Nurse visitation for adolescent mothers: two-year infant health and maternal outcomes.

Deborah Koniak-Griffin, Inese L. Verzemnieks, Nancy L R Anderson, Mary Lynn Brecht, Janna Lesser, Sue Kim, Carmen Turner-Pluta

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

BACKGROUND: Children of adolescent mothers have higher rates of morbidity and unintentional injuries and hospitalizations during the first 5 years of life than do children of adult mothers. OBJECTIVE: The purpose of this study was to evaluate the 2-year postbirth infant health and maternal outcomes of an early intervention program (EIP) of home visitation by public health nurses (PHNs). METHODS: In a randomized controlled trial, a sample of predominantly Latina and African American adolescent mothers was followed from pregnancy through 2 years postpartum. The experimental group (EIP, n = 56) received preparation-for-motherhood classes plus intense home visitation by PHNs from pregnancy through 1 year postbirth; the control group (TPHNC, n = 45) received traditional public health nursing care (TPHNC). Health outcomes were determined based on medical record data; other measures evaluated selected maternal behaviors, social competence, and mother-child interactions. RESULTS: The total days of non-birth-related infant hospitalizations during the first 24 months was significantly lower in the EIP (143 days) than the TPHNC group (211 days) and episodes of hospitalization were fewer; more EIP than THHNC infants were never seen in the emergency room. The EIP mothers had 15% fewer repeat pregnancies in the first 2 years postbirth than TPHNC mothers. The TPHNC mothers significantly increased marijuana use over time, whereas EIP mothers did not. CONCLUSIONS: The EIP improved in selected areas of infant and maternal health, and these improvements were sustained for a period of 1 year following program termination. These findings have important implications for healthcare services.

Original languageEnglish (US)
Pages (from-to)127-136
Number of pages10
JournalNursing Research
Volume52
Issue number2
StatePublished - Mar 2003
Externally publishedYes

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Public Health Nursing
Nurses
Mothers
Nursing Care
Delivery of Health Care
Public Health Nurses
Hospitalization
Pregnancy
Mother-Child Relations
Maternal Behavior
Infant Health
Cannabis
Hispanic Americans
African Americans
Postpartum Period
Medical Records
Hospital Emergency Service
Randomized Controlled Trials
Morbidity
Control Groups

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Koniak-Griffin, D., Verzemnieks, I. L., Anderson, N. L. R., Brecht, M. L., Lesser, J., Kim, S., & Turner-Pluta, C. (2003). Nurse visitation for adolescent mothers: two-year infant health and maternal outcomes. Nursing Research, 52(2), 127-136.

Nurse visitation for adolescent mothers : two-year infant health and maternal outcomes. / Koniak-Griffin, Deborah; Verzemnieks, Inese L.; Anderson, Nancy L R; Brecht, Mary Lynn; Lesser, Janna; Kim, Sue; Turner-Pluta, Carmen.

In: Nursing Research, Vol. 52, No. 2, 03.2003, p. 127-136.

Research output: Contribution to journalArticle

Koniak-Griffin, D, Verzemnieks, IL, Anderson, NLR, Brecht, ML, Lesser, J, Kim, S & Turner-Pluta, C 2003, 'Nurse visitation for adolescent mothers: two-year infant health and maternal outcomes.', Nursing Research, vol. 52, no. 2, pp. 127-136.
Koniak-Griffin D, Verzemnieks IL, Anderson NLR, Brecht ML, Lesser J, Kim S et al. Nurse visitation for adolescent mothers: two-year infant health and maternal outcomes. Nursing Research. 2003 Mar;52(2):127-136.
Koniak-Griffin, Deborah ; Verzemnieks, Inese L. ; Anderson, Nancy L R ; Brecht, Mary Lynn ; Lesser, Janna ; Kim, Sue ; Turner-Pluta, Carmen. / Nurse visitation for adolescent mothers : two-year infant health and maternal outcomes. In: Nursing Research. 2003 ; Vol. 52, No. 2. pp. 127-136.
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