Does Additional Prenatal Care in the Home Improve Birth Outcomes for Women with a Prior Preterm Delivery? A Randomized Clinical Trial
Women with a history of a prior preterm birth (PTB) have a high probability of a recurrent preterm birth. Some risk factors and health behaviors that contribute to PTB may be amenable to intervention. Home visitation is a promising method to deliver evidence based interventions. We evaluated a syste...
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| Veröffentlicht in: | Maternal and child health journal 2014-07, Vol.18 (5), p.1142-1154 |
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| container_title | Maternal and child health journal |
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| creator | Lutenbacher, Melanie Gabbe, Patricia Temple Karp, Sharon M. Dietrich, Mary S. Narrigan, Deborah Carpenter, Lavenia Walsh, William |
| description | Women with a history of a prior preterm birth (PTB) have a high probability of a recurrent preterm birth. Some risk factors and health behaviors that contribute to PTB may be amenable to intervention. Home visitation is a promising method to deliver evidence based interventions. We evaluated a system of care designed to reduce preterm births and hospital length of stay in a sample of pregnant women with a history of a PTB. Single site randomized clinical trial. Eligibility: >18 years with prior live birth ≥20– |
| doi_str_mv | 10.1007/s10995-013-1344-4 |
| format | Article |
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Eligibility: >18 years with prior live birth ≥20–<37 weeks gestation; <24 weeks gestation at enrollment; spoke and read English; received care at regional medical center. All participants (N = 211) received standard prenatal care. Intervention participants (N = 109) also received home visits by certified nurse-midwives guided by protocols for specific risk factors (e.g., depressive symptoms, abuse, smoking). Data was collected via multiple methods and sources including intervention fidelity assessments. Average age 27.8 years; mean gestational age at enrollment was 15 weeks. Racial breakdown mirrored local demographics. Most had a partner, high school education, and 62 % had Medicaid. No statistically significant group differences were found in gestational age at birth. Intervention participants had a shorter intrapartum length of stay. Enhanced prenatal care by nurse-midwife home visits may limit some risk factors and shorten intrapartum length of stay for women with a prior PTB. This study contributes to knowledge about evidence-based home visit interventions directed at risk factors associated with PTB.</description><identifier>ISSN: 1092-7875</identifier><identifier>EISSN: 1573-6628</identifier><identifier>DOI: 10.1007/s10995-013-1344-4</identifier><identifier>PMID: 23922160</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Childrens health ; Clinical trials ; Female ; Gestational Age ; Gynecology ; Health aspects ; Hospitals ; House Calls ; Humans ; Infant, Newborn ; Intervention ; Length of stay ; Length of Stay - statistics & numerical data ; Maternal & child health ; Maternal and Child Health ; Medicine ; Medicine & Public Health ; Methods ; Nursing ; Pediatrics ; Population Economics ; Pregnancy ; Pregnancy Complications - epidemiology ; Pregnancy Complications - prevention & control ; Pregnancy Outcome ; Premature birth ; Premature Birth - prevention & control ; Premature labor ; Prenatal care ; Prenatal Care - methods ; Prevention ; Public Health ; Risk Factors ; Risk taking ; Sociology ; United States - epidemiology ; Womens health</subject><ispartof>Maternal and child health journal, 2014-07, Vol.18 (5), p.1142-1154</ispartof><rights>Springer Science+Business Media New York 2013</rights><rights>COPYRIGHT 2014 Springer</rights><rights>Springer Science+Business Media New York 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c611t-39fec2fe837e345fe3701fa0bd7942afc058869e07ae5b1adc7b1d91794f95963</citedby><cites>FETCH-LOGICAL-c611t-39fec2fe837e345fe3701fa0bd7942afc058869e07ae5b1adc7b1d91794f95963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10995-013-1344-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10995-013-1344-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23922160$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lutenbacher, Melanie</creatorcontrib><creatorcontrib>Gabbe, Patricia Temple</creatorcontrib><creatorcontrib>Karp, Sharon M.</creatorcontrib><creatorcontrib>Dietrich, Mary S.</creatorcontrib><creatorcontrib>Narrigan, Deborah</creatorcontrib><creatorcontrib>Carpenter, Lavenia</creatorcontrib><creatorcontrib>Walsh, William</creatorcontrib><title>Does Additional Prenatal Care in the Home Improve Birth Outcomes for Women with a Prior Preterm Delivery? A Randomized Clinical Trial</title><title>Maternal and child health journal</title><addtitle>Matern Child Health J</addtitle><addtitle>Matern Child Health J</addtitle><description>Women with a history of a prior preterm birth (PTB) have a high probability of a recurrent preterm birth. Some risk factors and health behaviors that contribute to PTB may be amenable to intervention. Home visitation is a promising method to deliver evidence based interventions. We evaluated a system of care designed to reduce preterm births and hospital length of stay in a sample of pregnant women with a history of a PTB. Single site randomized clinical trial. Eligibility: >18 years with prior live birth ≥20–<37 weeks gestation; <24 weeks gestation at enrollment; spoke and read English; received care at regional medical center. All participants (N = 211) received standard prenatal care. Intervention participants (N = 109) also received home visits by certified nurse-midwives guided by protocols for specific risk factors (e.g., depressive symptoms, abuse, smoking). Data was collected via multiple methods and sources including intervention fidelity assessments. Average age 27.8 years; mean gestational age at enrollment was 15 weeks. Racial breakdown mirrored local demographics. Most had a partner, high school education, and 62 % had Medicaid. No statistically significant group differences were found in gestational age at birth. Intervention participants had a shorter intrapartum length of stay. Enhanced prenatal care by nurse-midwife home visits may limit some risk factors and shorten intrapartum length of stay for women with a prior PTB. 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A Randomized Clinical Trial</atitle><jtitle>Maternal and child health journal</jtitle><stitle>Matern Child Health J</stitle><addtitle>Matern Child Health J</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>18</volume><issue>5</issue><spage>1142</spage><epage>1154</epage><pages>1142-1154</pages><issn>1092-7875</issn><eissn>1573-6628</eissn><abstract>Women with a history of a prior preterm birth (PTB) have a high probability of a recurrent preterm birth. Some risk factors and health behaviors that contribute to PTB may be amenable to intervention. Home visitation is a promising method to deliver evidence based interventions. We evaluated a system of care designed to reduce preterm births and hospital length of stay in a sample of pregnant women with a history of a PTB. Single site randomized clinical trial. Eligibility: >18 years with prior live birth ≥20–<37 weeks gestation; <24 weeks gestation at enrollment; spoke and read English; received care at regional medical center. All participants (N = 211) received standard prenatal care. Intervention participants (N = 109) also received home visits by certified nurse-midwives guided by protocols for specific risk factors (e.g., depressive symptoms, abuse, smoking). Data was collected via multiple methods and sources including intervention fidelity assessments. Average age 27.8 years; mean gestational age at enrollment was 15 weeks. Racial breakdown mirrored local demographics. Most had a partner, high school education, and 62 % had Medicaid. No statistically significant group differences were found in gestational age at birth. Intervention participants had a shorter intrapartum length of stay. Enhanced prenatal care by nurse-midwife home visits may limit some risk factors and shorten intrapartum length of stay for women with a prior PTB. This study contributes to knowledge about evidence-based home visit interventions directed at risk factors associated with PTB.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>23922160</pmid><doi>10.1007/s10995-013-1344-4</doi><tpages>13</tpages></addata></record> |
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| ispartof | Maternal and child health journal, 2014-07, Vol.18 (5), p.1142-1154 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Childrens health Clinical trials Female Gestational Age Gynecology Health aspects Hospitals House Calls Humans Infant, Newborn Intervention Length of stay Length of Stay - statistics & numerical data Maternal & child health Maternal and Child Health Medicine Medicine & Public Health Methods Nursing Pediatrics Population Economics Pregnancy Pregnancy Complications - epidemiology Pregnancy Complications - prevention & control Pregnancy Outcome Premature birth Premature Birth - prevention & control Premature labor Prenatal care Prenatal Care - methods Prevention Public Health Risk Factors Risk taking Sociology United States - epidemiology Womens health |
| title | Does Additional Prenatal Care in the Home Improve Birth Outcomes for Women with a Prior Preterm Delivery? A Randomized Clinical Trial |
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