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Nurse home visits during pregnancy and early childhood improved maternal life course 7 years later

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D L Olds

Dr D L Olds, University of Colorado at Denver and Health Sciences Center, Denver, CO, USA; olds.david@tchden.org

QUESTION

Do nurse home visits (NHVs) during pregnancy and early childhood affect maternal fertility and child functioning 7 years later?

METHODS

Design:

randomised controlled trial.

Allocation:

{concealed}.*

Blinding:

blinded (outcome assessors).

Follow-up period:

9 years (7 y after intervention ended).

Setting:

obstetric clinic in Memphis, Tennessee, USA.

Patients:

743 women (64% age <18 y, 92% black) who were <29 weeks pregnant, had no previous live births, no chronic illness that might affect pregnancy outcome, and ⩾2 sociodemographic risk factors (unmarried, <12 y education, or unemployed).

Intervention:

228 women were allocated to free transportation to prenatal appointments; a mean of 7 NHVs during pregnancy; 1 postpartum hospital visit; child developmental screening at …

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