointment reminders for you and your baby
Breastfeeding advice
Car seat safety
Information on health insurance
Urgent health alerts
Resource hotlines and websites

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RESEARCH

The Impact of Low Birth Weight, Perinatal Conditions, and Sociodemographic Factors on Educational Outcome in Kindergarten
Michael B. Resnick, EdD; Ralitza V. Gueorguieva, MS; Randy L. Carter, PhD; Mario Ariet, PhD; Yuanshan Sun, PhD; Jeffrey Roth, PhD; Richard L. Bucciarelli, MD; John S. Curran, MD; and Charles S. Mahan, MDi 

CLOSING THE BLACK-WHITE GAP IN BIRTH OUTCOMES:ALIFE-COURSE APPROACH
Michael C. Lu, MD, MPH; Milton Kotelchuck, PhD, MPH; Vijaya Hogan, DrPH; Loretta Jones, MA; Kynna Wright, PhD, MPH; Neal Halfon, MD, MPH

African American Women’s Preparation for Childbirth From the Perspective of African American Health-Care Providers
Christine Abbyad, PhD, RN, WHNP and Trina Reed Robertson, MA