Knowledge of and Attitudes Toward Perinatal Home Visiting in Women with High‐Risk Pregnancies

Abstract

Introduction Published research indicates that some perinatal home visiting programs are highly effective. However, there is a dearth of information regarding how these services apply to women experiencing a high‐risk pregnancy. The aim of this study was to determine the potential acceptability of home visiting services within this vulnerable population and identify what services women want. Methods Four focus groups (N = 32) were conducted with a population of low‐income, pregnant individuals in medically underserved central Georgia (United States). Participants were evaluated based on their current exposure to home visiting, receptiveness to home visiting, and reasons for apprehension regarding home visiting. Results The results of this study were mixed, with women expressing both interest in and reluctance about home visiting programs. Themes of distrust and fear of judgment or persecution existed. Women also varied with regard to what home visiting services they would like offered. Those discussed included assistance with maternal or infant medical needs, maternal function tasks, household tasks, and child care. Discussion Home visiting programs can be effective for improving maternal and child health outcomes. However, not all home visiting programs effectively reach their target population. More research is needed to determine what women who have high‐risk conditions during pregnancy want help with and how to increase receptiveness. The results of this study could be informative to health care providers who treat persons with high‐risk conditions in identifying adjunctive services for those in need of additional support.

Solicitude em visita domiciliar de enfermeiras no cuidado pré-natal de alto risco: relato de experiência

“…Nesse ínterim, para que este reconhecimento de si seja legítimo e contínuo, infere-se aqui que os PVD, internacionalmente difundidos, devem reforçar a informação de como ocorre a produção de cuidado por meio das visitas. No entendimento de que gestantes de alto risco, sobretudo as mulheres em situações de vulnerabilidade e pobreza, necessitam e possuem desfechos mais positivos quando recebem VDs, 16,27 tal cuidado deve ser difundido pelos profissionais de saúde, visando os inúmeros benefícios para a mulher no período de gestação, 28 bem como a janela de oportunidade do período gestacional para outras questões da vida, a exemplo de enfrentamento de violências, parentalidade, questões de saúde mental, entre outras.…”

The Importance of Patient-Centered Research in the Promotion of Postpartum Mental Health

“…Though individuals, foundations, and governments have economically invested in improving maternal-child health for decades, the advancement of newborn and family health outcomes has proved elusive in multiple regions of the globe ( 1 ). 1 Additionally, though researchers often seek the perspective of pregnant and postpartum patients concerning their experience of healthcare or specific models of care ( 2 ), the maternity care research issues which mothers believe ought to be prioritized are understudied ( 3 ). There is also substantial evidence of a mismatch between postpartum healthcare offerings and the support desired by mothers, particularly with regard to a relative neglect of the maternal psychosocial experience ( 4 – 7 ).…”

Factors Related to Burnout Among Perinatal Home Visiting Nurses

“…PNCC services are available to any Medicaid-covered pregnant person with at least 4 identified risk factors. PNCC uses the long-standing public health nursing model including home visiting and a case management approach 11 ; it is often administered by local public health agencies but can also be delivered by independent agencies, health systems, and others.…”