Document Detail

Efficacy of prenatal and postpartum home visits on child health and development.
MedLine Citation:
PMID:  7402804     Owner:  NLM     Status:  MEDLINE    
This study is a controlled evaluation of the efficacy of home visits designed to promote better child health and development for infants of working class families. Each of the 115 mother-infant pairs meeting the study criteria was assigned to one of three comparable groups: group A received home visits starting prenatally; group B received visits from six weeks post partum; and group C received no visits. Home observations were completed by an independent evaluator at 6 weeks, 6, 12, and 18 months of age. Significant differences favoring group A over groups B and C were found at each evaluation period. These included: (1) a reduced accident rate; (2) higher scores on assessments of home environment and maternal behavior; and (3) a lower prevalence of mother-infant interaction or feeding problems and of nonparticipant fathers. Aside from a reduction in the accident rate, group B did not benefit from the home visits when compared to control infants. The results support the efficacy of home visits, but only if a prenatal visit is included. These findings suggest that a unique relationship is created between the mother and home visitor and this relationship is sensitive to the timing of the initial encounter.
C P Larson
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Pediatrics     Volume:  66     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1980 Aug 
Date Detail:
Created Date:  1980-10-27     Completed Date:  1980-10-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  191-7     Citation Subset:  AIM; IM    
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MeSH Terms
Child Development*
Child Health Services / utilization*
Continuity of Patient Care*
Health Status
Home Care Services / utilization*
Infant, Newborn
Interpersonal Relations
Maternal Behavior
Primary Health Care*
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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