Am Fam Physician. 2016 Jan 1;93(1):25-30.
Do home visits for pregnant adolescents improve health outcomes?
Nurse home visits for pregnant adolescents seem to improve resource utilization and prenatal clinic visit show rates. (Strength of Recommendation [SOR]: B, based on a randomized controlled trial [RCT] and cohort trial.) When nurse visits are continued for up to two years after delivery, there is a decrease in the likelihood of arrest or conviction among the children of these mothers. (SOR: B, based on a cohort trial.) There is conflicting evidence on the effect of prenatal home visits on gestational age and weight at birth.
An RCT of 400 predominantly white, unmarried, low-income adolescent mothers in the Elmira Nurse-Family Partnership assessed the effectiveness of nurse home visits on several outcomes of teen pregnancy.1 Those who received home visits had an average of nine (range = 0 to 16) visits during pregnancy. Those who received home visits had fewer preterm deliveries compared with the control group, which did not receive home visits (0% vs. 11%; P < .05) and had higher infant birth weights (mean = 3,423 g [7 lb, 9 oz] vs. 3,028 g [6 lb, 11
REFERENCESshow all references
1. Olds D, Henderson CR Jr, Tatelbaum R, Chamberlin R. Improving the delivery of prenatal care and outcomes of pregnancy: a randomized trial of nurse home visitation [published correction appears in Pediatrics. 1986;78(1):138]. Pediatrics. 1986;77(1):16–28....
2. Eckenrode J, Campa M, Luckey DW, et al. Long-term effects of prenatal and infancy nurse home visitation on the life course of youths: 19-year follow-up of a randomized trial [published correction appears in Arch Pediatr Adolesc Med. 2010;164(5):424]. Arch Pediatr Adolesc Med. 2010;164(1):9–15.
3. Flynn L, Budd M, Modelski J. Enhancing resource utilization among pregnant adolescents. Public Health Nurs. 2008;25(2):140–148.
4. Nguyen J, Carson ML, Parris KM, Place P. A comparison pilot study of public health field nursing home visitation program interventions for pregnant Hispanic adolescents. Public Health Nurs. 2003;20(5):412–418.
5. Pinzon JL, Jones VF; Committee on Adolescence; Committee on Early Childhood. Care of adolescent parents and their children. Pediatrics. 2012;130(6):e1743–e1756.
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