Ability of the Higgins Nutrition Intervention Program to Improve Adolescent Pregnancy Outcome

Dubois, Sheila; Coulombe, Carole; Pencharz, Paul B.; Pinsonneault, Odette; Duquette, Marie-Paule

doi:10.1016/s0002-8223(97)00212-5

Cited by 35 publications

(30 citation statements)

References 20 publications

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“…Overall, fifteen of the studies (14 primary studies [23,41-43,46-55] and one secondary report providing supplementary data[38]) were considered to have 'adequate' internal validity.…”

Section: Resultsmentioning

confidence: 99%

“…An evaluation of the Higgins Nutrition Intervention Program in pregnant teenagers indicated a possible beneficial effect on PTB in this population, despite the methodological limitations of the study [41]; and the evaluation of a home visiting programme focussing on nutritional education (the Florina Intervention Program ) also suggested a possible beneficial effect on PTB in a low-income rural population in Greece [42,57]. The Florina Intervention Program was evaluated in isolated agricultural population in Greece with a low-calorie, seasonal diet based on home produce and domestic livestock [57]; the relevance and generalisability of the nutritional elements of the intervention to more urbanised populations is unclear.…”

Section: Discussionmentioning

confidence: 99%

“…An observational evaluation of a nutritional programme, the Higgins Nutrition Intervention Program , in adolescents [41] reported a substantial, statistically significant effect on PTB (<37 weeks) (adjusted odds ratio 0.59, 95% CI 0.45-0.78) and on early PTB (<34 weeks) (adjusted odds ratio 0.53, 95% CI 0.35-0.81). Although the study was inconclusive due to the risk of selection bias, the reviewers considered the findings consistent with a possible beneficial effect on PTB.…”

Section: Effectivenessmentioning

confidence: 99%

See 2 more Smart Citations

The effectiveness of antenatal care programmes to reduce infant mortality and preterm birth in socially disadvantaged and vulnerable women in high-income countries: a systematic review

Hollowell

Oakley

Kurinczuk

et al. 2011

BMC Pregnancy Childbirth

155

126

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BackgroundInfant mortality has shown a steady decline in recent years but a marked socioeconomic gradient persists. Antenatal care is generally thought to be an effective method of improving pregnancy outcomes, but the effectiveness of specific antenatal care programmes as a means of reducing infant mortality in socioeconomically disadvantaged and vulnerable groups of women has not been rigorously evaluated.MethodsWe conducted a systematic review, focusing on evidence from high income countries, to evaluate the effectiveness of alternative models of organising or delivering antenatal care to disadvantaged and vulnerable groups of women vs. standard antenatal care. We searched Medline, Embase, Cinahl, PsychINFO, HMIC, CENTRAL, DARE, MIDIRS and a number of online resources to identify relevant randomised and observational studies. We assessed effects on infant mortality and its major medical causes (preterm birth, congenital anomalies and sudden infant death syndrome (SIDS))ResultsWe identified 36 distinct eligible studies covering a wide range of interventions, including group antenatal care, clinic-based augmented care, teenage clinics, prenatal substance abuse programmes, home visiting programmes, maternal care coordination and nutritional programmes. Fifteen studies had adequate internal validity: of these, only one was considered to demonstrate a beneficial effect on an outcome of interest. Six interventions were considered 'promising'.ConclusionsThere was insufficient evidence of adequate quality to recommend routine implementation of any of the programmes as a means of reducing infant mortality in disadvantaged/vulnerable women. Several interventions merit further more rigorous evaluation.

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“…Overall, fifteen of the studies (14 primary studies [23,41-43,46-55] and one secondary report providing supplementary data[38]) were considered to have 'adequate' internal validity.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Effectivenessmentioning

confidence: 99%

See 1 more Smart Citation

The effectiveness of antenatal care programmes to reduce infant mortality and preterm birth in socially disadvantaged and vulnerable women in high-income countries: a systematic review

Hollowell

Oakley

Kurinczuk

et al. 2011

BMC Pregnancy Childbirth

155

126

View full text Add to dashboard Cite

show abstract

“…In a group of 1203 pregnant adolescents, individualized nutrition interventions based on risk profiles were shown to be effective in improving infant birth weight and lowering the rate of LBW. 21 Many prenatal programs and clinics are staffed with social workers and nutritionists who are able to perform early screening for risk factors that may affect dietary intakes and birth outcomes. Identifying these risk factors early in pregnancy and designing individualized strategies to overcome the major obstacles identified should be emphasized.…”

Section: Discussionmentioning

confidence: 99%

Nutrient Inadequacy Is Prevalent in Pregnant Adolescents, and Prenatal Supplement Use May Not Fully Compensate for Dietary Deficiencies

Lee

Young

Cooper

et al. 2014

ICAN: Infant, Child, & Adolescent Nutrition

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“…25 Although many previous randomized controlled trials and quasi-experimental studies of community-based programs have revealed promise in improving preterm birth and infant birth weight, [26][27][28][29][30][31] several reviews of the existing body of literature have demonstrated an overall lack of consistent evidence to support the effectiveness of prenatal home visiting. 10,11,24,32,33 One cause for the overall low percent of positive findings may be lack of attention to dosage of the intervention (ie, the number or duration of home visits per participant).…”

Section: Discussionmentioning

confidence: 99%

Dosage Effect of Prenatal Home Visiting on Pregnancy Outcomes in At-Risk, First-Time Mothers

et al. 2013

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BACKGROUND AND OBJECTIVE: Home visiting programs seek to improve care management for women at high risk for preterm birth (<37 weeks). Our objective was to evaluate the effect of home visiting dosage on preterm birth and small for gestational age (SGA) infants. METHODS: Retrospective cohort study of women in southwest Ohio with a singleton pregnancy enrolled in home visiting before 26 weeks’ gestation. Vital statistics and hospital discharge data were linked with home visiting data from 2007 to 2010 to ascertain birth outcomes. Eligibility for home visiting required ≥1 of 4 risk factors: unmarried, low income, <18 years of age, or suboptimal prenatal care. Logistic regression tested the association of gestational age at enrollment and number of home visits before 26 weeks with preterm birth. Proportional hazards analysis tested the association of total number of home visits with SGA status. RESULTS: Among 441 participants enrolled by 26 weeks, 10.9% delivered preterm; 17.9% of infants were born SGA. Mean gestational age at enrollment was 18.9 weeks; mean number of prenatal home visits was 8.2. In multivariable regression, ≥8 completed visits by 26 weeks compared with ≤3 visits was associated with an odds ratio 0.38 for preterm birth (95% confidence interval: 0.16–0.87), while having ≥12 total home visits compared with ≤3 visits was significantly associated with a hazards ratio 0.32 for SGA (95% confidence interval: 0.15–0.68). CONCLUSIONS: Among at-risk, first time mothers enrolled prenatally in home visiting, higher dosage of intervention is associated with reduced likelihood of adverse pregnancy outcomes.

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Ability of the Higgins Nutrition Intervention Program to Improve Adolescent Pregnancy Outcome

Cited by 35 publications

References 20 publications

The effectiveness of antenatal care programmes to reduce infant mortality and preterm birth in socially disadvantaged and vulnerable women in high-income countries: a systematic review

The effectiveness of antenatal care programmes to reduce infant mortality and preterm birth in socially disadvantaged and vulnerable women in high-income countries: a systematic review

Nutrient Inadequacy Is Prevalent in Pregnant Adolescents, and Prenatal Supplement Use May Not Fully Compensate for Dietary Deficiencies

Dosage Effect of Prenatal Home Visiting on Pregnancy Outcomes in At-Risk, First-Time Mothers

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