Post-test odds (95% C.I.) Old protocol New protocol < 0.87 FAILING PUL 3.4 98% (96-99) Repeat serum hCG in 1 week If positive repeat weekly until negative Repeat serum hCG in 1 week

Background: Exercise and good nutrition improve overall health during pregnancy and childhood. North Carolina (NC) has a high rate of obesity, yet few programs intervene during and after pregnancy especially in rural communities. Prior to initiating programs for pregnant women and children in rural NC communities, we wanted to understand community awareness, resources, barriers, and solutions. The purpose of the study was to assess community awareness, barriers, solutions, and resources regarding healthy lifestyles in pregnancy and childhood in rural NC communities.