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Thu Dec 9 03:57:02 EST 2010


drinking water is becoming increasingly contaminated by pharmaceuticals.
This is an insidious form of pollution that is, for the most part,
legal. Today, at least 46 million Americans are affected by
pharmaceuticals in drinking water. Pharmaceuticals and personal care
products include over-the-counter medications, prescription medications,
dietary supplements, hormones, cleaning agents (especially antibacterial
cleaners), and the inert ingredients that are associated with these
products. Of special concern are endocrine disrupting compounds (EDCs).
EDCs are synthetic compounds which either block or mimic natural
hormones, which in turn disrupt normal functioning of organs. Read more
about this important topic at
http://www.peer.org/campaigns/publichealth/pharma/index.php  and also
see
http://www.washingtonpost.com/wp-dyn/content/story/2008/03/09/ST2008030901877.html
 ARTICLESAyman AE et al. An Intervention to Reduce Environmental
Tobacco Smoke Exposure Improves Pregnancy Outcomes PEDIATRICS Vol. 125
No. 4 April 2010, pp. 721-728
The authors tested the efficacy of a cognitive-behavioral
interventionin reducing environmental tobacco smoke exposure (ETSE)
andimproving pregnancy outcomes among black women.
They recruited 1044 women to a randomized, controlled trial
during2001–2004 in Washington, DC. Data on 691 women with
self-reportedETSE were analyzed. A subset of 520 women with ETSE and
salivarycotinine levels (SCLs) of <20 ng/mL were also analyzed.
Individuallytailored counseling sessions, adapted from evidence-based
interventionsfor ETSE and other risks, were delivered to the
interventiongroup. The usual-care group received routine prenatal care
asdetermined by their provider. 
Women in the intervention were less likely to self-report ETSEbefore
delivery when controlling for other covariates. Medicaid recipients were
more likely to have ETSE. With advancing maternal age, thelikelihood of
ETSE was less. For women in the intervention, the rates of very low
birth weight(VLBW) and very preterm birth (VPTB) were significantly
improved. For women with an SCL of <20 ng/mL, maternalage was not
significant. Intimate partner violence at baselinesignificantly
increased the chances of VLBW and VPTB These results were true for
mothers who reportedETSE overall and for those with an SCL of <20
ng/mL.
CONCLUSIONS This is the first randomized clinical trial demonstrating
efficacyof a cognitive-behavioral intervention targeting ETSE in
pregnancy.The authors found significantly reduced ETSE as well as VPTB
and VLBW, leadingcauses of neonatal mortality and morbidity in minority
populations.The authors report that this intervention may reduce health
disparities in reproductiveoutcomes. 
Read the entire article FREE at
.http://pediatrics.aappublications.org/cgi/content/full/125/4/721
 
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Gold K et al. National survey of obstetrician attitudes about timing
the subsequent pregnancy after perinatal death AJOG Volume 202 (
http://www.ajog.org/issues?Vol=202 ), Issue 4 (
http://www.ajog.org/issues/contents?issue_key=S0002-9378(10)X0003-5 ),
Pages 357.e1-357.e6
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After stillbirth or early infant death, parents often query when they
can try for another pregnancy. The authors conducted a national survey
of US obstetricians to assess attitudes about optimal timing of next
pregnancy and advice given to parents. The study was an anonymous mail
survey of 1500 randomly selected US obstetricians asking about physician
experiences with perinatal death.
In all, 804 of 1500 obstetricians completed the survey for a 54% usable
response rate. Two-thirds of respondents endorsed a waiting time <6
months for parents bereaved by stillbirth who desired another
pregnancy.
The authors found thatphysicians in this national survey supported very
short interpregnancy intervals for parents bereaved by perinatal death.
Responses may reflect efforts to support parents emotionally while
recognizing individuals vary in coping and clinical circumstances.
However, they conclude that this is a provocative finding since short
intervals may confer greater fetal risks for poor outcome.
 

Kogan MD et al. State Variation in Underinsurance Among Children With
Special Health Care Needs in the United StatesPEDIATRICS Vol. 125 No. 4
April 2010, pp. 673-680
National attention has focused on providing health insurancecoverage
for children. Less awareness has been given to
underinsurance,particularly for children with special health care needs
(CSHCN).Defined as having inadequate benefits, underinsurance may bea
particular problem for CSHCN because of their greater needsfor medical
care.
The authors used the 2005–2006 National Survey of Children WithSpecial
Health Care Needs, a nationally representative studyof >40 000 CSHCN, to
address state variations in underinsurance.CSHCN with health insurance
were considered underinsured whena parent reported that the child's
insurance did not usuallyor always cover needed services and providers
or reasonablycover costs. 
The authors found that bivariate and multivariate analyses indicated
that CSHCN's stateof residence had a strong association with insurance
adequacy.State-level unadjusted underinsurance rates ranged from
24%(Hawaii) to 38% (Illinois). After multivariate adjustments,the range
was largely unchanged: 23% (Hawaii) to 38% (New Jersey).Multilevel
analyses indicated that Medicaid income eligibilitylevels were inversely
associated with the odds of being underinsured.
The authors conclude that individual-level and macro-level factors
examined only partlyexplain state variations in underinsurance.
Furthermore, themacro-level factors explained only a small portion of
the variance;however, other macro-level factors may be relevant for the
observedpatterns.
Woolf, SH. Avertable Deaths Associated With Household Income in
VirginiaAmerican Journal of Public Health Vol 100, No. 4 750-755
The authors estimated how many deaths would be averted ifthe entire
population of Virginia experienced the mortalityrates of the 5 most
affluent counties or cities.. Using census data and vital statistics for
the years1990 through 2006, they applied the mortality rates of the 5
counties/citieswith the highest median household income to the
populationsof all counties and cities in the state.
The authors found that: If the mortality rates of the reference
populationhad applied to the entire state, 24.3% of deaths in
Virginiafrom 1990 through 2006 (range = 21.8%–28.1%) would nothave
occurred. An annual mean of 12 954 deaths would have beenaverted (range
= 10 548–14 569), totaling 220 211 deathsfrom 1990 through 2006. In some
of the most disadvantaged areasof the state, nearly half of deaths would
have been averted.
The authors conclude that favorable conditions that exist in areas with
highhousehold incomes exert a major influence on mortality rates.The
corollary—that health suffers when society is exposedto economic
stresses—is especially timely amid the currentrecession. Further
research must clarify the extent to whichindividual-level factors (e.g.,
earnings, education, race, healthinsurance) and community
characteristics can improve healthoutcomes.
NB: Keep an eye out for cutting edge thinking and research about social
justice, health and income from Dr Woolf! 
 
Quote sent from our readers:
“Our lives begin to end the day we become silent about things that
matter.”
Rev. Martin Luther King, Jr
            
"For all those whose cares have been our concern, the work goes on, the
cause endures, the hope still lives and the dream shall never die."
Edward M. Kennedy
 
 The National Fetal and Infant Mortality Review Program is a
partnership between the American College of Obstetricians and
Gynecologists and the federal Maternal and Child Health Bureau.


 

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<H1 style=3D"MARGIN: 24pt 0in 0pt"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">Community =
Journeys to Reduce Infant Mortality by Addressing Racism: Translating =
Learning into Action <EM><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'">=
(NACCHO and City</SPAN></EM></SPAN><STRONG><I><SPAN style=3D"FONT-WEIGHT: =
normal; COLOR: black; FONT-FAMILY: 'Cambria','serif'; mso-ascii-theme-font:=
 major-latin; mso-hansi-theme-font: major-latin; mso-bidi-font-family: =
'Times New Roman'; mso-bidi-theme-font: major-bidi"><FONT size=3D5>M</FONT>=
</SPAN></I></STRONG><EM><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; =
LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">at</SPAN></EM><STRONG=
><I><SPAN style=3D"FONT-WEIGHT: normal; COLOR: black; FONT-FAMILY: =
'Cambria','serif'; mso-ascii-theme-font: major-latin; mso-hansi-theme-font:=
 major-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font:=
 major-bidi"><FONT size=3D5>CH</FONT></SPAN></I></STRONG><EM><SPAN =
style=3D"FONT-SIZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: =
'Arial','sans-serif'"> co-produce "Emerging Issues in MCH" (E-MCH) =
webinars, presenting current research, policy and practice strategies on =
critical issues in US public health)</SPAN></EM><SPAN style=3D"FONT-SIZE: =
12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><=
o:p></o:p></SPAN></H1>
<P><FONT size=3D3><SPAN style=3D"COLOR: black; FONT-FAMILY: 'Arial','sans-s=
erif'">This webinar will describe how three national organizations and six =
communities across the country worked together to translate research and =
knowledge into action around one of the most sensitive topics we face in =
public health: </SPAN><STRONG><SPAN style=3D"COLOR: black"><FONT face=3D"Ti=
mes New Roman">racism. </FONT></SPAN></STRONG><SPAN style=3D"COLOR: black; =
FONT-FAMILY: 'Arial','sans-serif'">By the end of this workshop participants=
 will be able to:<o:p></o:p></SPAN></FONT></P>
<UL type=3Ddisc>
<LI class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; COLOR: black; =
LINE-HEIGHT: normal; mso-margin-top-alt: auto; mso-margin-bottom-alt: =
auto; mso-list: l0 level1 lfo1; tab-stops: list .5in"><SPAN style=3D"FONT-S=
IZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'">Define key differences =
between health disparities and health equity <o:p></o:p></SPAN></LI>
<LI class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; COLOR: black; =
LINE-HEIGHT: normal; mso-margin-top-alt: auto; mso-margin-bottom-alt: =
auto; mso-list: l0 level1 lfo1; tab-stops: list .5in"><SPAN style=3D"FONT-S=
IZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'">Describe processes by which =
teams can effectively approach and address a complex and sensitive issue, =
such as racism <o:p></o:p></SPAN></LI>
<LI class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; COLOR: black; =
LINE-HEIGHT: normal; mso-margin-top-alt: auto; mso-margin-bottom-alt: =
auto; mso-list: l0 level1 lfo1; tab-stops: list .5in"><SPAN style=3D"FONT-S=
IZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'">Describe the role of local =
and state health departments and other community organizations in reducing =
infant mortality by addressing racism <o:p></o:p></SPAN></LI></UL>
<P class=3DMsoListParagraph style=3D"MARGIN: 0in 0in 10pt 0.5in; TEXT-INDEN=
T: -0.25in; mso-list: l0 level1 lfo1; tab-stops: list .5in"><SPAN =
style=3D"FONT-SIZE: 10pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: =
Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; =
mso-bidi-font-size: 12.0pt"><SPAN style=3D"mso-list: Ignore">=C2=B7<SPAN =
style=3D"FONT: 7pt 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">Identify at =
least two resources for local health departments to shape their efforts to =
reduce infant mortality by addressing racism</SPAN><SPAN style=3D"FONT-SIZE=
: 10pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: Symbol; mso-fareast-f=
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9.0pt"><SPAN style=3D"mso-list: Ignore"><SPAN style=3D"FONT: 7pt 'Times =
New Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN></SPAN></SPAN><SPAN =
style=3D"FONT-SIZE: 9pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: =
'Arial','sans-serif'"><o:p>&nbsp;</o:p></SPAN></P></FORM>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'=
"><o:p>&nbsp;</o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'=
">April 15 is TAX DAY =E2=80=93Where do your tax dollars go? Go to =
</SPAN><A href=3D"http://www.nationalpriorities.org/taxday2010"><SPAN =
style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-ser=
if'"><FONT color=3D#800080>http://www.nationalpriorities.org/taxday2010</FO=
NT></SPAN></A><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; LINE-HEIGHT: =
115%; FONT-FAMILY: 'Arial','sans-serif'"><SPAN style=3D"mso-spacerun: =
yes">&nbsp; </SPAN>to find out.<o:p></o:p></SPAN></P>
<P style=3D"VERTICAL-ALIGN: top"><SPAN style=3D"FONT-FAMILY: 'Arial','sans-=
serif'"><FONT size=3D3>April 20 2010 is <SPAN style=3D"mso-bidi-font-weight=
: bold">Equal Pay Day =E2=80=94</SPAN><SPAN style=3D"COLOR: black"> Just =
one year after college graduation, women earn only 80 percent of what =
their male counterparts earn. Ten years after graduation, women fall =
further behind, earning only 69 percent of what men earn. Even after =
controlling for hours, occupation, parenthood, and other factors known to =
affect earnings, the research indicates that one-quarter of the pay gap =
remains unexplained and is likely due to sex discrimination. Over time, =
the unexplained portion of the pay gap grows. </SPAN><SPAN style=3D"mso-bid=
i-font-weight: bold">In recognition of this inequity, Equal Pay Day will =
be marked on April 2.<SPAN style=3D"COLOR: white"> </SPAN></SPAN>According =
to new data from the Bureau of Labor Statistics, the ratio of women's and =
men's median annual earnings reached almost 78 cents on the dollar for =
full-time year-round workers, up from just under 77 cents in 2006. This is =
the narrowest the wage gap has ever been, but it's only an additional one =
cent on the dollar. It isn't real change. The American Association of =
University Women (AAUW) with over one hundred thousand members sponsors =
this event and urges women to take action to call attention to this =
inequity To learn more, go to </FONT></SPAN><A href=3D"http://www.aauw.org/=
advocacy/issue_advocacy/EqualPayDay.cfm"><SPAN style=3D"FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'; =
mso-fareast-theme-font: major-fareast"><FONT color=3D#ff3300 size=3D3>http:=
//www.aauw.org/advocacy/issue_advocacy/EqualPayDay.cfm</FONT></SPAN></A><SP=
AN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3><SPAN =
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<TR style=3D"mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: =
yes">
<TD style=3D"BORDER-RIGHT: #ebe9ed; PADDING-RIGHT: 0in; BORDER-TOP: =
#ebe9ed; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: #ebe9ed; =
PADDING-TOP: 0in; BORDER-BOTTOM: #ebe9ed; BACKGROUND-COLOR: transparent"></=
TD></TR></TBODY></TABLE>
<H2 style=3D"MARGIN: auto 0in"><FONT size=3D3><FONT face=3DArial>Evenflo =
Recalls Top-of-Stair Plus Wood Gates Due to Fall Hazard. <SPAN style=3D"FON=
T-WEIGHT: normal; mso-bidi-font-weight: bold">The U.S. Consumer Product =
Safety Commission and Health Canada, in cooperation with Evenflo Co. Inc. =
of Miamisburg, Ohio announced a voluntary recall of about 180,000 Evenflo =
Top-of-Stair=E2=84=A2 Plus Wood Gates made in Mexico.<SPAN style=3D"mso-spa=
cerun: yes">&nbsp; </SPAN>Consumers should stop using recalled products =
immediately unless otherwise instructed. The slats on the gate can break =
or detach, posing a fall hazard to children. Evenflo has received 142 =
reports of slats breaking and/or detaching from the gate. Three children =
gained access to stairs. One of those children fell through the gate and =
down five steps; another fell down one step. Injuries included four =
children who sustained bumps and bruises to the head and seven children =
who sustained minor injuries including scratches, scrapes and bruises.These=
 were sold at Toys =E2=80=9CR=E2=80=9D Us, Burlington Baby Depot, Kmart =
and other juvenile product and mass merchandise retailers nationwide in =
the U.S. and Canada, and on the Web at Amazon.com and other online =
retailers from October 2007 through March 2010 for about $40.Remedy: =
Consumers should stop using the recalled gate and contact Evenflo to =
obtain a free newer model 10503 or 10513 Top-of-Stair=E2=84=A2 Plus Wood =
replacement gate. To learn more or to view the product, go to </SPAN></FONT=
></FONT><A href=3D"http://www.cpsc.gov/cpscpub/prerel/prhtml10/10181.html">=
<SPAN style=3D"FONT-WEIGHT: normal; mso-fareast-font-family: 'Times New =
Roman'; mso-fareast-theme-font: major-fareast; mso-bidi-font-weight: =
bold"><FONT face=3DArial color=3D#800080 size=3D3>http://www.cpsc.gov/cpscp=
ub/prerel/prhtml10/10181.html</FONT></SPAN></A><SPAN style=3D"FONT-WEIGHT: =
normal; mso-bidi-font-weight: bold"><FONT face=3DArial size=3D3> </FONT></S=
PAN></H2>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"DISPLAY:=
 none; FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif=
'; mso-hide: all"><o:p>&nbsp;</o:p></SPAN></P>
<FORM>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>From =
PEER (Public Employees for Environmental Responsibility) America=E2=80=99s =
drinking water is becoming increasingly contaminated by pharmaceuticals. =
This is an insidious form of pollution that is, for the most part, legal. =
Today, at least <B>46 million Americans are affected</B> by pharmaceuticals=
 in drinking water. Pharmaceuticals and personal care products include =
over-the-counter medications, prescription medications, dietary supplements=
, hormones, cleaning agents (especially antibacterial cleaners), and the =
inert ingredients that are associated with these products. Of special =
concern are <B>endocrine disrupting compounds</B> (EDCs). EDCs are =
synthetic compounds which either block or mimic natural hormones, which in =
turn <B>disrupt normal functioning of organs</B>. Read more about this =
important topic at </FONT></SPAN><A href=3D"http://www.peer.org/campaigns/p=
ublichealth/pharma/index.php"><SPAN style=3D"FONT-FAMILY: 'Arial','sans-ser=
if'; mso-fareast-font-family: 'Times New Roman'; mso-fareast-theme-font: =
major-fareast"><FONT color=3D#800080 size=3D3>http://www.peer.org/campaigns=
/publichealth/pharma/index.php</FONT></SPAN></A><SPAN style=3D"FONT-FAMILY:=
 'Arial','sans-serif'"><FONT size=3D3><SPAN style=3D"mso-spacerun: =
yes">&nbsp; </SPAN>and also see </FONT></SPAN><A href=3D"http://www.washing=
tonpost.com/wp-dyn/content/story/2008/03/09/ST2008030901877.html"><SPAN =
style=3D"FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: =
'Times New Roman'; mso-fareast-theme-font: major-fareast"><FONT color=3D#80=
0080 size=3D3>http://www.washingtonpost.com/wp-dyn/content/story/2008/03/09=
/ST2008030901877.html</FONT></SPAN></A><SPAN style=3D"FONT-FAMILY: =
'Arial','sans-serif'"><FONT size=3D3> </FONT></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p>&nbsp;<=
/o:p></SPAN></P>
<H3 style=3D"MARGIN: auto 0in"><FONT face=3DArial><SPAN style=3D"FONT-SIZE:=
 12pt; TEXT-TRANSFORM: uppercase">ARTICLES</SPAN><SPAN style=3D"FONT-SIZE: =
12pt"><o:p></o:p></SPAN></FONT></H3>
<H2 style=3D"MARGIN: auto 0in"><SPAN style=3D"COLOR: black"><FONT =
size=3D3><FONT face=3DArial>Ayman AE et al. An Intervention to Reduce =
Environmental Tobacco Smoke Exposure Improves Pregnancy Outcomes PEDIATRICS=
 Vol. 125 No. 4 April 2010, pp. 721-728<o:p></o:p></FONT></FONT></SPAN></H2=
>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 6.4pt"><SPAN style=3D"FONT-SI=
ZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif=
'">The authors tested the efficacy of a cognitive-behavioral intervention<S=
UP> </SUP>in reducing environmental tobacco smoke exposure (ETSE) and<SUP> =
</SUP>improving pregnancy outcomes among black women.<SUP> </SUP><o:p></o:p=
></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 6.4pt"><SPAN style=3D"FONT-SI=
ZE: 12pt; TEXT-TRANSFORM: uppercase; COLOR: black; LINE-HEIGHT: 115%; =
FONT-FAMILY: 'Arial','sans-serif'">They </SPAN><SPAN style=3D"FONT-SIZE: =
12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">r=
ecruited 1044 women to a randomized, controlled trial during<SUP> =
</SUP>2001=E2=80=932004 in Washington, DC. Data on 691 women with =
self-reported<SUP> </SUP>ETSE were analyzed. A subset of 520 women with =
ETSE and salivary<SUP> </SUP>cotinine levels (SCLs) of &lt;20 ng/mL were =
also analyzed. Individually<SUP> </SUP>tailored counseling sessions, =
adapted from evidence-based interventions<SUP> </SUP>for ETSE and other =
risks, were delivered to the intervention<SUP> </SUP>group. The usual-care =
group received routine prenatal care as<SUP> </SUP>determined by their =
provider. <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 6.4pt"><SPAN style=3D"FONT-SI=
ZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif=
'">Women in the intervention were less likely to self-report ETSE<SUP> =
</SUP>before delivery when controlling for other covariates. Medicaid =
recipients were more likely to have ETSE. With advancing maternal age, =
the<SUP> </SUP>likelihood of ETSE was less. For women in the intervention, =
the rates of very low birth weight<SUP> </SUP>(VLBW) and very preterm =
birth (VPTB) were significantly improved<SUP>. </SUP>For women with an SCL =
of &lt;20 ng/mL, maternal<SUP> </SUP>age was not significant. Intimate =
partner violence at baseline<SUP> </SUP>significantly increased the =
chances of VLBW and VPTB These results were true for mothers who reported<S=
UP> </SUP>ETSE overall and for those with an SCL of &lt;20 ng/mL.<SUP> =
</SUP><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 6.4pt; tab-stops: 120.7pt"><S=
PAN style=3D"FONT-SIZE: 12pt; TEXT-TRANSFORM: uppercase; COLOR: black; =
LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">CONCLUSIONS =
</SPAN><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; =
FONT-FAMILY: 'Arial','sans-serif'">This is the first randomized clinical =
trial demonstrating efficacy<SUP> </SUP>of a cognitive-behavioral =
intervention targeting ETSE in pregnancy.<SUP> </SUP>The authors found =
significantly reduced ETSE as well as VPTB and VLBW, leading<SUP> =
</SUP>causes of neonatal mortality and morbidity in minority populations.<S=
UP> </SUP>The authors report that this intervention may reduce health =
disparities in reproductive<SUP> </SUP>outcomes. <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 6.4pt; tab-stops: 120.7pt"><S=
PAN style=3D"FONT-SIZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY:=
 'Arial','sans-serif'">Read the entire article FREE at .<SUP> </SUP></SPAN>=
<A href=3D"http://pediatrics.aappublications.org/cgi/content/full/125/4/721=
"><SPAN style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: =
'Arial','sans-serif'"><FONT color=3D#800080>http://pediatrics.aappublicatio=
ns.org/cgi/content/full/125/4/721</FONT></SPAN></A><SPAN style=3D"FONT-SIZE=
: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"> <o:p></o:p><=
/SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal"><SP=
AN style=3D"DISPLAY: none; FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-seri=
f'; mso-fareast-font-family: 'Times New Roman'; mso-hide: all"><o:p>&nbsp;<=
/o:p></SPAN></P>
<DIV style=3D"BORDER-RIGHT: medium none; PADDING-RIGHT: 0in; BORDER-TOP: =
medium none; PADDING-LEFT: 0in; PADDING-BOTTOM: 1pt; BORDER-LEFT: medium =
none; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; mso-element: =
para-border-div; mso-border-bottom-alt: solid windowtext .75pt">
<P class=3DMsoNormal style=3D"BORDER-RIGHT: medium none; PADDING-RIGHT: =
0in; BORDER-TOP: medium none; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; =
MARGIN: 0in 0in 0pt; BORDER-LEFT: medium none; LINE-HEIGHT: normal; =
PADDING-TOP: 0in; BORDER-BOTTOM: medium none; TEXT-ALIGN: center; =
mso-padding-alt: 0in 0in 1.0pt 0in; mso-border-bottom-alt: solid windowtext=
 .75pt" align=3Dcenter><SPAN style=3D"DISPLAY: none; FONT-SIZE: 12pt; =
FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New =
Roman'; mso-hide: all">Top of Form<o:p></o:p></SPAN></P></DIV>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal"><SP=
AN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast=
-font-family: 'Times New Roman'"><SPAN style=3D"DISPLAY: none; mso-hide: =
all"><INPUT type=3Dhidden value=3DS0002-9378(09)02213-3 name=3Darticle_id><=
/SPAN><o:p></o:p></SPAN></P>
<DIV style=3D"BORDER-RIGHT: medium none; PADDING-RIGHT: 0in; BORDER-TOP: =
windowtext 1pt solid; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: =
medium none; PADDING-TOP: 1pt; BORDER-BOTTOM: medium none; mso-element: =
para-border-div; mso-border-top-alt: solid windowtext .75pt">
<P class=3DMsoNormal style=3D"BORDER-RIGHT: medium none; PADDING-RIGHT: =
0in; BORDER-TOP: medium none; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; =
MARGIN: 0in 0in 0pt; BORDER-LEFT: medium none; LINE-HEIGHT: normal; =
PADDING-TOP: 0in; BORDER-BOTTOM: medium none; TEXT-ALIGN: center; =
mso-padding-alt: 1.0pt 0in 0in 0in; mso-border-top-alt: solid windowtext =
.75pt" align=3Dcenter><SPAN style=3D"DISPLAY: none; FONT-SIZE: 12pt; =
FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New =
Roman'; mso-hide: all">Bottom of Form<o:p></o:p></SPAN></P></DIV>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: 14.4pt; =
mso-outline-level: 2; mso-margin-top-alt: auto; mso-margin-bottom-alt: =
auto"><B><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif';=
 mso-fareast-font-family: 'Times New Roman'; mso-font-kerning: 18.0pt; =
mso-no-proof: yes"><o:p>&nbsp;</o:p></SPAN></B></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: 14.4pt; =
mso-outline-level: 2; mso-margin-top-alt: auto; mso-margin-bottom-alt: =
auto"><B><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif';=
 mso-fareast-font-family: 'Times New Roman'; mso-font-kerning: 18.0pt; =
mso-no-proof: yes">Gold K et al. </SPAN></B><B><SPAN style=3D"FONT-SIZE: =
12pt; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times =
New Roman'; mso-font-kerning: 18.0pt">National survey of obstetrician =
attitudes about timing the subsequent pregnancy after perinatal death AJOG =
</SPAN></B><A href=3D"http://www.ajog.org/issues?Vol=3D202"><SPAN =
style=3D"FONT-SIZE: 12pt; COLOR: #60571d; FONT-FAMILY: 'Arial','sans-serif'=
; mso-fareast-font-family: 'Times New Roman'">Volume 202</SPAN></A><SPAN =
style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; =
mso-fareast-font-family: 'Times New Roman'">, </SPAN><A href=3D"http://www.=
ajog.org/issues/contents?issue_key=3DS0002-9378(10)X0003-5"><SPAN =
style=3D"FONT-SIZE: 12pt; COLOR: #60571d; FONT-FAMILY: 'Arial','sans-serif'=
; mso-fareast-font-family: 'Times New Roman'">Issue 4</SPAN></A><SPAN =
style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; =
mso-fareast-font-family: 'Times New Roman'">, Pages 357.e1-357.e6</SPAN><B>=
<SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'; =
mso-fareast-font-family: 'Times New Roman'; mso-font-kerning: 18.0pt"><o:p>=
</o:p></SPAN></B></P>
<DIV style=3D"BORDER-RIGHT: medium none; PADDING-RIGHT: 0in; BORDER-TOP: =
medium none; PADDING-LEFT: 0in; PADDING-BOTTOM: 1pt; BORDER-LEFT: medium =
none; PADDING-TOP: 0in; BORDER-BOTTOM: windowtext 1pt solid; mso-element: =
para-border-div; mso-border-bottom-alt: solid windowtext .75pt">
<P class=3DMsoNormal style=3D"BORDER-RIGHT: medium none; PADDING-RIGHT: =
0in; BORDER-TOP: medium none; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; =
MARGIN: 0in 0in 0pt; BORDER-LEFT: medium none; LINE-HEIGHT: normal; =
PADDING-TOP: 0in; BORDER-BOTTOM: medium none; TEXT-ALIGN: center; =
mso-padding-alt: 0in 0in 1.0pt 0in; mso-border-bottom-alt: solid windowtext=
 .75pt" align=3Dcenter><SPAN style=3D"DISPLAY: none; FONT-SIZE: 12pt; =
FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times New =
Roman'; mso-hide: all">Top of Form<o:p></o:p></SPAN></P></DIV>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">After =
stillbirth or early infant death, parents often query when they can try =
for another pregnancy. The authors conducted a national survey of US =
obstetricians to assess attitudes about optimal timing of next pregnancy =
and advice given to parents. The study was an anonymous mail survey of =
1500 randomly selected US obstetricians asking about physician experiences =
with perinatal death.<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">In all, =
804 of 1500 obstetricians completed the survey for a 54% usable response =
rate. Two-thirds of respondents endorsed a waiting time &lt;6 months for =
parents bereaved by stillbirth who desired another pregnancy.<o:p></o:p></S=
PAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'; =
mso-bidi-font-weight: bold">The authors found that<B> </B></SPAN><SPAN =
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-fo=
nt-family: 'Times New Roman'">physicians in this national survey supported =
very short interpregnancy intervals for parents bereaved by perinatal =
death. Responses may reflect efforts to support parents emotionally while =
recognizing individuals vary in coping and clinical circumstances. =
However, they conclude that this is a provocative finding since short =
intervals may confer greater fetal risks for poor outcome.<o:p></o:p></SPAN=
></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p>&nbsp;<=
/o:p></SPAN></P>
<TABLE class=3DMsoNormalTable style=3D"mso-cellspacing: 1.5pt; mso-yfti-tbl=
look: 1184; mso-padding-alt: 0in 0in 3.75pt 7.5pt; mso-table-lspace: =
2.25pt; mso-table-rspace: 2.25pt; mso-table-anchor-vertical: paragraph; =
mso-table-anchor-horizontal: column; mso-table-left: right; mso-table-top: =
middle" cellPadding=3D0 align=3Dright border=3D0>
<TBODY>
<TR style=3D"mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: =
yes">
<TD style=3D"BORDER-RIGHT: #ebe9ed; PADDING-RIGHT: 0in; BORDER-TOP: =
#ebe9ed; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 3.75pt; BORDER-LEFT: =
#ebe9ed; PADDING-TOP: 0in; BORDER-BOTTOM: #ebe9ed; BACKGROUND-COLOR: =
transparent"></TD></TR></TBODY></TABLE>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-outline-level: 2; mso-margin-top-alt: auto; mso-margin-bottom-alt: =
auto"><B><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">Kogan MD =
et al. State Variation in Underinsurance Among Children With Special =
Health Care Needs in the United States</SPAN></B><SPAN style=3D"FONT-SIZE: =
12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-fam=
ily: 'Times New Roman'"> PEDIATRICS Vol. 125 No. 4 April 2010, pp. =
673-680<B><o:p></o:p></B></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt; LINE-HEIGHT: =
normal"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">National =
attention has focused on providing health insurance<SUP> </SUP>coverage =
for children. Less awareness has been given to underinsurance,<SUP> =
</SUP>particularly for children with special health care needs (CSHCN).<SUP=
> </SUP>Defined as having inadequate benefits, underinsurance may be<SUP> =
</SUP>a particular problem for CSHCN because of their greater needs<SUP> =
</SUP>for medical care.<SUP> </SUP><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt; LINE-HEIGHT: =
normal"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">The =
authors used the 2005=E2=80=932006 National Survey of Children With<SUP> =
</SUP>Special Health Care Needs, a nationally representative study<SUP> =
</SUP>of &gt;40 000 CSHCN, to address state variations in underinsurance.<S=
UP> </SUP>CSHCN with health insurance were considered underinsured =
when<SUP> </SUP>a parent reported that the child's insurance did not =
usually<SUP> </SUP>or always cover needed services and providers or =
reasonably<SUP> </SUP>cover costs. <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt; LINE-HEIGHT: =
normal"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">The =
authors found that bivariate and multivariate analyses indicated that =
CSHCN's state<SUP> </SUP>of residence had a strong association with =
insurance adequacy.<SUP> </SUP>State-level unadjusted underinsurance rates =
ranged from 24%<SUP> </SUP>(Hawaii) to 38% (Illinois). After multivariate =
adjustments,<SUP> </SUP>the range was largely unchanged: 23% (Hawaii) to =
38% (New Jersey).<SUP> </SUP>Multilevel analyses indicated that Medicaid =
income eligibility<SUP> </SUP>levels were inversely associated with the =
odds of being underinsured.<SUP> </SUP><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt; LINE-HEIGHT: =
normal"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">The =
authors conclude that individual-level and macro-level factors examined =
only partly<SUP> </SUP>explain state variations in underinsurance. =
Furthermore, the<SUP> </SUP>macro-level factors explained only a small =
portion of the variance;<SUP> </SUP>however, other macro-level factors may =
be relevant for the observed<SUP> </SUP>patterns.<SUP> </SUP><o:p></o:p></S=
PAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><FONT size=3D3><STRONG>=
<SPAN style=3D"FONT-FAMILY: 'Calibri','sans-serif'; mso-ascii-theme-font: =
minor-latin; mso-hansi-theme-font: minor-latin; mso-bidi-font-family: =
'Times New Roman'; mso-bidi-theme-font: minor-bidi">Woolf, SH. Avertable =
Deaths Associated With Household Income in Virginia</SPAN></STRONG><SPAN =
style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-ser=
if'"> American Journal of Public Health Vol 100, No. 4 750-755<o:p></o:p></=
SPAN></FONT></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>The =
authors estimated how many deaths would be averted if<SUP> </SUP>the =
entire population of Virginia experienced the mortality<SUP> </SUP>rates =
of the 5 most affluent counties or cities.<SUP> </SUP><I>.</I> Using =
census data and vital statistics for the years<SUP> </SUP>1990 through =
2006, they applied the mortality rates of the 5 counties/cities<SUP> =
</SUP>with the highest median household income to the populations<SUP> =
</SUP>of all counties and cities in the state.<SUP> </SUP><o:p></o:p></FONT=
></SPAN></P>
<P><FONT size=3D3><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'; =
mso-bidi-font-style: italic">The authors found that:</SPAN><SPAN style=3D"F=
ONT-FAMILY: 'Arial','sans-serif'"> <SPAN style=3D"mso-spacerun: yes">&nbsp;=
</SPAN>If the mortality rates of the reference population<SUP> </SUP>had =
applied to the entire state, 24.3% of deaths in Virginia<SUP> </SUP>from =
1990 through 2006 (range =3D 21.8%=E2=80=9328.1%) would not<SUP> </SUP>have=
 occurred. An annual mean of 12 954 deaths would have been<SUP> </SUP>avert=
ed (range =3D 10 548=E2=80=9314 569), totaling 220 211 deaths<SUP> =
</SUP>from 1990 through 2006. In some of the most disadvantaged areas<SUP> =
</SUP>of the state, nearly half of deaths would have been averted.<SUP> =
</SUP><o:p></o:p></SPAN></FONT></P>
<P><FONT size=3D3><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'; =
mso-bidi-font-style: italic">The </SPAN><SPAN style=3D"FONT-FAMILY: =
'Arial','sans-serif'">authors conclude that favorable conditions that =
exist in areas with high<SUP> </SUP>household incomes exert a major =
influence on mortality rates.<SUP> </SUP>The corollary=E2=80=94that health =
suffers when society is exposed<SUP> </SUP>to economic stresses=E2=80=94is =
especially timely amid the current<SUP> </SUP>recession. Further research =
must clarify the extent to which<SUP> </SUP>individual-level factors =
(e.g., earnings, education, race, health<SUP> </SUP>insurance) and =
community characteristics can improve health<SUP> </SUP>outcomes.<SUP> =
<o:p></o:p></SUP></SPAN></FONT></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>NB: =
Keep an eye out for cutting edge thinking and research about social =
justice, health and income from Dr Woolf! <o:p></o:p></FONT></SPAN></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><o:p><FONT size=3D3>&n=
bsp;</FONT></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-margin-top-alt: =
auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">Quote sent =
from our readers:<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-margin-top-alt: =
auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">=E2=80=9COur =
lives begin to end the day we become silent about things that matter.=E2=80=
=9D<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-margin-top-alt: =
auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">Rev. Martin =
Luther King, Jr<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 0pt; LINE-HEIGHT: normal; =
TEXT-ALIGN: center" align=3Dcenter><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: 'Times =
New Roman'"><SPAN style=3D"mso-tab-count: 1">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN><SPAN style=3D"FONT-SIZE=
: 12pt; COLOR: #cc0033; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font=
-family: 'Times New Roman'"><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-=
SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-fo=
nt-family: 'Times New Roman'; mso-bidi-font-style: italic">"For all those =
whose cares have been our concern, the work goes on, the cause endures, =
the hope still lives and the dream shall never die." Edward M. Kennedy</SPA=
N><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; FONT-FAMILY: 'Arial','sans-=
serif'; mso-fareast-font-family: 'Times New Roman'"><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p>&nbsp;<=
/o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p></o:p><=
/SPAN>&nbsp;</P></FORM><FONT face=3DArial>The National Fetal and Infant =
Mortality Review Program is a partnership between the American College of =
Obstetricians and Gynecologists and the federal Maternal and Child Health =
Bureau.</FONT><BR>

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