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A Perinatal Intervention Program for Urban American Indians—Part 1: Design, Implementation, and Outcomes

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Abstract:

High infant mortality rates among American Indians are disproportionate to state statistics for other races and higher than the national average. These findings prompted a community health center in a large Midwestern city to create and provide an American Indian infant mortality reduction project in the early 1990s. Strategies for program implementation included networking with local organizations, communicating with reservation health clinics throughout the state, educating American Indian mothers and their community about factors contributing to American Indian infant mortality, and providing individual case management to American Indian women and infants. We offer this article for three reasons: This grant project was successful, disparity in rates of infant mortality among peoples of color continues, and a paucity of information exists about the health behaviors of American Indian women.

Keywords: American Indian; Lamaze method; case management; perinatal; pregnancy; prenatal

Document Type: Standard Article

DOI: http://dx.doi.org/10.1624/105812401X88282

Affiliations: 1: CAROL DAVIS is a prenatal care coordinator in the city of Milwaukee, Wisconsin. She serves on the Wisconsin State Maternal Mortality Review Team and as chair of the national Coalition for Improving Maternity Services (CIMS) Designation Committee. 2: SANDRA PRATER is a freelance social services researcher and consultant in Milwaukee, Wisconsin. Her areas of interest include minority health care issues and social welfare policies that impact women.

Publication date: July 1, 2001

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