Effectiveness of prenatal care and education for pregnant adolescents Nurse-midwifery intervention and team approach

Smoke, Janina; Grace, Mary C.

doi:10.1016/0091-2182(88)90189-9

Cited by 18 publications

(20 citation statements)

References 13 publications

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“…In a four‐country cRCT in Latin America, NEC provided as a comprehensive package of health messages had no effect on neonatal mortality or morbidity 50 . Another QE study in the US that delivered NEC as part of a package of health messages reported significantly reduced length of hospital stay and admittance to the neonatal intensive care unit in the intervention compared with the control group 45 . However, it is unclear to what extent these findings can be attributed the NEC component of the intervention due to the inclusion of other health messages.…”

Section: Resultsmentioning

confidence: 99%

Nutrition Education and Counselling Provided during Pregnancy: Effects on Maternal, Neonatal and Child Health Outcomes

Girard

Olude²

2012

Paediatric Perinatal Epid

218

208

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Nutrition education and counselling (NEC) is a commonly applied strategy to improve maternal nutrition during pregnancy. However, with the exception special populations and specific diets, the effect of NEC on maternal, neonatal and child health outcomes has not been systematically reviewed. Using a modified Child Health Epidemiology Reference Group method we systematically reviewed the literature and identified and abstracted 37 articles. We conducted meta-analyses for the effect of NEC on maternal, neonatal and infant health outcomes including gestational weight gain, maternal anaemia, birthweight, low birthweight and preterm delivery. NEC significantly improved gestational weight gain by 0.45 kg, reduced the risk of anaemia in late pregnancy by 30%, increased birthweight by 105 g and lowered the risk of preterm delivery by 19%. The effect of NEC on risk of low birthweight was not significant. The effect of NEC was greater when provided with nutrition support, for example, food or micronutrient supplements or nutrition safety nets. The overall quality of the body of evidence was deemed low for all outcomes due to high heterogeneity, poor study designs and other biases. Additional welldesigned research that is grounded in appropriate theories of behaviour change is needed to improve confidence in the effect of NEC. Further, cost-effectiveness research is needed to clarify the added benefit and sustainability of providing NEC with nutritional support and/or safety nets, especially in areas where food insecurity and gender bias may limit women's capacity to adhere to NEC messages.

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Section: Resultsmentioning

confidence: 99%

Nutrition Education and Counselling Provided during Pregnancy: Effects on Maternal, Neonatal and Child Health Outcomes

Girard

Olude²

2012

Paediatric Perinatal Epid

218

208

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“…Twelve studies primarily focused on midwifery care to vulnerable populations (158‐171). One was a national survey and overview, and the remainder focused on particular vulnerable groups: indigent women (4), adolescents (4), specific ethnic groups (2), and substance‐abusing women.…”

Section: Resultsmentioning

confidence: 99%

Midwifery Care Research: What Questions Are Being Asked? What Lessons Have Been Learned?

Raisler

2000

J Midwife Womens Health

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Although retrospective descriptive studies still predominate, more prospective studies, randomized controlled trials, multi-site studies, and quasi-experimental designs are being conducted. Qualitative methods are helping to measure nontraditional outcomes. A research agenda should be established based on discussion and debate within the profession. Midwife investigators need to build research teams and collaborate with other disciplines. Key areas for future research include alternative therapies, breastfeeding, cost-effectiveness, cultural studies, gynecology, health policy, menopause, postpartum care, substance abuse interventions, and the woman's experience of birth and midwifery care.

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“…Comprehensive programs have targeted improving teen maternal and child health outcomes including decreasing rates of infant mortality and low birth weight (Hanks, Kitzman, & Milligan, 1995; Hardy, King, & Repke, 1987; Koniak‐Griffin, Mathenge, Anderson, & Verzemnieks, 1999). Adolescents receiving prenatal education have demonstrated an increase in prenatal attachment scores (Koniak‐Griffin & Verzemnieks, 1991), experienced fewer maternal and fetal complications (Smoke & Grace, 1988), and given birth to infants with higher mean birth weights (Covington, Peoples‐Sheps, Buescher, Bennet, & Paul, 1998). Little data is available in the literature on teen rates of prenatal and parenting class attendance.…”

Section: Introductionmentioning

confidence: 99%

Health‐Risk Behaviors in a Sample of First‐Time Pregnant Adolescents

Kaiser

Hays

2005

Public Health Nursing

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Health-risk behaviors captured by birth certificate data are thought to be underreported for all age groups, and the prevalence of health-risk behaviors in this sample of pregnant teens was often greater than the most recent national trend data available. The magnitude of the effects of health-risk behaviors on pregnancy outcomes necessitates improved data gathering to enhance planning and evaluation of research and interventions at community, system, and individual/family levels.

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Effectiveness of prenatal care and education for pregnant adolescents Nurse-midwifery intervention and team approach

Cited by 18 publications

References 13 publications

Nutrition Education and Counselling Provided during Pregnancy: Effects on Maternal, Neonatal and Child Health Outcomes

Nutrition Education and Counselling Provided during Pregnancy: Effects on Maternal, Neonatal and Child Health Outcomes

Midwifery Care Research: What Questions Are Being Asked? What Lessons Have Been Learned?

Health‐Risk Behaviors in a Sample of First‐Time Pregnant Adolescents

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