dr. curtis the maternal delinquent health for the efforts to reduce preterm birth the goal to reduce preterm birth with the health network and our health system to reduce the reflex factor we are presented with straevenz that both the health network and our population health division is trying to take on one to improve the women's center of prein all care and the second is to examine determines of health that effect the term of outcomes and the preterm bitter is determined by race and zip codes and paternal prenatal care you family it so many factors it was quite mr. ginsburg to see the department sort of out a list of priorities they've begun to implement the first to put together the preconception care passageway package that will include the family education and nutritious education and insuring that dlults and other services for women with that are planning to get a package of care particular those at risk for preterm birth and finally those that are looking citywide at to continue to integrate the lower and preterm birth with smoking and employment safeguard for women we're looking what