Pregnancy in at-risk mothers-to-be Pregnancy and Childbirth Pregnancy
Conditions
Interventions
Intervention group:
The Nurse Family Partnership intervention consists of an intensive schedule of approximately 30 home visits (maximal 60) by experienced youth health nurses. The hom
Sponsors
VU University Medical Centre (The Netherlands)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. No previous born child (a number of pregnant women did have an abortion) 2. Pregnancy duration of maximum 28 weeks 3. Low education grade 4. Some knowledge of the Dutch language 5. Furthermore, one or more of the following secondary inclusion criteria: a. no (supportive) social network or partner b. alcohol or drug abuse c. actual violence in family or partner d. history of abuse e. psychological problems such as anxiety or depression f. non-realistic approach about motherhood g. drop-out of school h. unemployed i. financial or housing-problems
Exclusion criteria
Exclusion criteria: 1. Heavy psychiatric problems or obvious psychosis 2. Heavy drugs or alcohol addiction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. At the start of the study women will be interviewed about the following conditions: a. physical: diseases, diet, cigarette smoking, drug abuse, etc. b. emotional: feelings of anxiety and depression, a history of abuse or neglect c. relational: partner, social support d. social determinants: education, financial problems, housing, use of current health care The mothers' sense of control about her circumstances is determined. Partners are being asked to report emotional or behavioural problems. A urine sample will be taken to determine urinary infections 2. During the entire study measurements of the following will be used in the study: a. height and weight b. breast- or bottle-feeding c. development according to Van Wiechen classification scheme These will be collected by the regular health system will be used in the study. Also, data of the delivery and first week after birth will be collected from the files of primary health care. 3. At the age of six months, we measure development, anxiety and mother-child interactions. 4. At the ages of one and two years the home situation will be observed according to: a. safety b. availability of food and fruit and of toys 5. At the age of two other determinants are: a. child abuse b. finance c. home d. education e. anti-conception f. pregnancies g. stability relation with the father h. psychopathology of the mother | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pre-conditions necessary for an optimal implementation 2. Cost-effectiveness of the intervention | — |
Countries
Netherlands
Outcome results
None listed