The DOI matches its Crossref record; 27 of the 29 references it cites were found in a registry or an index.
Costs and effectiveness of community postnatal support workers: randomised controlled trial
Open accessAbstract
OBJECTIVES: To establish the relative cost effectiveness of postnatal support in the community in addition to the usual care provided by community midwives. DESIGN: Randomised controlled trial with six month follow up. SETTING: Recruitment in a university teaching hospital and care provided in women's homes. PARTICIPANTS: 623 postnatal women allocated at random to intervention (311) or control (312) group. INTERVENTION: Up to 10 home visits in the first postnatal month of up to three hours duration by a community postnatal support worker. MAIN OUTCOME MEASURE: General health status as measured by the SF-36 and risk of postnatal depression. Breast feeding rates, satisfaction with care, use of services, and personal costs. RESULTS: At six weeks there was no significant improvement in health status among the women in the intervention group. At six weeks the mean total NHS costs were pound 635 for the intervention group and pound 456 for the control group (P=0.001). At six months figures were pound 815 and pound 639 (P=0.001). There were no differences between the groups in use of social services or personal costs. The women in the intervention group were very satisfied with the support worker visits. CONCLUSIONS: There was no health benefit of additional home visits by community postnatal support workers compared with traditional community midwifery visiting as measured by the SF-36. There were no savings to the NHS over six months after the introduction of the community postnatal support worker service.
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“Postal questionnaire follow-up.”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Morrell 2000
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“Intervention group (260/311) vs control group (233/312) at 6 month, control group was relatively high attrition proportion.”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Morrell 2000
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“By sequentially numbered, sealed opaque envelopes.”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Morrell 2000
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“By sequentially numbered, sealed opaque envelopes.”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Morrell 2000
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“Random digit tables prepared in advance.”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Morrell 2000
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“Random digit tables prepared in advance.”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Morrell 2000
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“control group was relatively high attrition proportion”
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“not clearly described”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Morrell 2000
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“Intervention group (260/311)”
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“Not feasible, and not clearly described.”
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“Postal questionnaire follow-up.”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Morrell 2000
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“Not feasible”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Morrell 2000
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“control group (233/312) at 6 month”
From Schedules for home visits in the early postpartum period (2021) · cites this paper as Morrell 2000
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Citations
Cites
1 retracted
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Kersting, A. (2008) · Psychotherapeut · doi:10.1007/s00278-008-0609-7 · Cited by 2
An Overview of Health Economic Aspects of Perinatal Depression
Petrou, S., Morrell, C. J., & Knapp, M. R. J. (2015) · Wiley eBooks · doi:10.1002/9781118509722.ch14 · Cited by 2
Self-citationPostnatal care: no time for complacency
Reid, M., & MacArthur, C. (2000) · Hospital Medicine · doi:10.12968/hosp.2000.61.11.1458 · Cited by 2
Problematizing the role of lay‐workers: lessons from a clinical setting
Beech, N., de Caestecker, L., MacIntosh, R., McInnes, P., & Ross, M. W. (2004) · International Journal of Public Sector Management · doi:10.1108/09513550410554779 · Cited by 2
Kuang, Y., Meng, M., Shuanghan, Y. U., Han, L., Yang, Z., & Zheng, X. J. (2026) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-026-08806-x · Cited by 1
Jolly, K., Clarke, J., Crossland, N., Dombrowski, S. U., Gkini, E., Hoddinott, P., Ingram, J., Johnson, D., MacArthur, C., Mann, M., et al. (2026) · BMJ · doi:10.1136/bmj-2025-086558 · Cited by 1
“In contrast with some other trials, 18 37 57-59 our train-the-trainer model enabled us to test implementation as it would occur in practice across a diversity of settings, providers, and geographical spread.”
Smith, J. W. (2014) · Scholarship@Western (Western University) · Cited by 1
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Contemporary Postnatal Care in the Twenty‐First Century
Bick, D. (2009) · doi:10.1002/9781444315486.ch2 · Cited by 5
Cronin, T. (2012) · Arrow@dit (Dublin Institute of Technology) · Cited by 1
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Mouti, O. S. (2006) · ResearchSpace (University of KwaZulu-Natal)
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Paakkonen, T. (2015) · STM:n Hallinnonalan avoin julkaisuarkisto (Julkari)
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Baker, L. (2006) · British Journal of Midwifery · doi:10.12968/bjom.2006.14.3.20573
Maternity care and postnatal depression in Greece: an ethnographic study
Leontari, M. (2013) · ORCA Online Research @Cardiff (Cardiff University)
Sample sizes for the SF-6D preference based measure of health from the SF-36: a practical guide
Walters, S. J., & Brazier, J. E. (2002) · White Rose Research Online (University of Leeds, The University of Sheffield, University of York)
Women's Postpartum Mental Health: Reducing the Risk of Anxiety and Depression
Gjerdingen, D. K. (2004)
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Chisholm, D., Conroy, S., Glangeaud-Freudenthal, N. M.-C., Oates, M. R., Asten, P., Barry, S., Figueiredo, B., Kammerer, M. H., Klier, C. M., & Seneviratne, G. (2004)
An Evaluation of the Sure Start Widnes Trailblazer Pampering Group
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No Health Benefit in Additional Postnatal Support
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(2011) · Clinical Governance An International Journal · doi:10.1108/cgij.2011.24816aaf.004
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Pezley, L., Cares, K., Duffecy, J. L., Koenig, M. D., Maki, P. M., Odoms-Young, A., Clark Withington, M. H., Lima Oliveira, M., Loiacono, B., Prough, J., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20962303
Community Participation in Improving Maternal Health: A Grounded Theory Study in Aceh Indonesia
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Metadata
- Authors
- Morrell, C. J.
- Affiliations
- University of Sheffield (GB)
- Corresponding author
- Morrell, C J.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2000-09-09
- Volume
- 321
- Issue
- 7261
- Pages
- 593-598
- ISSN
- 0959-8138 (ISSN-L)
- PMC
- PMC27472
- OpenAlex
- W2158759181
- Cited by
- 229
- References
- 29
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 2 · 2023: 2 · 2022: 9 · 2021: 2 · 2020: 1 · 2019: 4 · 2018: 2 · 2017: 5 · 2016: 9 · 2015: 7 · 2014: 11 · 2013: 8 · 2012: 10
- FWCI
- 11.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Health Technology Assessment Programme
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Keywords
- postpartum care, home visits, community midwifery, cost-effectiveness, postpartum depression, breastfeeding, patient satisfaction, NHS costs, women's health
- MeSH terms
- Adolescent, Adult, Allied Health Personnel, Breast Feeding, Community Health Nursing, Cost-Benefit Analysis, Female, Follow-Up Studies, United Kingdom, House Calls, Humans, Nurse Midwives, Postnatal Care, Pregnancy, Treatment Outcome, Patient Satisfaction, Depression, Postpartum
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