Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing : a randomized controlled trial.
Context. - Interest in home-visitation services as a way of improving maternal and child outcomes has grown out of the favorable results of a trial in semirural New York.
The findings have not been replicated in other populations.
- To test the effect of prenatal and infancy home visits by nurses on pregnancy-induced hypertension, preterm delivery, and low birth weight ; on children's injuries, immunizations, mental development, and behavioral problems ; and on maternal life course.
- Randomized controlled trial.
- Public system of obstetric care in Memphis, Tenn.
- A total of 1 139 primarily African-American women at less than 29 weeks'gestation, with no previous live births, and with at least 2 sociodemographic risk characteristics (unmarried,<12 years of education, unemployed).
- Nurses made an average of 7 (range, 0-18) home visits during pregnancy and 26 (range, 0-71) visits from birth to the children's second birthdays.
Main Outcome Measures
- Pregnancy-induced hypertension, preterm delivery, low birth weight, children's injuries, ingestions, and immunizations abstracted from medical records ; mothers'reports of children's behavioral problems ; tests of children's mental development ; mothers'reports of subsequent pregnancy, educational achievement, and labor-force participation ; and use of welfare derived from state records.
Mots-clés Pascal : A domicile, Prénatal, Postnatal, Infirmier, Sage femme, Gestation pathologie, Enfant maltraité, Prévention, Pronostic, Essai thérapeutique contrôlé, Noir américain, New York, Etats Unis, Amérique du Nord, Amérique, Homme, Femelle, Mère, Nourrisson, Visite
Mots-clés Pascal anglais : At home, Prenatal, Postnatal, Nurse, Midwife, Pregnancy disorders, Child abuse, Prevention, Prognosis, Controlled therapeutic trial, Black American, New York, United States, North America, America, Human, Female, Mother, Infant
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0455564
Code Inist : 002B20F01. Création : 03/02/1998.