APN telephone follow up to low-income first time mothers
- PMID: 22845337
- DOI: 10.1111/j.1365-2702.2011.04065.x
APN telephone follow up to low-income first time mothers
Abstract
Aims and objectives: To examine the effects of a low cost advanced practice nurse telephone intervention for 2 months postbirth in low-income first time mothers with healthy full term infants.
Background: Currently women with non-complicated, healthy full term newborn deliveries receive little to no routine postpartum support. This is problematic if mothers are first time mothers, poor, have problems accessing health care, have language barriers and sparse social support.
Design: A two group randomised clinical trial. This study was conducted in an inner city South Florida county hospital.
Methods: A control group (n = 69) received routine hospital discharge care. An intervention group (n = 70) received routine hospital discharge care plus APN follow up telephone calls for week 8 postdischarge. Comparison of outcomes included maternal health (stress, social support, physical health), infant health (routine medical visits, immunisations, weight gain), morbidity (urgent care visits, emergency room visits, re-hospitalisations), and health care charges (urgent care visits, emergency room visits, re-hospitalisations). Data were analysed using descriptive statistics and two-sample t-tests.
Results: Intervention group mothers had significantly lower perceived stress, significantly greater perceived maternal health and social support; infants had healthier weight gain, fewer emergency room visits; significantly lower total health care charges ($14,333 vs. $70,834) compared to controls.
Conclusion: Study results indicate that APN follow up telephone calls to low-income first time mothers with healthy full term infants is an effective, safe, low cost, easy to apply intervention that improved mothers' and infants' health outcomes and reduced healthcare charges.
Relevance to clinical practice: APNs are uniquely positioned to conduct follow up interventions aimed at providing continuity of care including APN telephone follow up. This is imperative for vulnerable populations especially during times of major budget cuts that affect health care services.
© 2012 Blackwell Publishing Ltd.
Similar articles
-
Newborn morbidities and health charges: the first eight weeks.Pediatr Nurs. 2014 May-Jun;40(3):121-6. Pediatr Nurs. 2014. PMID: 25134225
-
Efficacy of breastfeeding support provided by trained clinicians during an early, routine, preventive visit: a prospective, randomized, open trial of 226 mother-infant pairs.Pediatrics. 2005 Feb;115(2):e139-46. doi: 10.1542/peds.2004-1362. Pediatrics. 2005. PMID: 15687421 Clinical Trial.
-
Use of health care services by inner-city infants in an early discharge program.Pediatrics. 1996 Oct;98(4 Pt 1):686-91. Pediatrics. 1996. PMID: 8885947
-
Strengthening social support for the low-income mother: five critical questions and a guide for intervention.J Obstet Gynecol Neonatal Nurs. 2005 Nov-Dec;34(6):769-76. doi: 10.1177/0884217505281885. J Obstet Gynecol Neonatal Nurs. 2005. PMID: 16282236 Review.
-
Patient problems, advanced practice nurse (APN) interventions, time and contacts among five patient groups.J Nurs Scholarsh. 2003;35(1):73-9. doi: 10.1111/j.1547-5069.2003.00073.x. J Nurs Scholarsh. 2003. PMID: 12701530 Free PMC article. Review.
Cited by
-
Understanding Symptom Self-Monitoring Needs Among Postpartum Black Patients: Qualitative Interview Study.J Med Internet Res. 2024 Apr 26;26:e47484. doi: 10.2196/47484. J Med Internet Res. 2024. PMID: 38669066 Free PMC article.
-
Evaluating the Effects of the Supportive Parenting App on Infant Developmental Outcomes: Longitudinal Study.JMIR Mhealth Uhealth. 2023 Feb 22;11:e43885. doi: 10.2196/43885. JMIR Mhealth Uhealth. 2023. PMID: 36811952 Free PMC article. Clinical Trial.
-
Interventions to improve social support among postpartum mothers: A systematic review.Health Promot Perspect. 2022 Aug 20;12(2):141-150. doi: 10.34172/hpp.2022.18. eCollection 2022. Health Promot Perspect. 2022. PMID: 36276421 Free PMC article.
-
Schedules for home visits in the early postpartum period.Cochrane Database Syst Rev. 2021 Jul 21;7(7):CD009326. doi: 10.1002/14651858.CD009326.pub4. Cochrane Database Syst Rev. 2021. PMID: 34286512 Free PMC article.
-
Process evaluations of early childhood obesity prevention interventions delivered via telephone or text messages: a systematic review.Int J Behav Nutr Phys Act. 2021 Jan 9;18(1):10. doi: 10.1186/s12966-020-01074-8. Int J Behav Nutr Phys Act. 2021. PMID: 33422066 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Miscellaneous