A randomized controlled trial of prenatal pediatric visits for urban, low-income families.
Prenatal pediatric visits have been recommended by the American Academy of Pediatrics to allow the pediatrician to counsel parents on infant care issues, establish a supportive relationship, and provide pediatric practice information to parents.
We hypothesized that prenatal pediatric visits would have an impact on breastfeeding decisions, health care behaviors, health care utilization, and the doctor-patient relationship.
We conducted a randomized controlled trial of prenatal pediatric visits for urban, low-income families to measure the impact on breastfeeding decisions, infant car safety seat use, circumcision, health maintenance, and emergency room visits and the pediatrician's perception that he/she would know the mother better.
Pregnant women were recruited prenatally from the obstetrics clinic.
Outcomes were measured by maternal interview prenatally and when the infant was 2 months old, in addition to review of the nursery record.
Physicians were interviewed after the 2-month visit.
Health care utilization was measured by chart review at 7 months.
A total of 156 pregnant women were enrolled and randomized, 81 to the intervention group and 75 to the control group.
Of mothers who breastfed, 45% in the intervention group changed their mind in favor of breastfeeding after enrollment compared with 14% in the control group. (...)
Mots-clés Pascal : Consultation, Médecin, Pédiatrie, Parent, Allaitement, Relation soignant famille, Prénatal, Evaluation performance, Essai clinique, Prévention, Promotion santé, Intérêt, Etats Unis, Amérique du Nord, Amérique, Consommation, Urgence, Service hospitalier, Milieu urbain, Pauvreté
Mots-clés Pascal anglais : Consultation, Physician, Pediatrics, Parent, Breast feeding, Health staff family relation, Prenatal, Performance evaluation, Clinical trial, Prevention, Health promotion, Interest, United States, North America, America, Consumption, Emergency, Hospital ward, Urban environment, Poverty
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0051097
Code Inist : 002B30A03B. Création : 21/05/1997.