A healthy birth is the cornerstone to a healthy childhood, adolescence, and adulthood. Preterm birth makes infants susceptible to developmental delays, breathing problems, cerebral palsy, hearing impairment, and vision problems, among other risks. This makes the prevention of preterm birth and other pregnancy complications of significant importance. Ensuring preconception, prenatal, and postpartum health is therefore fundamental to the development of a healthier society.
Multiple interventions exist to improve pregnancy outcomes. However, race/ethnic variation in preconception health status suggests potential opportunities for patient-centered outcomes research (PCOR) to reduce health disparities. We have found that disparities around preterm birth outcomes for Hispanics are underrepresented due in large part to the “Latina Paradox,” whereby, U.S. born Hispanics have worse birth outcomes than their foreign born ancestors. A similar phenomenon exists in Puerto Rico which has the second-highest premature birth rate in the nation. We will be working to develop a P2P partnership which will use PCOR to structure a comparative effectiveness research question to address these disparities. This project is of national significance, as Hispanics have the highest fertility rates in the United States.
Tier II Pipeline to Proposal (P2P) funding will be used to do the following:
- Strengthen the Alianza Eliminando Partos Prematuros (our P2P partnership) by maintaining engagement of current members and recruiting new members.
- Improve Alianza’s capabilities through training and development in areas related to maternal and child health topics, PCOR/comparative effectiveness research (CER) methodologies, and partnership skills.
- Facilitate discussions around diverse approaches to reduce complications around preterm births and develop CER questions.
- Communicate and disseminate information on Alianza activities.