Trial reportCanadian journal of public health = Revue canadienne de sante publique
A randomized trial of two public health nurse follow-up programs after early obstetrical discharge: an examination of breastfeeding rates, maternal confidence and utilization and costs of health services.
Trial report in Canadian journal of public health = Revue canadienne de sante publique. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 9 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
22 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022Pooled it
- Schedules for home visits in the early postpartum period.The Cochrane database of systematic reviews · 2021Pooled it
- Early postnatal discharge from hospital for healthy mothers and term infants.The Cochrane database of systematic reviews · 2021Pooled it
- Schedules for home visits in the early postpartum period.The Cochrane database of systematic reviews · 2017Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2017Pooled it
- Telephone support for women during pregnancy and the first six weeks postpartum.The Cochrane database of systematic reviews · 2013Pooled it
- Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2012Pooled it
- Theory! The missing link in understanding the performance of neonate/infant home-visiting programs to prevent child maltreatment: a systematic review.The Milbank quarterly · 2012Pooled it
- Telephone follow-up, initiated by a hospital-based health professional, for postdischarge problems in patients discharged from hospital to home.The Cochrane database of systematic reviews · 2006Pooled it
- A Randomized Controlled Trial of Innovative Postpartum Care Model for Mother-Baby Dyads.PloS one · 2016Trial
- Impact of a telenursing service on satisfaction and health outcomes of children with inflammatory rheumatic diseases and their families: a crossover randomized trial study protocol.BMC pediatrics · 2014Trial
- A cost-utility analysis of nursing intervention via telephone follow-up for injured road users.BMC health services research · 2009Trial
- Mother's reactions to a skills-based breastfeeding promotion intervention.Maternal & child nutrition · 2006Trial
- Dyadic Care Interventions and Outcomes for Mothers and Their Infants: A Scoping Review.Pediatrics · 2025Article
- Telehealth use in the well-child health setting. A systematic review of acceptability and effectiveness for families and practitioners.International journal of nursing studies advances · 2025Article
- [Early postpartum discharge: outcomes and risk factors of readmission].The Pan African medical journal · 2016Article
- Beyond the hospital door: a retrospective, cohort study of associations between birthing in the public or private sector and women's postpartum care.BMC health services research · 2015Article
- A call for better care: the impact of postnatal contact services on women's parenting confidence and experiences of postpartum care in Queensland, Australia.BMC health services research · 2014Article
- The impact of community health professional contact postpartum on breastfeeding at 3 months: a cross-sectional retrospective study.Maternal and child health journal · 2014Article
- The breastfeeding mother and the pediatrician.Journal of human lactation : official journal of International Lactation Consultant Association · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine whether the outcomes of routine home visiting by public health nurses (PHN) after early obstetrical discharge differ from those of a screening telephone call designed to identify mothers who need further intervention.
methodsPrimiparas delivering a singleton infant and eligible for postpartum follow-up were randomized to a home visit or screening telephone call. Data were collected by telephone from 733 participants located at two tertiary care centres in Ontario. Outcomes included maternal confidence at two weeks, health problems of the infants between discharge and four weeks postpartum, breastfeeding rates at six months and costs of the two models.
resultsDifferences between the samples at the two sites necessitated stratified analyses. No differences were detected between the groups in maternal confidence (p = 0.96), health problems of infants (p = 0.87), or rates of breastfeeding at six months (p = 0.22). However, at both sites the cost of routine home visits was found to be higher than that of screening by telephone.
conclusionAlthough universal access to postpartum support is important, the results suggest that a routine home visit is not always necessary to identify the women who need it. These results can be generalized only to low-risk women and infants.
Indexed as
Identifiers
12675164PMC6980064What 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.