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

https://doi.org/10.1136/ebn.11.2.41

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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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    Footnotes

    • Source of funding: National Institute of Mental Health; National Institute of Child Health and Human Development; Department of Justice.