A Review of Prenatal Home‐Visiting Effectiveness for Improving Birth Outcomes

Association of the Affordable Care Act Dependent Coverage Provision With Prenatal Care Use and Birth Outcomes

“…Similarly modest evidence exists for community-based interventions to improve prenatal care. For example, evidence on home-visiting programs for high-risk women have found results ranging from no significant difference to a 4.5 percentage-point increase in adequate prenatal care use, suggesting that this study’s estimates for the dependent coverage provision are in the range of changes detected after more intensive interventions …”

“…For example, evidence on home-visiting programs for high-risk women have found results ranging from no significant difference to a 4.5 percentage-point increase in adequate prenatal care use, suggesting that this study's estimates for the dependent coverage provision are in the range of changes detected after more intensive interventions. 34 Given the relatively small coverage and utilization changes associated with the policy, it is not surprising that changes in birth outcomes were small in magnitude. These modest results are similar to previous studies of coverage expansions to pregnant women, which have found small or no changes in premature birth, cesarean delivery, and low birth weight, despite improvements in prenatal care.…”

Opti’care protocol: a randomised control trial to evaluate the impact of a mobile antenatal care clinic in isolated rural areas on prenatal follow-up

“…13 Interventions for women at home or by mobile healthcare teams have shown improvements in monitoring during pregnancy and delivery, along with a diminution in infant morbidity. [14][15][16] These supportive interventions have also reduced the prevalence of postpartum depression. 17 18 Our principal objective is to assess the impact of an infrastructure for a mobile antenatal care clinic on the quality of antenatal care for women identified as geographically vulnerable in a perinatal network.…”

Visita domiciliaria y participación de las familias en la educación

“…No obstante, el hecho de que las visitas sean realizadas por trabajadores sociales de nivel profesional no garantiza la eficacia de la estrategia, puesto que una de las variables relevantes para ello es el nivel de capacitación de los que hacen la visita domiciliaria, independientemente de si estos son o no profesionales (Tubach et al, 2012). Gogia & Sachdev, 2010;Issel, Forrestal, Slaughter, Wiencrot & Handler, 2011), tienden a restringirse solo a dos aspectos: la calidad del vínculo generado y el sentimiento de reconocimiento e inclusión que les genera en la escuela. No se reconoce el positivo potencial que tiene el hogar, no solo para observar sino para modelar, enseñar e influir en la interacción de sus miembros, reconociendo que ninguna intervención será efectiva si no entra en las rutinas diarias de la familia (Bernheimer & Weisner, 2007).…”