First-time pregnancy Pregnancy and Childbirth First-time pregnancy
Conditions
Interventions
This trial will assess the effectiveness of the FNP in England compared with existing universal services, in achieving its stated objectives (namely, to improve pregnancy outcomes, child health and de
Sponsors
Department of Health (UK)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Women aged 19 years or under (at recruitment/consent) 2. Lives within the catchment area covered by the local family nurse partnership (FNP) team 3. First pregnancy confirmed by health services (including those expecting multiple birth) unless previous pregnancy ended in miscarriage, stillbirth or termination 4. Recruited no later than 24 weeks 5. Gillick competent to provide adequate informed consent to research participation including competence in English at conversational level or higher
Exclusion criteria
Exclusion criteria: 1. Women who at study entry, plan to have their child adopted 2. Women who at study entry, plan to leave the FNP area during the time of the trial either for an extended period of time (3 months or longer) or permanently 3. Women who would require a third person (translator, sign interpreter) to receive the FNP programme
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Changes in prenatal tobacco use (maternal measure), measured at baseline and 34 - 36 weeks gestation interviews 2. Birth weight (child measure), measured at birth (collected afterwards) 3. Emergency attendances/admissions within two years of birth, measured at all timepoints 4. Proportion of women with a second pregnancy within two years of first birth, measured at all timepoints | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Intention to breastfeed 2. Prenatal attachment 3. Injuries and ingestions 4. Breastfeeding (initiation and duration) 5. Language development 6. Education 7. Employment 8. Income/benefits 9. Home (tenure) 10. Health status 11. Self-efficacy 12. Social support 13. Paternal involvement Timepoints not finalised as of 24/03/2009. | — |
Countries
United Kingdom, Wales
Outcome results
None listed