Effect of an Intensive Nurse Home Visiting Program on Adverse Birth Outcomes in a Medicaid-Eligible Population: A Randomized Clinical Trial.

ABSTRACT:

Importance

Improving birth outcomes for low-income mothers is a public health priority. Intensive nurse home visiting has been proposed as an intervention to improve these outcomes.

Objective

To determine the effect of an intensive nurse home visiting program on a composite outcome of preterm birth, low birth weight, small for gestational age, or perinatal mortality.

Design, setting, and participants

This was a randomized clinical trial that included 5670 Medicaid-eligible, nulliparous pregnant individuals at less than 28 weeks' gestation, enrolled between April 1, 2016, and March 17, 2020, with follow-up through February 2021.

Interventions

Participants were randomized 2:1 to Nurse Family Partnership program (n = 3806) or control (n = 1864). The program is an

SUBMITTER: McConnell MA 

PROVIDER: S-EPMC9257581 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature