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Public health nursing care for adolescent mothers: Impact on infant health and selected maternal outcomes at 1 year postbirth

Authors
 Deborah Koniak-Griffin  ;  Nancy L.R Anderson  ;  Mary-Lynn Brecht  ;  Inese Verzemnieks  ;  Janna Lesser  ;  Sue Kim 
Citation
 JOURNAL OF ADOLESCENT HEALTH, Vol.30(1) : 44-54, 2002 
Journal Title
 JOURNAL OF ADOLESCENT HEALTH 
ISSN
 1054-139X 
Issue Date
2002
MeSH
Adolescent ; Adult ; African Americans ; Analysis of Variance ; Female ; Health Services Research ; Hispanic Americans ; Home Care Services/organization & administration* ; Humans ; Infant Welfare* ; Infant, Newborn ; Maternal-Child Nursing/organization & administration* ; Outcome Assessment (Health Care)/statistics & numerical data* ; Pregnancy ; Pregnancy Outcome ; Pregnancy in Adolescence*/ethnology ; Public Health Nursing/organization & administration* ; United States
Keywords
Adolescents ; Adolescent mothers ; Nurse home visitation ; Infant hospitalization
Abstract
Purpose: To compare effects of an early intervention program (EIP) of intense home visitation by public health nurses (PHNs) with effects of traditional public health nursing care (TPHN) on infant health and selected maternal outcomes of adolescent mothers. Methods: EIP adolescents (N = 102) received preparation-for-motherhood classes and individual home visits (from pregnancy through 1 year postpartum) from PHNs employed in a county health department. Participants were predominantly Latina (64%) and African-American (11%) and from impoverished backgrounds. Infant health outcomes were determined based on medical record data; interviews and standardized questionnaires evaluated other program effects (e.g., maternal educational achievement and psychological status). Data were analyzed using Chi-square and repeated measures ANOVA. Results: Infants of EIP mothers experienced significantly fewer total days (n = 74) and actual episodes (n = 14) of hospitalization during the first year of life than those receiving TPHN (n = 154, n = 24, respectively). Similarly, positive program effects were found for immunization rates. There were no group differences in emergency room visits or repeat pregnancy rates. Alcohol, tobacco, and marijuana use significantly increased from pregnancy through 1 year postpartum in both groups but remained markedly lower than rates prior to pregnancy (lifetime rates). Conclusions: These findings demonstrate the positive effects of a PHN home visitation program on health outcomes for children of adolescent mothers. Days of infant hospitalization were substantially reduced and immunization rates increased during the first year of life for children of EIP mothers. Greater efforts need to be directed toward preventing repeat pregnancy and return to substance use following childbirth in at-risk adolescent mothers.
Full Text
http://www.sciencedirect.com/science/article/pii/S1054139X01003305
DOI
10.1016/S1054-139X(01)00330-5
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sue(김수) ORCID logo https://orcid.org/0000-0003-3785-2445
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/143442
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