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Strengthening the evidence for maternal and child health programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.


Displaying records 1 through 20 (31 total).

Great Expectations/Healthy Start. n.d.. Prenatal education curriculum. New Orleans, LA: Great Expectations/Healthy Start, ca. 150 pp.

Annotation: This study guide consists of a series of brief training sessions on various aspects of prenatal and infant care. Curricula topics include the following: 1) anatomy and physiology of pregnancy; 2) breastfeeding; 3) alcohol, smoking, and drug abuse; 4) personal hygiene; 5) sexually transmitted diseases; 6) contraception/family planning; and 7) domestic violence. [Funded by the Maternal and Child Health Bureau]

Contact: Great Expectations Foundation, Inc., 4298 Elysian Fields Avenue, Suite B, New Orleans, LA 70122, Telephone: (504) 288-7818 Fax: (504) 288-7328 E-mail: arichard@greatexp.org Web Site: Available at no charge.

Keywords: Adolescent pregnancy, Alcohol use during pregnancy, Breastfeeding, Contraception, Curricula, Domestic violence, Educational materials, Great Expectations/New Orleans Healthy Start, Infant care, Infant health, Nutrition, Pregnancy, Prenatal care, Prenatal education, Prenatal nutrition, Sexually transmitted diseases, Smoking, Substance dependence, Training materials

Fond M, Kendall-Taylor N, Volmert A, Pineau MG, L’Hôte E. 2017. Seeing the spectrum: Mapping the gaps between expert and public understandings of fetal alcohol spectrum disorder in Manitoba. Washington, DC: FrameWorks Institute, 49 pp.

Annotation: This report presents an empirically-based framing strategy for communicating about fetal alcohol spectrum disorder (FASD). Contents include a set of principles reflecting expert understanding of what fetal alcohol spectrum disorder (FASD) is, how alcohol affects fetal development, why women consume alcohol while pregnant, what the effects of FASD are, and how FASD can be prevented and addressed. The report also describes shared but implicit understandings, assumptions, and patterns of reasoning that shape how the public thinks about FASD, points at which expert and public understandings overlap and diverge, and key challenges in communicating about FASD. Recommendations are included.

Contact: FrameWorks Institute, 1333 H Street, N.W., Suite 700 West, Washington, DC 20005, E-mail: info@FrameWorksInstitute.org Web Site: http://www.FrameWorksInstitute.org Available from the website.

Keywords: Alcohol consumption attitudes, Alcohol consumption behavior, Alcohol use during pregnancy, Beliefs, Communication, Culturally competent services, Fetal alcohol effects, Fetal alcohol syndrome, Fetal development, Prevention services, Research, Trauma care

University of Washington Health Sciences Administration, Alcohol and Drug Abuse Institute, Fetal Alcohol and Drug Unit. 2015. The Parent-Child Assistance Program (PCAP): Prevention & intervention with high-risk mothers and their children. Seattle, WA: Washington State Department of Social and Health Services, Division of Behavioral Health and Recovery, 6 pp.

Annotation: This brochure describes a program to prevent and/or reduce the risk of maternal alcohol and drug abuse by providing home visitation and intervention over a 3-year period by trained and supervised case managers. Contents include a description of the program goals, approach, client outcomes, and eligibility criteria. Topics include helping mothers build and maintain healthy independent family lives, assuring that children are in safe and stable homes, and preventing future births of alcohol and drug-exposed children.

Contact: University of Washington Health Sciences Administration, Alcohol and Drug Abuse Institute, Fetal Alcohol and Drug Unit, 180 Nickerson Street, Suite 309, Seattle, WA 98109, Telephone: (206) 543-7155 Fax: (206) 685-2903 Contact E-mail: granttm@uw.edu Web Site: http://depts.washington.edu/fadu Available from the website.

Keywords: Alcohol abuse, Alcohol use during pregnancy, Case management, Child safety, Drug abuse, Family support programs, Fetal alcohol effects, High risk children, High risk mothers, Home visiting, Postpartum care, Pregnancy, Pregnant women, Prenatal care, Program descriptions, Referrals, Risk factors, Substance abuse prevention programs, Substance abuse treatment services, Washington, Women

Lorenzo SB. 2014. Tobacco, alcohol, and substance use during preconception and pregnancy: Resource brief (upd. ed.). Washington, DC: National Center for Education in Maternal and Child Health, 1 p.

Minnesota Department of Health. 2013. Infant mortality in Minnesota: A summary of statistics, activities, and past work group recommendations-Region V Infant Mortality Summit. [St. Paul, MN]: Minnesota Department of Health, 35 pp.

Annotation: This report describes a summit in March 2013 to address the infant mortality problem in Minnesota, particularly racial and ethnic disparities in infant mortality, and to lay a foundation for the development of a comprehensive plan by the Minnesota Department of Health and its partners to further reduce infant mortality. Section 1 provides an overview of infant mortality in Minnesota by putting into context the significant racial and ethnic infant mortality disparities that exist in the state. Sections 2 and 3 highlight infant mortality rates by selected infant and maternal characteristics. Section 4 addresses selected maternal behaviors linked to infant mortality such as smoking and alcohol consumption. [Funded by the Maternal and Child Health Bureau]

Contact: U.S. Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 443-2170 Web Site: https://mchb.hrsa.gov Available from the website.

Keywords: Alcohol use during pregnancy, Drug use during pregnancy, Ethnic factors, Infant death, Infant mortality, Minnesota, Prenatal influences, Racial factors, Risk factors, State initiatives

Mocan N, Raschke C, Unel B. 2013. The impact of mothers' earnings on health inputs and infant health. National Bureau of Economic Research, 54 pp. (NBER working paper series no. 19434)

Annotation: This paper investigates the impact of mothers’ earnings on birth weight and gestational age of infants. It also analyzes the impact of earnings on mothers’ consumption of prenatal medical care, and their propensity to smoke and drink during pregnancy. Study methodology and findings are described.

Contact: National Bureau of Economic Research, 1050 Massachusetts Avenue, Cambridge, MA 02138-5398, Telephone: (617) 868-3900 Fax: (617) 868-2742 E-mail: info@nber.org Web Site: http://www.nber.org Available from the website.

Keywords: Alcohol use during pregnancy, Pregnancy outcome, Pregnant women, Prenatal care, Smoking during pregnancy, Socioeconomic factors, Working mothers

American Society of Addiction Medicine. 2011. Public policy statement on women, alcohol and other drugs, and pregnancy. Chevy Chase, MD: American Society of Addiction Medicine, 8 pp.

Annotation: This paper addresses aspects of substance abuse and addiction in women of childbearing age, with an emphasis on the potential adverse effects of substance use and substance use disorders during pregnancy. The paper details mechanisms of harm from alcohol and other substances during pregnancy. Policy recommendations are included.

Contact: American Society of Addiction Medicine, 4601 North Park Avenue, Upper Arcade, Suite 101, Chevy Chase, MD 20815, Telephone: (301) 656-3920 Fax: (301) 656-3815 E-mail: email@asam.org Web Site: http://www.asam.org Available from the website.

Keywords: Alcohol abuse, Alcohol consumption behavior, Alcohol use during pregnancy, Infant health, Public policy, Substance abuse, Substance abusing pregnant women, Women's health

Association of Reproductive Health Professionals. 2010. Counseling patients on preconception care: Folate and beyond. (Upd. ed.). Washington, DC: Association of Reproductive Health Professionals, 2 pp. (What you need to know)

Annotation: This fact sheet provides information about counseling women on preconception care, and in particular on folate intake. The fact sheet discusses preconception counseling as lifelong health promotion; neural tube defects, folate, and folic acid; folate intake and folic acid supplementation; environmental contaminants; and alcohol consumption during pregnancy. A list of folate and folic acid sources is included, along with recommendations.

Contact: Association of Reproductive Health Professionals, 1901 L Street, N.W., Suite 300, Washington, DC 20036, Telephone: (202) 466-3825 E-mail: arhp@arhp.org Web Site: http://www.arhp.org Available from the website.

Keywords: Alcohol use during pregnancy, Counseling, Environmental exposure, Folic acid, Health promotion, Neural tube defects, Pregnancy, Prenatal care, Prevention, Women's health

National Institutes of Health, National Institute on Alcohol Abuse and Alcoholism. 2010. Fetal alcohol spectrum disorders (upd. ed.). [Rockville, Md]: National Institutes of Health, National Institute on Alcohol Abuse and Alcoholism, 2 pp.

Annotation: This fact sheet provides information about fetal alcohol spectrum disorders (FASD). The fact sheet discusses progress in understanding, preventing, and treating the problem since alcohol's ability to cause birth defects was first recognized over three decades ago. Steps for health professionals and women who are pregnant or who are considering becoming pregnant to take to prevent FASD are provided. Research geared toward better preventing and treating FASD in the future is also discussed.

Contact: National Institute on Alcohol Abuse and Alcoholism, , 5635 Fishers Lane, MSC 9304, Bethesda, MD 20892-9304, Telephone: (301) 443-3860 Fax: (301) 780-1726 E-mail: NIAAAweb-r@exchange.nih.gov Web Site: http://www.niaaa.nih.gov Available from the website.

Keywords: Alcohol use during pregnancy, Birth injuries, Chronic illnesses and disabilities, Fetal alcohol effects, Fetal alcohol syndrome, Infant health, Prevention, Reproductive heath, Research, Treatment, Trends

FASD Regional Training Centers, Centers for Disease Control and Prevention, and National Organization on Fetal Alcohol Syndrome. [2008]. Fetal alcohol spectrum disorders: Competency-based curriculum development guide for medical and allied health education and practice. Atlanta, GA: Centers for Disease Control and Prevention, ca. 280 pp., 1 CD-ROM.

Annotation: This purpose of this curriculum development guide is to enhance the knowledge and skills of health care providers to recognize and prevent fetal alcohol spectrum (FAS) disorders by aiding in the development of educational programs and materials. The guide is organized by three types of learning outcomes: competencies, learning goals, and learning objectives, allowing educators or trainers to select goals and objectives appropriate for participants' learning needs and skill levels, along with university or organization criteria. Chapter contents include seven competency topics: foundation; screening and brief interventions; models of addiction; biological effects of alcohol on the fetus; screening, diagnosis, and assessment of FAS; treatment across the lifespan for persons with FASDs; and ethical, legal, and policy issues.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: cdcinfo@cdc.gov Web Site: http://www.cdc.gov Available from the website.

Keywords: Alcohol use during pregnancy, CD-ROMs, Fetal alcohol effects, Fetal alcohol syndrome, Fetal development, Prenatal addiction, Prenatal care, Professional education, Resources for professionals, Screening, Substance abusing pregnant women

March of Dimes Birth Defects Foundation. 2008. Drinking alcohol during pregnancy. [White Plains, NY]: March of Dimes,

Annotation: This fact sheet provides information about the risks associated with infant physical and mental development when drinking alcohol during pregnancy. Topics also include defining fetal alcohol syndrome (FAS) and associated disorders, drinking alcohol while breastfeading, what is being done to prevent and treat FAS, and resources to get help to stop drinking alcohol.

Contact: March of Dimes, 1275 Mamaroneck Avenue, White Plains, NY 10605, Telephone: (914) 997-4488 Secondary Telephone: Web Site: http://www.marchofdimes.com Available from the website.

Keywords: Alcohol use during pregnancy, Child health, Fetal alcohol syndrome, Infant health, Prevention, Treatment

Fogerty S, Finkelstein N. 2006. Alcohol Screening Assessment in Pregnancy (ASAP2) Project: Final report. Boston, MA: Massachusetts Department of Public Health, 334 pp., plus appendices.

Annotation: This report focuses on the Alcohol Screening Assessment in Pregnancy (ASAP2) project during the period October 1,2002, through September 30, 2005.The purpose of this project was to build on the success of the original Massachusetts ASAP Project (ASAP1) by addressing lessons learned and expanding the project to include two additional screening times during pregnancy, futher development of brief intervention protocols and tools, and patient follow-up procedures. The report , which includes an abstract, is divided into the following sections: (1) purpose of the project, (2) goals and objectives, (3) methodology, (4) evaluation, (5) results and outcomes, (6) publications and products, (7) dissemination and utilization of results, (8) future plans and follow-up, and (9) type and amount of support and resources needed to replicate. References are included. The report includes seven appendices, which encompass a pregnancy questionnaire written in several languages, screening questions, flow charts, a screening tool, marketing materials, a list of ASAP2 providers, and evaluation materials. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, Box 571272, Washington, DC 20057-1272, Telephone: (202) 784-9770 E-mail: mchgroup@georgetown.edu Web Site: https://www.mchlibrary.org

Keywords: Alcohol use during pregnancy, Assessment, Final reports, Intervention, Massachusetts, Pregnant women, Screening, Substance abuse

U.S. Center for Substance Abuse Prevention. 2006. Partnership to Prevent Fetal Alcohol Spectrum Disorders: Public education program manual. Rockville, MD: U.S. Center for Substance Abuse Prevention, 118 pp., plus 2 CD-ROMs.

Annotation: The print and CD editions of this program manual contain pretested research-based plans, strategies, and communications tools to develop public awareness about the dangers of alcohol consumption to the developing fetus. Chapter contents include partnership mobilization and program planning, provider involvement, materials dissemination, program evaluation, and pilot program descriptions. Appendices include materials and images, a glossary of terms, contact information, and references. The CD edition also provides four case studies that describe how the program was implemented and adapted by four pilot communities; links directly to Web-based resources; and provides PDF files of the communications tools. The CD supplement provides production source sfiles for the communications tools to allow graphic designers and commercial printers to create additional materials.

Contact: U.S. Substance Abuse and Mental Health Services Administration, One Choke Cherry Road, Rockville, MD 20857, Telephone: (877) SAMHSA-7 Secondary Telephone: (877) 726-4727 E-mail: Web Site: http://www.samhsa.gov Available at no charge. Document Number: HHS Pub. No. SMA-4013.

Keywords: Alcohol use during pregnancy, CD-ROMs, Fetal alcohol effects, Fetal alcohol syndrome, Pregnant women, Program development, Public awareness materials, Spanish language materials, Training materials

Aunt Martha's Youth Service Center. 2005. Aunt Martha's Healthy Start impact report. Chicago Heights, IL: Aunt Martha's Youth Service Center, 81 pp., plus appendices.

Annotation: This report describes a Healthy Start program in Ford Heights and Chicago Heights, Illinois, from 2001-2004 to improve access to quality maternal and child health services in order to reduce the high rate of infant mortality and reduce health disparities in this medically underserved area. It discusses isk factors for poor perinatal outcomes including mothers who smoke, drank, or used street drugs during their pregnancy, as well as other behavioral risk factors and pregnancy during adolescence. Report contents include an overview of racial and ethnic disparities focused on by the project; descriptions of project implementation, management and governance, and accomplishments; the impact of the project on systems of care, the community and the state, and the role of local government. A local evaluation report addressing issues of infant mortality, first trimester prenatal care, adequacy of prenatal care, well-child exams, and initial postpartum exams is included. Appendices include service tables and project data as well as samples of products produced during the project. [Funded by the Maternal and Child Health Bureau]

Contact: Maternal and Child Health Library at Georgetown University, Box 571272, Washington, DC 20057-1272, Telephone: (202) 784-9770 E-mail: mchgroup@georgetown.edu Web Site: https://www.mchlibrary.org Available from the website.

Keywords: Access to health care, Adolescent pregnancy, Alcohol use during pregnancy, Barriers, Drug use during pregnancy, Final reports, Healthy Start, Illinois, Infant mortality, MCH services, Prenatal care, Prevention programs, Racial factors, Substance abuse

Minnesota Department of Health, Family Health Division, MCH-FAS Prevention. 2004. Women and substance abuse in the childbearing years: A prevention primer. Mounds View, MN: Minnesota Prevention Resource Center, 155 pp.

Annotation: This primer promotes public education to all Minnesotans who need to know that: (1) there is no known safe time to use any type or amount of alcohol during pregnancy, and (2) alcohol, tobacco, and other drugs have immediate and long-term effects on women's and children's health. The primer provides information, educational resources, and tools in various formats about women's substance abuse, addiction, and its consequences; risk factors associated with women's substance use including sexual and domestic abuse, depression, and other mental health issues; and how to engage a wide range of community members to take action in helping women who abuse substances, particularly during pregnancy. Resources include books, brochures, pamphlets, and other print media; counseling and information phone lines; curricula; Internet resources; prevention planning and resource guides; reports; resource centers; services for children and families, as well as women; and videos for purchase or loan. Resources are identified throughout the primer for African American, Asian American, Latino, and Native American cultures and for lesbian, gay, bisexual, and transgender persons, in addition to general audiences. Appendices include information on selecting and pre-testing educational materials; selecting health information on the Web; community prevention strategies; effective strategies to reduce drinking during pregnancy; facts about women who drink during pregnancy; substance use and the harm to women and children; recognizing and treating alcohol abuse and alcoholism; and a calendar of community events and national health observances. References conclude the primer.

Contact: Minnesota Prevention Resource Center, 38460 Lincoln Trail, Box 549, North Branch, MN 55056, Telephone: (651) 674-4085 Secondary Telephone: (877) 935-4426 Fax: (651) 277-4085 E-mail: mprc@cpyf.org Web Site: http://www.emprc.org/ $10.00 in-state; $12.00 out of state .

Keywords: Alcohol use during pregnancy, Drug use during pregnancy, Fetal alcohol syndrome, Fetal tobacco syndrome, Minnesota, Perinatal health, Prenatal health, Resource materials, Smoking during pregnancy, State initiatives, Substance abuse prevention, Substance abuse prevention programs, Substance abusing pregnant women, Women's health

Phares TM, Morrow B, Lansky A, Barfield WS, Prince CB, Marchi KS, Braveman PA, Williams LM, Kinniburgh B. 2004. Surveillance for disparities in maternal health-related behaviors—Selected states, Pregnancy Risk Assessment Monitoring System (PRAMS), 2000-2001. MMWR Surveillance Summaries 53(SS04):1-13,

Annotation: This report focuses on identifying the nature and extent of disparities in maternal behaviors that affect maternal or infant health, using data from the Pregnancy Risk Assessment Monitoring System (PRAMS) for 2000-2001 from eight states. The purpose of the report is to assist public health authorities in developing policies and programs targeting persons at greatest risk for adverse health outcomes. The report analyzes data for four maternal health behaviors: smoking during pregnancy, alcohol use during pregnancy, breastfeeding initiation, and placing infants in the back sleep position. The report, which contains an abstract, includes a description of the methods, results, and a conclusion. The report concludes with a list of references. Statistical information is presented in tables and figures grouped together at the end of the report.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: cdcinfo@cdc.gov Web Site: http://www.cdc.gov Available at no charge; also available from the website.

Keywords: Alcohol use during pregnancy, Breastfeeding, High risk mothers, Infant health, Maternal behavior, Maternal health, Pregnancy, Programs, Public policy, Sleep position, Smoking during pregnancy

National Governor's Association, Center for Best Practices. 2004. Healthy babies: Efforts to improve birth outcomes and reduce high risk births. Washington, DC: National Governors Association, Center for Best Practices, 17 pp.

Annotation: This report describes efforts that states can make to improve birth outcomes. The report presents a summary of the problem of poor birth outcomes in the United States, explains the meaning of poor birth outcome, discusses the costs of poor birth outcomes, provides recommendations for improving poor birth outcomes and reducing costs associated with high-risk births, explains how specific states are using Medicaid to provide family planning services, discusses ways that states can help reduce the use of harmful substances, and offers a conclusion. Statistical information is presented in tables throughout the report. The report concludes with resources for improving birth outcomes and a list of endnotes.

Contact: National Governors Association, Center for Best Practices, Hall of the States, 444 North Capitol Street, Suite 267, Washington, DC 20001-1512, Telephone: (202) 624-5300 Fax: (202) 624-5313 E-mail: webmaster@nga.org Web Site: http://www.nga.org/cms/center Available from the website.

Keywords: Alcohol use during pregnancy, Childbirth, Congenital abnormalities, Costs, Family planning, High risk infants, High risk pregnancy, Infant mortality, Low birthweight, Low birthweight infants, Maternal mortality, Medicaid, Pregnancy, Premature infants, State programs, Substance abusing pregnant women

Centers for Disease Control and Prevention. 2002. Core functions and capabilities of state public health laboratories: A report of the Association of Public Health Laboratories and National Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effect—Defining the national agenda for fetal alcohol syndrome and other prenatal alcohol-related effects. MMWR Recommendations and Reports 51(RR-14):1-19,

Annotation: This two-part report highlights issues relating to state public health laboratories and fetal alcohol syndrome. Part one is a consensus report by the Association of Public Health Laboratories that discusses the core functions and capabilities of state public health laboratories in assessing and improving laboratory activities in a first step in establishing best laboratory practices. The second part of the report outlines the National Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effect recommendations on the need to develop effective strategies for both children with fetal alcohol syndrome (FAS) or other prenatal alcohol-related effects and for women at high risk for having an alcohol-exposed pregnancy. Each part contains background information, an outline of recommendations, and references.

Contact: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329-4027, Telephone: (800) 232-4636 Secondary Telephone: (888) 232-6348 E-mail: cdcinfo@cdc.gov Web Site: http://www.cdc.gov Available at no charge; also available from the website.

Keywords: Alcohol use during pregnancy, Fetal alcohol syndrome, High risk infants, High risk mothers, Laboratories, Public health infrastructure, Quality assurance

Hennepin County Community Health Department. 2002. Healthy babies: The provider's role in fetal alcohol syndrome prevention. Minneapolis, MN: Hennepin County Community Health Department, 42 pp.

Annotation: This report summarizes and analyzes information from a study conducted to determine whether health professionals in Hennepin County, Minnesota, discuss alcohol use with women of childbearing age. The report includes the following sections: (1) a model for clinical prevention and intervention, (2) phase one: provider prenatal alcohol screening survey, (3) phase two: provider focus group research, (3) summary, and (4) a call to action. A reference list is also included. Four appendices include the prenatal alcohol screening survey, selected survey results, coding schemes for variables in multiple regression analyses, and a prenatal care provider focus group discussion guide.

Contact: Hennepin County Human Services and Public Health Department, 525 Portland Avenue South, Minneapolis, MN 55415, Telephone: (612) 348-4111 E-mail: HSPH.FrontDoor.Screening@co.hennepin.mn.us Web Site: http://hennepin.us/hsphd Available from the website.

Keywords: Alcohol use during pregnancy, Fetal alcohol effects, Fetal alcohol syndrome, Focus groups, Health personnel, Intervention, Minnesota, Pregnancy, Questionnaires, Research, Substance abusing pregnant women, Surveys

Barbara Aved Associates. 2002. Working in partnership: Needs and opportunities for improving perinatal substance abuse services in California. [Fresno, CA]: Fresno Healthy Start, ca. 100 pp., exec. summ. (8 pp.).

Annotation: This report was prepared for the California Conference of Local Directors of Maternal, Child, and Adolescent Health and summarizes findings from an effort by California programs in Fresno, San Bernardino and Alameda Counties, Los Angeles Shields for Families, and San Diego County. Topics include issues related to perinatal substance abuse and how it is being addressed in California by maternal, child, and adolescent programs; mental health and alcohol and drug jurisdictions; and child welfare, detention, court systems, and health care providers. Part one summarizes the needs assessment, findings from research, and experts' opinions. A separate executive summary is also available. References are provided as well as appendices including advisory committee members, a summary of the literature search, a county survey, a list of key informants interviewed, county groups by size of population, and participating county health departments and selected county characteristics. [Funded in part by the Maternal and Child Health Bureau]

Contact: Fresno County Department of Community Health, Maternal, Child & Adolescent Health, Fresno County's Babies First, 1221 Fulton Mall, PO Bo 11867, Fresno, CA 93775, Telephone: (559) 445-3307 Fax: (559) 445-3596 E-mail: sarakelian@co.fresno.ca.us Web Site: http://www.babiesfirstfresno.com/ Available from the website.

Keywords: Alcohol abuse, Alcohol use during pregnancy, California, Local initiatives, MCH research, Perinatal health, Pregnant women, Prevention programs, State initiatives, Substance abuse, Substance abuse

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This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.