Trial reportThe American journal of managed care2001
A randomized trial of nurse specialist home care for women with high-risk pregnancies: outcomes and costs.
Trial report in The American journal of managed care, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 8 syntheses or guidelines pooled it, 112 citations in OpenAlex.
- Economic Evaluation of Prenatal and Postpartum Care in Women With Gestational Diabetes and Hypertensive Disorders of Pregnancy: A Systematic Review.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2022Pooled it
- A core outcome set for the treatment of pregnant women with pregestational diabetes: an international consensus study.BJOG : an international journal of obstetrics and gynaecology · 2021Pooled it
- Cost-effectiveness of controlling gestational diabetes mellitus: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2019Pooled it
- Support during pregnancy for women at increased risk of low birthweight babies.The Cochrane database of systematic reviews · 2019Pooled it
- Systematic literature review of the costs of pregnancy in the US.PharmacoEconomics · 2013Pooled it
- Telephone support for women during pregnancy and the first six weeks postpartum.The Cochrane database of systematic reviews · 2013Pooled it
- Effect of ambulatory versus hospital treatment for gestational diabetes or hyperglycemia on infant mortality rates: a systematic review.Sao Paulo medical journal = Revista paulista de medicina · 2013Pooled it
- Home visits during pregnancy and after birth for women with an alcohol or drug problem.The Cochrane database of systematic reviews · 2012Pooled it
- Home-Based Monitoring and Telemonitoring of Complicated Pregnancies: Nationwide Cross-Sectional Survey of Current Practice in the Netherlands.JMIR mHealth and uHealth · 2020Trial
- Comparing mothers' postpartum concerns in two clinical trials 18 years apart.Journal of the American Association of Nurse Practitioners · 2016Trial
- Does additional prenatal care in the home improve birth outcomes for women with a prior preterm delivery? A randomized clinical trial.Maternal and child health journal · 2014Trial
- The protocol for the Families First Edmonton trial (FFE): a randomized community-based trial to compare four service integration approaches for families with low-income.BMC health services research · 2014Trial
- Article
- Should case management be considered a component of obstetrical interventions for pregnancies at risk of preterm birth?American journal of obstetrics and gynecology · 2023Review
- Feasibility of the Omaha system for the care of children with dilated cardiomyopathy.Frontiers in pediatrics · 2023Article
- Non-communicable diseases and maternal health: a scoping review.BMC pregnancy and childbirth · 2022Article
- A comprehensive home-care program for health promotion of mothers with preeclampsia: protocol for a mixed method study.Reproductive health · 2019Article
- Reporting and Analysis of Trial-Based Cost-Effectiveness Evaluations in Obstetrics and Gynaecology.PharmacoEconomics · 2017Review
- Community-Academic Partnership to Investigate Low Birth Weight Deliveries and Improve Maternal and Infant Outcomes at a Baltimore City Hospital.Maternal and child health journal · 2017Article
- Gestational age and 1-year hospital admission or mortality: a nation-wide population-based study.BMC pediatrics · 2017Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo examine prenatal, maternal, and infant outcomes and costs through 1 year after delivery using a model of prenatal care for women at high risk of delivering low-birth-weight infants in which half of the prenatal care was provided in women's homes by nurse specialists with master's degrees. STUDY
designRandomized clinical trial. PATIENTS AND
methodsA sample of 173 women (and 194 infants) with high-risk pregnancies (gestational or pregestational diabetes mellitus, chronic hypertension, preterm labor, or high risk of preterm labor) were randomly assigned to the intervention group (85 women and 94 infants) or the control group (88 women and 100 infants). Control women received usual prenatal care. Intervention women received half of their prenatal care in their homes, with teaching, counseling, telephone outreach, daily telephone availability, and a postpartum home visit by nurse specialists with physician backup.
resultsFor the full sample, mean maternal age was 27 years; 85.5% of women were single mothers, 36.4% had less than a high school education, 93.6% were African American, and 93.6% had public health insurance, with no differences between groups on these variables. The intervention group had lower fetal/infant mortality vs the control group (2 vs 9), 11 fewer preterm infants, more twin pregnancies carried to term (77.7% vs 33.3%), fewer prenatal hospitalizations (41 vs 49), fewer infant rehospitalizations (18 vs 24), and a savings of more than 750 total hospital days and $2,496,145 [corrected].
conclusionThis model of care provides a reasoned solution to improving pregnancy and infant outcomes while reducing healthcare costs.
Indexed as
Identifiers
11519238PMC3544939W1559722529What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.