Oklahoma Cooperative Extension Service Expanded Food and Nutrition Education Program, in cooperation with the Chickasaw Nation and Choctaw Nation WIC programs, implemented and evaluated a nutrition education program for pregnant adolescents. Program evaluation investigated the effects of nutrition education by paraprofessionals on dietary intake, maternal weight gain, and infant birth weight in pregnant Native American and Caucasian adolescents. Nutrition education by paraprofessionals was effective in improving adolescents' dietary intake, maternal weight gain, and infant birth weight. The decreased rate of low birth weight infants among participants represents a saving of $297,500 in medical costs during the first year of life.

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