Julie Garden-Robinson, Ph.D., LRD Food and Nutrition Specialist NDSU Extension Service Module Design by Bridget Curley,

1. Born Too Soon and Too Small Interactive Module about Prematurity Julie Garden-Robinson, Ph.D., LRD Food and Nutrition Specialist NDSU Extension Service Module Design by Bridget Curley, Program Assistant

2. The following tips will help you navigate through each module. • Click the left mouse button or the down arrow to continue to the next bullet or slide. • Before you begin, you’ll take a presurvey. • The presurvey will open in a new window. • When you are finished with the pre-survey, close the window to return to the module. • symbolizes a question slide. You’ll need to click your mouse once to see the answer.

3. symbolizes an Internet Mission. You’ll need to click on the Web site listed to answer the question. • After visiting the site, close the Internet browser to return to the module. • Click your mouse once to see the answer. • When you are finished with the module, please take a post-survey. • The post-survey will open in a new window. • When you are finished with the post-survey, close the window to return to the module.

4. Time to Take the Presurvey • We would like to learn how much you know before taking part in this activity. • You will take the same quiz at the end of the lesson to see what you have learned. • Click here to begin the presurvey!

5. What is Prematurity? • Click here to find out. A premature infant is any infant born before 37 weeks’ gestation.

6. What is Known About Prematurity? Find out more here

7. Which Statement is Correct About the Health of Preterm Babies? • Many babies will “catch up” with full-term babies • Preterm babies often are at higher risk for health problems and disabilities • Both a & b

8. What Causes Preterm Birth?Visit the Born Too Soon and Too Small publication by clicking here to find out. Half of preterm births have unknown causes.

9. Find out about the main concerns by viewing this site Body and organs not fully matured Low birth weight Need assistance breathing, eating, fighting infections and keeping warm Concerns for preterm babies

10. Who Can Have a Premature Baby? Only women ages 25 to 30 years Only women ages 30 to 40 years Any women can have a preterm baby

11. Four main things may contribute to a premature delivery. Find out what they are here Maternal or fetal stress Infections Bleeding Stretching Why Do Women Deliver Early?

12. What Increases Your Risk? • Previous preterm births • Pregnancy with twins, triplets or other multiples • Being younger than age 17 or older than 35 • Smoking • Alcohol or drug abuse • Unplanned pregnancy

13. You can’t always predict preterm births.

14. What Are Some Signs and Symptoms of Preterm Labor? • Cramps or pelvic pressure • A low, dull headache • Contractions every 10 minutes • All of the above • A health-care provider can determine preterm labor.

15. What Should Be Done if Someone Shows Signs of Preterm Labor? Click here to find out.

16. What are the Statistics Where You Live? How often are preterm babies born in your area? Click here

17. Preterm Pregnancy Facts • Babies born before the 37th week of pregnancy are “premature” or “preterm.” • Nationwide, one in eight babies was born preterm in 2003. • The rate of preterm births in North Dakota increased 32% between 1993 and 2003.

18. It’s Time to Take the Post-survey! • After completing all the activities and review questions, you are ready to take the survey. Good luck! • Click here to take the survey. • For more resources, see the next slide.

19. For More Information About Healthy Pregnancy, Visit: • March of Dimes • www.marchofdimes.com • The National Women’s Health Information Center • www.4women.gov/Pregnancy/