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Maternal and Child Health Journal

, Volume 23, Issue 10, pp 1414–1423 | Cite as

Universal Early Home Visiting: A Strategy for Reaching All Postpartum Women

  • Arden Handler
  • Kristine ZimmermannEmail author
  • Bethany Dominik
  • Caitlin E. Garland
Article

Abstract

Objective The objective of this study is to consider the role of universal nurse home visiting in the postpartum period as a potential strategy to promote women’s postnatal health. This study was derived from a formative research project aimed at understanding the early implementation of the Illinois Family Connects (IFC) universal postpartum home visiting program as perceived by key informants. Methods Data from eighteen key informant (KI) interviews conducted between January and February 2018 and quantitative data extracted from reports from two IFC pilot counties were analyzed. Qualitative data were analyzed using Dedoose Version 8.0. Results Data suggest that universal postpartum nurse home visiting has appeal as a postpartum women’s health strategy. The data also suggest that the success of such a strategy likely depends on: the value women, families, and community stakeholders attach to the program; the appeal of its universality and the support for home visiting by nurses in particular; the processes adopted by the hospitals and agencies implementing the program; strategies for engaging women after leaving the hospital; and, the initial and ongoing marketing of the program, which ultimately may affect women’s willingness to participate. Conclusions for Practice Universal early postpartum home visiting is not a substitute for a woman’s visit with a medical provider; however, it should be viewed not only as an early childhood program but an important strategy for improving the delivery of postpartum care for women.

Keywords

Postpartum Home visit Universal Evaluation 

Notes

Acknowledgements

This research was supported by funding from The Ounce of Prevention Fund. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of The Ounce of Prevention Fund. We wish to thank The Ounce of Prevention Fund and Illinois Family Connects lead agencies and their partners for their contributions to this research. In particular, we would like to thank Nick Wechsler, Laurie Roxworthy and Anthony Raden at The Ounce of Prevention Fund for their support.

References

  1. Abbott, L., & Elliott, L. (2016). Eliminating health disparities through action on the social determinants of health: A systematic review of home visiting in the United States 2005–2015. Public Health Nursing, 34(1), 2–30.  https://doi.org/10.1111/phn.12268.CrossRefGoogle Scholar
  2. American College of Obstetricians and Gynecologists. (2016). Committee Opinion No. 666. Optimizing postpartum care. Obstetrics and Gynecology, 127(6), e187–e192.  https://doi.org/10.1097/aog.0000000000001487.CrossRefGoogle Scholar
  3. American College of Obstetricians and Gynecologists. (2018). Committee Opinion No. 736. Optimizing Postpartum Care. Obstetrics & Gynecology, 131(5), 949–951.  https://doi.org/10.1097/aog.0000000000002633.CrossRefGoogle Scholar
  4. Avellar, S., & Supplee, L. (2013). Effectiveness of home visiting in improving child health and reducing child maltreatment. Pediatrics, 132(Supplement), S90–S99.  https://doi.org/10.1542/peds.2013-1021g.CrossRefGoogle Scholar
  5. Bryant, A., Haas, J., McElrath, T., & McCormick, M. (2006). Predictors of compliance with the postpartum visit among women living in Healthy Start project areas. Maternal and Child Health Journal, 10(6), 511–516.  https://doi.org/10.1007/s10995-006-0128-5.CrossRefGoogle Scholar
  6. Callaghan, W., Creanga, A., & Kuklina, E. (2012). Severe maternal morbidity among delivery and postpartum hospitalizations in the United States. Obstetrics and Gynecology, 120(5), 1029–1036.  https://doi.org/10.1097/aog.0b013e31826d60c5.Google Scholar
  7. Chen, B., Reeves, M., Hayes, J., Hohmann, H., Perriera, L., & Creinin, M. (2010). Postplacental or delayed insertion of the levonorgestrel intrauterine device after vaginal delivery. Obstetrics and Gynecology, 116(5), 1079–1087.  https://doi.org/10.1097/aog.0b013e3181f73fac.CrossRefGoogle Scholar
  8. Cheng, C., Fowles, E., & Walker, L. (2006). Postpartum maternal health care in the United States: A critical review. Journal of Perinatal Education, 15(3), 34–42.  https://doi.org/10.1624/105812406x119002.CrossRefGoogle Scholar
  9. Child and Adolescent Health Measurement Initiative. (2016). Data resource center for child and adolescent health. 2016 National Survey of Children’s Health (NSCH) data query. Retrieved October 4, 2018 from www.childhealthdata.org.
  10. Chu, S., Callaghan, W., & Shapiro-Mendoza, C. (2007). Postpartum care visits: 11 states and New York City, 2004. Morbidity and Mortality Weekly Report, 56(50), 1312–1316.Google Scholar
  11. Creanga, A., Syverson, C., Seed, K., & Callaghan, W. (2017). Pregnancy-related mortality in the United States, 2011–2013. Obstetrics and Gynecology, 130(2), 366–373.  https://doi.org/10.1097/AOG.0000000000002114.CrossRefGoogle Scholar
  12. D’Angelo, D., Williams, L., Morrow, B., Cox, S., Harris, N., Posner, S.F., … Zapata, L. (2007). Preconception and interconception health status of women who recently gave birth to a live-born infant-PRAMS, United States, 26 reporting areas, 2004. MMWR Surveillance Summaries, 56(10), 1–35.Google Scholar
  13. Dodge, K. A., Goodman, W. B., Murphy, R., O’Donnell, K. J., & Sato, J. M. (2013). Toward population impact from home visiting. Zero to Three, 33(3), 17–23.Google Scholar
  14. Dodge, K. A., Goodman, W. B., Murphy, R. A., O’Donnell, K., Sato, J., & Guptill, S. (2014). Implementation and randomized controlled trial evaluation of universal postnatal nurse home visiting. American Journal of Public Health, 104(SUPPL 1), 136–144.  https://doi.org/10.2105/ajph.2013.301361.CrossRefGoogle Scholar
  15. Fagan, E., Rodman, E., Sorensen, E., Landis, S., & Colvin, G. (2009). A survey of mothersʼ comfort discussing contraception with infant providers at well-child visits. Southern Medical Journal, 102(3), 260–264.  https://doi.org/10.1097/smj.0b013e318197fae4.CrossRefGoogle Scholar
  16. Finello, K. M., Terteryan, A., & Riewerts, R. (2016). Home visiting programs: What the primary care clinician should know. Current Problems Pediatric Adolescent Health Care, 46(4), 101–125.  https://doi.org/10.1016/j.cppeds.2015.12.011.CrossRefGoogle Scholar
  17. Gemmill, A., & Lindberg, L. (2013). Short interpregnancy intervals in the United States. Obstetrics and Gynecology, 122(1), 64–71.  https://doi.org/10.1097/aog.0b013e3182955e58.CrossRefGoogle Scholar
  18. Hagan, J. F., Shaw, J. S., & Duncan, P. M. (Eds.). (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents (4th ed.). Elk Grove Village: American Academy of Pediatrics.Google Scholar
  19. Handler, A., & Johnson, K. (2016). A call to revisit the prenatal period within the reproductive and perinatal care continuum. Maternal and Child Health Journal, 20(11), 2217–2227.  https://doi.org/10.1007/s10995-016-2187-6.CrossRefGoogle Scholar
  20. Handler, A., Zimmermann, K., Dominik, B., & Garland, G. (2018). Illinois Family Connects Early Evaluation Report. Retrieved April 2, 2019 from http://www.theounce.org/FCIL-evaluation-report.
  21. Illinois Department of Healthcare and Family Services. (2016). 2016 Perinatal Report. Retrieved June 1, 2018 from www.illinois.gov/hfs/SiteCollectionDocuments/perinatalreport2016.pdf.
  22. Kabakian-Khasholian, T., & Campbell, O. (2005). A simple way to increase service use: Triggers of women’s uptake of postpartum services. BJOG: An International Journal of Obstetrics & Gynaecology, 112(9), 1315–1321.  https://doi.org/10.1111/j.1471-0528.2004.00507.x.CrossRefGoogle Scholar
  23. Kitzman, H., Olds, D., Cole, R., Hanks, C., Anson, E., Arcoleo, K.,… Holmberg, J. R. (2010). Enduring effects of prenatal and infancy home visiting by nurses on children. Archives of Pediatrics & Adolescent Medicine, 164(5).  https://doi.org/10.1001/archpediatrics.2010.76.
  24. Lu, M., & Prentice, J. (2002). The postpartum visit: Risk factors for nonuse and association with breast-feeding. American Journal of Obstetrics and Gynecology, 187(5), 1329–1336.  https://doi.org/10.1067/mob.2002.126848.CrossRefGoogle Scholar
  25. Masho, S. W., Cha, S., McGee, E., Charles, R., Hines, L., & Kornstein, S. G. (2018). Correlates of postpartum visits among Medicaid recipients: An analysis using claims data from a managed care organization. Journal of Women’s Health, 27(6), 836–843.CrossRefGoogle Scholar
  26. National Committee for Quality Assurance. (2010) Healthcare effectiveness data and information set (HEDIS): Prenatal and postpartum care, Vol. 2. Retrieved October 4, 2018 from http://etf.wi.gov/publications/dc_content/dc_2011/HEDIS%20Supp%202.pdf.
  27. Olds, D., Kitzman, H., Cole, R., Robinson, J., Sidora, K., & Luckey, D., … Holmberg, J. (2004). Effects of nurse home-visiting on maternal life course and child development: age 6 follow-up results of a randomized trial. Pediatrics114(6), 1550–1559.  https://doi.org/10.1542/peds.2004-0962.
  28. Olds, D., Kitzman, H., Hanks, C., Cole, R., Anson, E., & Sidora-Arcoleo, K., … Bondy, J. (2007). Effects of nurse home visiting on maternal and child functioning: age-9 follow-up of a randomized trial. Pediatrics120(4), e832–e845.  https://doi.org/10.1542/peds.2006-2111.
  29. Peacock, S., Konrad, S., Watson, E., Nickel, D., & Muhajarine, N. (2013). Effectiveness of home visiting programs on child outcomes: A systematic review. BMC Public Health.  https://doi.org/10.1186/1471-2458-13-17.Google Scholar
  30. Rowley, D., & Hogan, V. (2012). Disparities in infant mortality and effective, equitable care: Are infants suffering from benign neglect? Annual Review of Public Health, 33, 75–87.  https://doi.org/10.1146/annurev-publhealth-031811-124542.CrossRefGoogle Scholar
  31. Stetler, K., Silva, C., Manning, S., Harvey, E., Posner, E., & Walmer, B.,… Kotelchuck, M. (2017). Lessons learned: implementation of pilot universal postpartum nurse home visiting program, Massachusetts 2013–2016. Maternal and Child Health Journal22(1), 11–16.  https://doi.org/10.1007/s10995-017-2385-x.
  32. Stumbras, K., Rankin, K., Caskey, R., Haider, S., & Handler, A. (2016). Guidelines and interventions related to the postpartum visit for low-risk postpartum women in high and upper middle income countries. Maternal and Child Health Journal, 20(S1), 103–116.  https://doi.org/10.1007/s10995-016-2053-6.CrossRefGoogle Scholar
  33. Sweet, M., & Appelbaum, M. (2004). Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75(5), 1435–1456.  https://doi.org/10.1111/j.1467-8624.2004.00750.x.CrossRefGoogle Scholar
  34. Warren, J. B., & Phillipi, C. (2011). Care of the well newborn. Pediatrics in Review, 33(1), 4–18.  https://doi.org/10.1542/pir.33-1-4.CrossRefGoogle Scholar
  35. Weir, S., Posner, H., Zhang, J., Willis, G., Baxter, J., & Clark, R. (2011). Predictors of prenatal and postpartum care adequacy in a medicaid managed care population. Women’s Health Issues, 21(4), 277–285.  https://doi.org/10.1016/j.whi.2011.03.001.CrossRefGoogle Scholar
  36. World Health Organization. (2015). Postnatal care for mothers and newborns: Highlights from the World Health Organization 2013 Guidelines. Retrieved June 1, 2018 from http://www.who.int/maternal_child_adolescent/publications/WHO-MCA-PNC-2014-Briefer_A4.pdf.

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Center of Excellence in Maternal and Child Health, School of Public HealthUniversity of Illinois at ChicagoChicagoUSA
  2. 2.Center for Research on Women and GenderUniversity of Illinois at ChicagoChicagoUSA

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