Reduce Your Chance of Having Another Preterm Baby


Published:

Photo courtesy of Andrea Slatter/Shutterstock

If you or someone you know has had a baby born too soon (earlier than 37 weeks gestation), then you know it can be a very scary and stressful experience. One out of every 10 babies in our state is born too soon, and often these babies can face long-term health problems.

Even babies that are considered late preterm” at 34-36 weeks are at increased risk of health problems compared with babies born full-term. Some people may not know this, but one of the greatest risks for having a baby born too soon is having had a prior spontaneous preterm birth.

17P - A Treament for Preterm Birth

The good news is that there is a treatment that can help women who have had a preterm birth reduce their chances of experiencing another one. We know that sometimes a baby will be born early no matter what the mother and her health care providers do, but a U.S. Food and Drug Administration-approved treatment called 17P (17 alpha hydroxyprogesterone caproate) can help increase the  chances of having a full-term baby. 17P is a progesterone injection that women take weekly, starting in the second trimester (16 weeks). Progesterone is a hormone that a woman’s body makes naturally during pregnancy. For some women the extra progesterone provided in 17P can help to prevent another baby from being born too early. There is no promise that 17P will lead to a full-term pregnancy, but it has been shown to lower a woman’s risk of repeat preterm birth by one-third. This is great news! It might not seem like much, but delaying a preterm birth by even one or two weeks can make a huge difference in a baby’s health and development.

As a Maternal and Fetal Medicine physician, I see many women who have had a prior spontaneous preterm birth and who could have benefited from 17P. Many women either do not know about 17P or are unsure about using it for a variety of reasons. The following are some of the most common questions I hear about 17P:

Q: Who is eligible for 17P?
A: Women who are pregnant with just one baby and who have a history of a previous spontaneous preterm birth of one baby between 20 weeks and 36 weeks gestation are eligible.

Q: Is 17P safe for the baby?
A: This is by far the most common question and concern about 17P that I hear. The short answer is yes.The long answer is there have been studies that have found no risk for infants of mothers taking. 17P is FDA-approved for use in preventing recurring preterm birth and is carefully monitored by the FDA. 17P is safe for your baby, and getting a weekly 17P injection is one of the best things you can do to help keep your baby from coming too early.

Q: Is 17P safe for mothers?
A: For mothers, there are minimal risks. The most common problems are soreness, irritation, itching, bruising, swelling and pain that can occur where 17P is injected. More severe side effects may occur in rare circumstances. Again, 17P is FDA-approved, and the FDA monitors both the health of the baby and the mother.

Q: Is 17P recommended for women who are pregnant with twins?
A: No, 17P is not appropriate for use in women carrying multiple babies. Studies have shown that 17P is not effective in reducing the rate of preterm delivery for multiples.

Q: Do you pay for 17P?
A: If a woman has Medicaid, she does not have to pay for 17P. Many private health insurance plans cover 17P; it is important to check with your insurance provider. There is an assistance program for women who cannot afford treatment due to lack of insurance or because the co-pays are too high. Talk to your health care provider about assistance and free medicine programs for 17P.

Q: How often is the treatment?
A: The treatment generally begins the 16th week of pregnancy and goes on weekly through the 37th week of pregnancy. Many women have reported that it is difficult to make these weekly appointments due to transportation, work and caring for other children. It is important to not stop and start 17P, so it is good for patients to think through how they will get to their weekly appointment, how to make these appointments work with other responsibilities, and how others can provide support through this treatment.

Photo courtesy of Elizabeth M. Stringer, M.D

Here is what I’d like you to take away from this information: Talk to your health care provider about 17P, if you have already had a preterm birth and if you are pregnant now or if you plan to be pregnant again. Visit mombaby.org to learn more about 17P.

Look for more information in the December issue of Carolina Parent, where UNC Center for Maternal and Infant Health will discuss the dangers of preterm births and efforts to prevent them from happening.

Elizabeth M. Stringer, M.D., is a practicing OB-GYN and an associate professor of maternal-fetal medicine at the University of North Carolina at Chapel Hill’s School of Medicine.

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July 2020

Have a fun night with the family at the ballpark.

Cost: $10-$15, children 3 and younger free

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Sims Park
1001 Dr. Martin Luther King Jr. Way
Gastonia, NC
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Cost: Free

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Matthews United Methodist Church
801 S. Trade St.
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On Saturdays and Sundays from noon-5pm, the arcade bar opens to all ages with a parent or guardian present.

Cost: Cost for games

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Abari Game Bar
1721 N. Davidson St.
, NC
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Cost: $6-$15, children 4 and younger free

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Mint Museum Randolph
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Cost: $45+, children ages 3-5 free entry with a Pre-K Pass

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Monroe, NC  28110
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Sponsor: Authentic Teaching
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Cost: $21-$31

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Cost: $11 for one hour

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DefyGravity Trampoline Park
8116 University City Blvd.
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The Billy Graham Library
4330 Westmont Drive
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Sponsor: The Billy Graham Library
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Cost: $8, $10 on weekends and school holidays

Where:
Superior Play Systems
11415 Granite St.
Suite C
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View map »


Website »

More information

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Cost: $5-$9, children younger than 10 free

Where:
Bechtler Museum of Modern Art
420 S. Tryon St.
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View map »


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Cost: $6-$7, children 3 and younger free, included with admission

Where:
Schiele Museum
1500 E. Garrison Blvd.
Gastonia, NC
View map »


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Sponsor: Pinkyswear Foundation
Contact Name: Valorie Liggett
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Cost: $11 for one hour

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DefyGravity Trampoline Park
8116 University City Blvd.
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Cost: Free

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The Billy Graham Library
4330 Westmont Drive
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Sponsor: The Billy Graham Library
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Drop in for safe play on the equipment indoors.

Cost: $8, $10 on weekends and school holidays

Where:
Superior Play Systems
11415 Granite St.
Suite C
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Cost: $5 per swimmer, max $15 per family

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Goldfish Swim School
13403 S. Ridge Drive
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Defy Gravity Trampoline Park
8116 University City Blvd.
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Cost: $8; free for children 13 and younger

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5555 Concord Pkwy. S.
Concord, NC
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Cost: $6-$15, children 4 and younger free

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Mint Museum Randolph
2730 Randolph Road
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More information

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Cost: $6-$7, children 3 and younger free, included with admission

Where:
Schiele Museum
1500 E. Garrison Blvd.
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View map »


Website »

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Join us for our Pinkyswear Virtual Kids Triathlon event. This virtual event which kicks off formally on June 1st for all ages and abilities, and the triathlon can be completed anywhere! The...

Cost: $15

Where:
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Sponsor: Pinkyswear Foundation
Contact Name: Valorie Liggett
Website »

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Toddlers can enjoy a special jump session every weekday morning. With each child age 6 and younger, an adult may jump for free, not including DefyGravity socks for $3.

Cost: $11 for one hour

Where:
DefyGravity Trampoline Park
8116 University City Blvd.
, NC
View map »


Website »

More information

George Beverly Shea and Cliff Barrows presented faith of Jesus Christ in song. Come discover the ways the Lord used their efforts and their music to open hearts around the world. Read inspiring...

Cost: Free

Where:
The Billy Graham Library
4330 Westmont Drive
, NC
View map »


Sponsor: The Billy Graham Library
Website »

More information

Drop in for safe play on the equipment indoors.

Cost: $8, $10 on weekends and school holidays

Where:
Superior Play Systems
11415 Granite St.
Suite C
, NC
View map »


Website »

More information

Explore the Mint Museum's exhibitions without charge.

Cost: Free

Where:
Mint Museum Randolph, 2730 Randolph Road
Mint Museum Uptown, 500 S. Tryon St.
Charlotte, NC
View map »


Telephone: 704-337-2000
Website »

More information

This exhibition is the first to focus exclusively on the black basalt sculpture made by Josiah Wedgwood and other Staffordshire potters in late eighteenth-century England. 

Cost: $6-$15, children 4 and younger free

Where:
Mint Museum Randolph
2730 Randolph Road
, NC
View map »


Website »

More information

Multiplied: Edition MAT and the Transformable Work of Art examines the rise of three-dimensional objects issued in editions, which emerged as an international phenomenon in the 1960s and 1970s.

Cost: $5-$9, children younger than 10 free

Where:
Bechtler Museum of Modern Art
420 S. Tryon St.
, NC
View map »


Website »

More information

The Things Come Apart exhibit reveals the inner workings of common, everyday items. Images explore how things are designed and how technology has evolved over time.

Cost: $6-$7, children 3 and younger free, included with admission

Where:
Schiele Museum
1500 E. Garrison Blvd.
Gastonia, NC
View map »


Website »

More information

This exhibit explores the various aspects of walls, which includes the artistic, social, political and historical aspects, as well as the physical barriers like fences or sand berms. The space is...

Cost: $6-$15, children 4 and younger free, included with admission

Where:
Mint Museum Uptown
500 S. Tryon St.
, NC
View map »


Website »

More information

Join us for our Pinkyswear Virtual Kids Triathlon event. This virtual event which kicks off formally on June 1st for all ages and abilities, and the triathlon can be completed anywhere! The...

Cost: $15

Where:
, NC


Sponsor: Pinkyswear Foundation
Contact Name: Valorie Liggett
Website »

More information

Show More...
Show Less...

Drop off your little ones to explore, play and learn during Music Mondays, Theater Thursdays and Food Fridays. A small snack is provided. Register online.

Cost: $21-$31

Where:
New Hope Baptist Church
2024 Redbud Drive
Gastonia, NC
View map »


Website »

More information

Toddlers can enjoy a special jump session every weekday morning. With each child age 6 and younger, an adult may jump for free, not including DefyGravity socks for $3.

Cost: $11 for one hour

Where:
DefyGravity Trampoline Park
8116 University City Blvd.
, NC
View map »


Website »

More information

George Beverly Shea and Cliff Barrows presented faith of Jesus Christ in song. Come discover the ways the Lord used their efforts and their music to open hearts around the world. Read inspiring...

Cost: Free

Where:
The Billy Graham Library
4330 Westmont Drive
, NC
View map »


Sponsor: The Billy Graham Library
Website »

More information

Drop in for safe play on the equipment indoors.

Cost: $8, $10 on weekends and school holidays

Where:
Superior Play Systems
11415 Granite St.
Suite C
, NC
View map »


Website »

More information

Hear live music every Thursday, June 4 through August 13. Bring chairs, blankets, and money for food trucks, beer, wine and sodas. See website for lineup.

Cost: $5 per person (free for members); $5 per car for parking

Where:
Anne Springs Close Greenway
291 Dairy Barn Ln.
Fort Mill, SC
View map »


Website »

More information

River Jam brings live music outdoors, right in the middle of the world’s largest man-made whitewater river. Hear music on Thursday, Friday and Saturday nights, as well as during each of...

Cost: $6 for parking

Where:
USNWC
5000 Whitewater Center Pkwy.
, NC
View map »


Sponsor: USNWC
Website »

More information

This exhibition is the first to focus exclusively on the black basalt sculpture made by Josiah Wedgwood and other Staffordshire potters in late eighteenth-century England. 

Cost: $6-$15, children 4 and younger free

Where:
Mint Museum Randolph
2730 Randolph Road
, NC
View map »


Website »

More information

Multiplied: Edition MAT and the Transformable Work of Art examines the rise of three-dimensional objects issued in editions, which emerged as an international phenomenon in the 1960s and 1970s.

Cost: $5-$9, children younger than 10 free

Where:
Bechtler Museum of Modern Art
420 S. Tryon St.
, NC
View map »


Website »

More information

The Things Come Apart exhibit reveals the inner workings of common, everyday items. Images explore how things are designed and how technology has evolved over time.

Cost: $6-$7, children 3 and younger free, included with admission

Where:
Schiele Museum
1500 E. Garrison Blvd.
Gastonia, NC
View map »


Website »

More information

This exhibit explores the various aspects of walls, which includes the artistic, social, political and historical aspects, as well as the physical barriers like fences or sand berms. The space is...

Cost: $6-$15, children 4 and younger free, included with admission

Where:
Mint Museum Uptown
500 S. Tryon St.
, NC
View map »


Website »

More information

Join us for our Pinkyswear Virtual Kids Triathlon event. This virtual event which kicks off formally on June 1st for all ages and abilities, and the triathlon can be completed anywhere! The...

Cost: $15

Where:
, NC


Sponsor: Pinkyswear Foundation
Contact Name: Valorie Liggett
Website »

More information

Show More...
Show Less...

Drop off your little ones to explore, play and learn during Music Mondays, Theater Thursdays and Food Fridays. A small snack is provided. Register online.

Cost: $21-$31

Where:
New Hope Baptist Church
2024 Redbud Drive
Gastonia, NC
View map »


Website »

More information

Toddlers can enjoy a special jump session every weekday morning. With each child age 6 and younger, an adult may jump for free, not including DefyGravity socks for $3.

Cost: $11 for one hour

Where:
DefyGravity Trampoline Park
8116 University City Blvd.
, NC
View map »


Website »

More information

George Beverly Shea and Cliff Barrows presented faith of Jesus Christ in song. Come discover the ways the Lord used their efforts and their music to open hearts around the world. Read inspiring...

Cost: Free

Where:
The Billy Graham Library
4330 Westmont Drive
, NC
View map »


Sponsor: The Billy Graham Library
Website »

More information

Drop in for safe play on the equipment indoors.

Cost: $8, $10 on weekends and school holidays

Where:
Superior Play Systems
11415 Granite St.
Suite C
, NC
View map »


Website »

More information

Caregivers and their littles learn new yoga poses with songs and games. Multiple class rates available.

Cost: $20

Where:
Tiny Blooms Yoga
15905 Brookway Drive
Suite 4106
Huntersville, NC
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Website »

More information

Teach or play with your child in the heated pool.

Cost: $5 per swimmer, max $15 per family

Where:
Goldfish Swim School
13403 S. Ridge Drive
, NC
View map »


Website »

More information

rab dinner from a variety of local food trucks at this weekly rally. Visit the website for a list of participating trucks.

Cost: Free admission

Where:
Resident Culture Brewing Company
2101 Central Ave.
, NC
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This family-friendly event features craft brews, wine, cider, live music and the best food trucks in Charlotte. Bring the whole family, including your dogs. Along...

Cost: Free

Where:
Sycamore Brewing
2161 Hawkins St.
, NC
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Cost: Free

Where:
Stumptown Park
120 S. Trade St.
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Cost: Free

Where:
Oak Street Mill
19725 Oak St.
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Cost: $25

Where:
Romp n' Roll NW Charlotte
3611 Mt. Holly-Huntersville Road
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, NC
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More information

Live the story of Stephen and the Apostles. Experience the rousing power of ANNO DOMINI: the year of our Lord while enjoying a Greek dinner.

Cost: $10-$40

Where:
NarroWay Theater
3327 Highway 51
Fort Mill, SC  29715
View map »


Website »

More information

River Jam brings live music outdoors, right in the middle of the world’s largest man-made whitewater river. Hear music on Thursday, Friday and Saturday nights, as well as during each of...

Cost: $6 for parking

Where:
USNWC
5000 Whitewater Center Pkwy.
, NC
View map »


Sponsor: USNWC
Website »

More information

This exhibition is the first to focus exclusively on the black basalt sculpture made by Josiah Wedgwood and other Staffordshire potters in late eighteenth-century England. 

Cost: $6-$15, children 4 and younger free

Where:
Mint Museum Randolph
2730 Randolph Road
, NC
View map »


Website »

More information

Multiplied: Edition MAT and the Transformable Work of Art examines the rise of three-dimensional objects issued in editions, which emerged as an international phenomenon in the 1960s and 1970s.

Cost: $5-$9, children younger than 10 free

Where:
Bechtler Museum of Modern Art
420 S. Tryon St.
, NC
View map »


Website »

More information

The Things Come Apart exhibit reveals the inner workings of common, everyday items. Images explore how things are designed and how technology has evolved over time.

Cost: $6-$7, children 3 and younger free, included with admission

Where:
Schiele Museum
1500 E. Garrison Blvd.
Gastonia, NC
View map »


Website »

More information

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Cost: $10-$40

Where:
NarroWay Theatre
3327 Hwy 51
Fort Mill, SC
View map »


Sponsor: NarroWay Productions
Telephone: 803-802-2300
Website »

More information

This exhibit explores the various aspects of walls, which includes the artistic, social, political and historical aspects, as well as the physical barriers like fences or sand berms. The space is...

Cost: $6-$15, children 4 and younger free, included with admission

Where:
Mint Museum Uptown
500 S. Tryon St.
, NC
View map »


Website »

More information

Join us for our Pinkyswear Virtual Kids Triathlon event. This virtual event which kicks off formally on June 1st for all ages and abilities, and the triathlon can be completed anywhere! The...

Cost: $15

Where:
, NC


Sponsor: Pinkyswear Foundation
Contact Name: Valorie Liggett
Website »

More information

Show More...
Show Less...

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Cost: Free

Where:
Kings Mountain Historical Museum
100 East Mountain St.
Kings Mountain, NC
View map »


Website »

More information

George Beverly Shea and Cliff Barrows presented faith of Jesus Christ in song. Come discover the ways the Lord used their efforts and their music to open hearts around the world. Read inspiring...

Cost: Free

Where:
The Billy Graham Library
4330 Westmont Drive
, NC
View map »


Sponsor: The Billy Graham Library
Website »

More information

On Saturdays and Sundays from noon-5pm, the arcade bar opens to all ages with a parent or guardian present.

Cost: Cost for games

Where:
Abari Game Bar
1721 N. Davidson St.
, NC
View map »


Telephone: 980-430-4587
Website »

More information

Live the story of Stephen and the Apostles. Experience the rousing power of ANNO DOMINI: the year of our Lord while enjoying a Greek dinner.

Cost: $10-$40

Where:
NarroWay Theater
3327 Highway 51
Fort Mill, SC  29715
View map »


Website »

More information

The Charlotte Mecklenburg Library presents monthly story times at 2:30 and 3:30 p.m. every second Saturday of the month.

Cost: Free

Where:
Northlake Mall Live 360° Games Court
6801 Northlake Mall Drive
, NC
View map »


Sponsor: Northlake Mall
Website »

More information

River Jam brings live music outdoors, right in the middle of the world’s largest man-made whitewater river. Hear music on Thursday, Friday and Saturday nights, as well as during each of...

Cost: $6 for parking

Where:
USNWC
5000 Whitewater Center Pkwy.
, NC
View map »


Sponsor: USNWC
Website »

More information

Bring chairs and blankets to watch movies in the park. Concessions will be available for purchase. The second Saturday of the month, May through September with a Halloween special on Oct. 17. 

Cost: Free

Where:
Stowe Park
24 S. Main St.
Belmont, NC
View map »


Website »

More information

This exhibition is the first to focus exclusively on the black basalt sculpture made by Josiah Wedgwood and other Staffordshire potters in late eighteenth-century England. 

Cost: $6-$15, children 4 and younger free

Where:
Mint Museum Randolph
2730 Randolph Road
, NC
View map »


Website »

More information

Multiplied: Edition MAT and the Transformable Work of Art examines the rise of three-dimensional objects issued in editions, which emerged as an international phenomenon in the 1960s and 1970s.

Cost: $5-$9, children younger than 10 free

Where:
Bechtler Museum of Modern Art
420 S. Tryon St.
, NC
View map »


Website »

More information

The Things Come Apart exhibit reveals the inner workings of common, everyday items. Images explore how things are designed and how technology has evolved over time.

Cost: $6-$7, children 3 and younger free, included with admission

Where:
Schiele Museum
1500 E. Garrison Blvd.
Gastonia, NC
View map »


Website »

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See the original, Broadway-style dinner show, and experience the story of Stephen and the Apostles. See website for showtimes.

Cost: $10-$40

Where:
NarroWay Theatre
3327 Hwy 51
Fort Mill, SC
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Sponsor: NarroWay Productions
Telephone: 803-802-2300
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This exhibit explores the various aspects of walls, which includes the artistic, social, political and historical aspects, as well as the physical barriers like fences or sand berms. The space is...

Cost: $6-$15, children 4 and younger free, included with admission

Where:
Mint Museum Uptown
500 S. Tryon St.
, NC
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Join us for our Pinkyswear Virtual Kids Triathlon event. This virtual event which kicks off formally on June 1st for all ages and abilities, and the triathlon can be completed anywhere! The...

Cost: $15

Where:
, NC


Sponsor: Pinkyswear Foundation
Contact Name: Valorie Liggett
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Annual Guides

G.P.S. [Go.Play.See]

Your guide to raising kids in the Queen City, plus our 2019 Readers' Favorites for places to play, explore and learn with the kids.

Education Guide

A comprehensive guide to independent, private, charter and public schools in Cabarrus, Gaston, Iredell, Lincoln, Mecklenburg, Union and York counties.
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