Document Detail

A systematic review of telephone support for women during pregnancy and the early postpartum period.
MedLine Citation:
PMID:  18507601     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess the effects of telephone-based support on smoking, preterm birth, low birthweight, breastfeeding, and postpartum depression. DATA SOURCES: Cochrane Pregnancy and Childbirth Group trials register (March 2006), Cochrane Central Register of Controlled Trials (March 2006), Medline (1966-2006), EMBASE (1980-2006), and CINAHL (1982-2006). Secondary references were scanned and experts in the field were contacted. STUDY SELECTION: All published, unpublished, and ongoing randomized controlled trials of telephone support interventions in which the primary aim was smoking, preterm birth, low birthweight, breastfeeding, or postpartum depression were reviewed. DATA EXTRACTION: Data were independently extracted by both authors and double entered into the Cochrane Collaboration's Review Manager (2003) software. DATA SYNTHESIS: Trials evaluating different primary outcomes were analyzed separately. For dichotomous data, results were presented as summary relative risk with 95% confidence intervals. For continuous data, weighted mean difference was used. CONCLUSIONS: Proactive telephone support may (a) assist in preventing smoking relapse, (b) play a role in preventing low birthweight, (c) increase breastfeeding duration and exclusivity, and (d) decrease postpartum depressive symptomatology. No telephone interventions were effective in improving preterm birth or smoking cessation rates. Additional research is encouraged.
Cindy-Lee Dennis; Dawn Kingston
Publication Detail:
Type:  Journal Article; Meta-Analysis    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  37     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-05-29     Completed Date:  2008-09-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  301-14     Citation Subset:  IM; N    
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada.
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MeSH Terms
Breast Feeding
Depression, Postpartum / prevention & control
Infant, Low Birth Weight
Infant, Newborn
Maternal-Child Nursing / organization & administration
Nursing Evaluation Research
Outcome Assessment (Health Care)
Patient Education as Topic / organization & administration
Postnatal Care / organization & administration*
Pregnancy Complications / prevention & control
Pregnancy Outcome
Premature Birth / prevention & control
Prenatal Care / organization & administration*
Program Evaluation
Puerperal Disorders / prevention & control
Randomized Controlled Trials as Topic
Research Design
Smoking / prevention & control
Social Support*

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

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