Spring  2019  Newsletter  
We're so thankful for the support from our many partners!  Together we're working to improve the health of mothers, babies, and families in NC. 
Every week of pregnancy is important to the development of a healthy baby. Many pregnant women who have experienced a preterm birth may be able to prevent a repeat preterm birth through the use of 17P. CMIH has created a new 17P social media tool kit to help spread this message to pregnant women who may benefit.

Download this free, personalizable toolkit, which includes directions for use, drafted images and messages, and suggestions for posting on social media.
CMIH also has FREE patient education materials to support 17P use among eligible pregnant women. The aim of the materials is to identify and educate women who are appropriate for the use of 17P as a means to reduce the risk of a repeat preterm birth. Booklets and a one-page handout are available in English and Spanish, and can be ordered through  Division of Public Health Women's Health Branch  Order Form .   
You Quit,Two Quit: Addressing Emerging Tobacco Products  

 You Quit,Two Quit 
provides free evidence-based tobacco use screening and cessation counseling training ("The 5 As") for practices across North Carolina providing care to women of reproductive age. We continuously update our training to help providers stay abreast of emerging tobacco use trends, including the recent rise in popularity of electronic cigarettes and other tobacco products.
Electronic Nicotine Delivery Systems (ENDS), also known as e-cigs, vapes, Juuls, etc., are being used at alarming rates, particularly among youth and young adults and those who would not otherwise use tobacco. While a complete picture of the health effects of these products is still emerging, there is growing evidence that many of the chemicals in ENDS are harmful and impact the health of users. Many of these products contain nicotine, known to negatively impact fetal brain development, which researchers have even found in vape "juice" and other electronic products that are labeled nicotine free. 

North Carolinians are fortunate to have access to tobacco cessation counseling through   QuitlineNC - 1-800-QUIT-NOW . QuitlineNC is a great resource for our state, with counselors trained to work one-on-one with tobacco users to formulate a cessation plan that works. Content is customizable to accommodate a variety of needs, including pregnancy, postpartum, behavioral health issues, opioid use, and translators are available for most languages.  

You can learn more, access free resources, and schedule training or technical assistance on YouQuitTwoQuit.org
Patient and provider education materials are available in English and Spanish through the NC Division of Public Health Women's Health Branch  Order Form .  

The North Carolina Safe Sleep Campaign coordinates initiatives to strengthen the adoption of safe sleep practices that reduce the risk of Sudden Infant Death Syndrome (SIDS) and prevent infant sleep-related deaths.
We recently added a free online safe infant sleep training for providers to our website. This training provides 1.5 nursing contact hours through the North Carolina Nurses Association.  Click HERE to take the training.
O rder these FREE safe sleep  resources pictured below by clicking here then,
- Click "Publications Form."   
- Look at page 3 under "Parenting & Baby" and fax in your order.
If you are interested in collaboration or want to learn more, email Megan Canady at  [email protected] or visit SafeSleepNC.org.
Maternal mortality and morbidity have risen significantly in the past 30 years  (Catalano et al., 2017), but the majority of these tragedies are preventable through adequately equipped and resourced maternity facilities and staff who are trained to recognize the warning signs of post-birth complications. 
The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) have recommended the implementation of Levels of Maternal Care classification system to match women with the level of care that best meets their risk status.  

AWHONN has developed a POST-BIRTH Warning Signs Education Program to help clinicians implement practices to reduce maternal mortality and morbidity. Patient education sheets and magnets are
also available for facilities to use and share with families after delivery.  
Birth Control After Baby is a family planning guide available in English and Spanish to help new parents select contraception methods that work best for them. Sharing this guide during the  perinatal period helps to support women in making the best decisions about their interconceptio n health.
For more information, contact Kimberly Harper: [email protected]
CMIH Team News  

Welcome, Carrie!
This summer we welcome our new intern, Carrie Emery, an MPH student in the Maternal and Child Health Department at Gillings School of Global Public Health, UNC Chapel Hill. Carrie comes to us with a wealth of experience as a registered nurse who has spent the majority of her career in the neonatal intensive care unit. She will contribute to development of some additional safe sleep materials as well as our perinatal/neonatal outreach initiative.  
Thank you to our 2018-2019 interns!
We also want to extend a sincere thank you to the three interns from the 2018-19 academic year.
Ashley Coleman recently graduated from the UNC School of School Work and  contributed a great deal to the Center this year. We are especially grateful for her work on the state's Perinatal Strategic Plan. Best of luck, Ashley!
Allison (Allie) Lowe worked as a care coordination intern with English and Spanish-speaking CMIH patients during the 2018-2019 academic year. She is pursuing an MSW/MPH dual degree at UNC with a concentration in Health Equity, Social Justice, and Human Rights. Best of luck to Allie as she continues her studies! 
Beldina (Bel) Orinda (not pictured), a student at the North Carolina School of Science and Math, joined us as an intern through NCSSM's Mentorship Program for the fall semester, working with Kimberly Harper on a research project.  We wish her the best of luck in her future studies! 
Menard delivers Keynote at Maternal Mortality Workshop 
Dr. Kate Menard, CMIH's Co-Director, delivered a powerful keynote address at the  NICHD Maternal Mortality Workshop, Maternal Mortality in the United States, Future Research Directions. 

Dr. Menard's remarks are near the beginning of the event, 
which can be viewed here.
CMIHMahec CMIH and MAHEC Preconception Health Partnership 
The UNC/MAHEC Academic Partnership Grant team is making great progress in our work together since the beginning of this project last summer. 

Members of the team attended the MAHEC Equity conference together in April, where we spent the day with some of the leading thinkers on equity in North Carolina. Among others, we heard poignant messages from  UNC's Dr. Crystal CenĂ© on the social determinants of health, and  Natalie Burke about how to go beyond diversity and inclusion.  
A woman's health status prior to becoming pregnant greatly affects her pregnancy, the health of her baby, and her own long term health, but analysis of preconception health indicators is rare. With the help of NC TraCS we are creating a roadmap for this work, pulling preconception health indicators from electronic medical records at both UNC and MAHEC. We have much to learn through this process, and look forward to sharing our findings soon. To learn more about this project, contact Megan Scull Williams at [email protected], in the Asheville CMIH office. 
Connect with UNC CMIH! 
Find us online. Share your work! Stay updated on the latest from CMIH:
  UNC Center for Maternal and Infant Health
Kate Menard & Wayne Price,  Directors
Sarah Verbiest, Executive Director
Alison Stuebe, Research Director
Erin McClain, Assistant Director
Room 3018 Old Clinic Bldg, Campus Box 7181, Chapel Hill, NC 27599-7181