Young Moms’ Clinic: A Multidisciplinary Approach to Pregnancy Education in Teens and in Young Single Women

Winter, Jo T. Van; Harmon, Mark; Atkinson, Elizabeth J.; Simmons, Patricia S.; Ogburn, Paul L.

doi:10.1016/s1083-3188(97)70041-x

Cited by 8 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Six studies [40-45] additionally reported congenital anomalies: this outcome is not considered further in this review because the low event rate, small combined sample size across studies and diversity of interventions meant that no conclusions could be drawn regarding intervention effects on this outcome. None of the included studies evaluated effects on SIDS/SUDI.…”

Section: Resultsmentioning

confidence: 99%

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

156

126

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

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

156

126

View full text Add to dashboard Cite

show abstract

“…It should be noted, however, that two potentially relevant RCTs were not received in time. 468,469 Summary RRs were not included in the decision analyses.…”

Section: Antenatal Educational Programmesmentioning

confidence: 99%

Screening to prevent spontaneous preterm birth: systematic reviews of accuracy and effectiveness literature with economic modelling

Honest

Ca²,

Durée³

et al. 2009

Health Technol Assess

185

146

View full text Add to dashboard Cite

For primary prevention, an effective, affordable and safe intervention applied to all mothers without preceding testing is likely to be the most cost-effective approach in asymptomatic women in early pregnancy. For secondary prevention among women at risk of preterm labour in later pregnancy, a management strategy based on the results of testing is likely to be more cost-effective. Implementation of a treat-all strategy with simple interventions, such as fish oils, would be premature for asymptomatic women. Universal provision of high-quality ultrasound machines in labour wards is more strongly indicated for predicting spontaneous preterm birth among symptomatic women than direct management, although staffing issues and the feasibility and acceptability to mothers and health providers of such strategies need to be explored. Further research should include investigations of low-cost and effective tests and treatments to reduce and delay spontaneous preterm birth and reduce the risk of perinatal mortality arising from preterm birth.

show abstract

“…There is some limited evidence that antenatal care programmes targeting specific vulnerable groups are effective [ 89 ]. Specific models of care appeared to confer benefits on particular vulnerable groups such as drug users, socioeconomically deprived and teenage pregnant women [ 90 – 96 ]. Again however, most data related to short-term outcomes, and it is also important to investigate long-term outcomes given the potential benefits not just to the mother and child but also wider society.…”

Section: Discussionmentioning

confidence: 99%

Perinatal health care services for imprisoned pregnant women and associated outcomes: a systematic review

Bard

Knight

Plugge

2016

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundWomen are an increasing minority of prisoners worldwide, and most are of childbearing age. Prisons offer unique opportunities for improving the pregnancy outcomes of these high-risk women, and no systematic review to date has looked at their care. This systematic review identified studies describing models of perinatal health care for imprisoned women which report maternal and child health and care outcomes.MethodsWe systematically searched for literature published between 1980 and April 2014. Studies were eligible if they included a group of imprisoned pregnant women, a description of perinatal health care and any maternal or infant health or care outcomes. Two authors independently extracted data. We described relevant outcomes in prisons (including jails) under models of care we termed PRISON, PRISON+ and PRISON++, depending on the care provided. Where outcomes were available on a comparison group of women, we calculated odds ratios with 95 % confidence intervals.ResultsEighteen studies were reported, comprising 2001 imprisoned pregnant women. Fifteen were in the US, two in the UK and one in Germany. Nine contained a comparison group of women comprising 849 pregnant women. Study quality was variable and outcome reporting was inconsistent. There was some evidence that women in prisons receiving enhanced prison care, PRISON+, were less likely to have inadequate prenatal care (15.4 % vs 30.7 %, p < 0 · 001), preterm delivery (6.4 % vs 19.0 %, p = 0 · 001) or caesarean delivery (12.9 % vs 26.5 %, p = 0 · 005) compared to women in prisons receiving usual care (PRISON). Women participating in two PRISON++ interventions, that is, interventions which included not only enhanced care in prisons but also coordination of community care on release, demonstrated reductions in long term recidivism rates (summary OR 0 · 37, 95 % CI 0 · 19–0 · 70) compared to pregnant women in the same prisons who did not participate in the intervention.ConclusionsEnhanced perinatal care can improve both short and long-term outcomes but there is a lack of data. Properly designed programmes with rigorous evaluation are needed to address the needs of this vulnerable population. The cost to mothers, children and to society of failing to address these important public health issues are likely to be substantial.Trial registrationPROSPERO registration: CRD42012002384.

show abstract

Young Moms’ Clinic: A Multidisciplinary Approach to Pregnancy Education in Teens and in Young Single Women

Cited by 8 publications

References 6 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

Screening to prevent spontaneous preterm birth: systematic reviews of accuracy and effectiveness literature with economic modelling

Perinatal health care services for imprisoned pregnant women and associated outcomes: a systematic review

Contact Info

Product

Resources

About