Cited by 128Maternal and Neonatal HealthcareMaternal and Perinatal Health InterventionsInfant Development and Preterm Care

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A Randomized Comparison of Home and Clinic Follow-Up Visits After Early Postpartum Hospital Discharge

Lieu, Tracy A., Braveman, Paula A., Escobar, Gabriel J., Fischer, Allen F., Jensvold, Nancy G., Capra, Angela M.·2000·Pediatrics

DOI 10.1542/peds.105.5.1058

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Abstract

Background Recently enacted federal legislation mandates insurance coverage of at least 48 hours of postpartum hospitalization, but most mothers and newborns in the United States will continue to go home before the third postpartum day. National guidelines recommend a follow-up visit on the third or fourth postpartum day, but scant evidence exists about whether home or clinic visits are more effective. Methods We enrolled 1163 medically and socially low-risk mother-newborn pairs with uncomplicated delivery and randomly assigned them to receive home visits by nurses or pediatric clinic visits by nurse practitioners or physicians on the third or fourth postpartum day. In contrast with the 20-minute pediatric clinic visits, the home visits were longer (median: 70 minutes), included preventive counseling about the home environment, and included a physical examination of the mother. Clinical utilization and costs were studied using computerized databases. Breastfeeding continuation, maternal depressive symptoms, and maternal satisfaction were assessed by means of telephone interviews at 2 weeks' postpartum. Results Comparing the 580 pairs in the home visit group and the 583 pairs in the pediatric clinic visit group, no significant differences occurred in clinical outcomes as measured by maternal or newborn rehospitalization within 10 days postpartum, maternal or newborn urgent clinic visits within 10 days postpartum, or breastfeeding discontinuation or maternal depressive symptoms…

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Authors: Lieu, T. A., Braveman, P. A., Escobar, G. J., Fischer, A. F., Jensvold, N. G., & Capra, A. M.
Affiliations: Kaiser Permanente (US)
Walnut Creek, California, and
ORCID: Lieu, Tracy A.
Braveman, Paula A.
Escobar, Gabriel J.
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2000-05-01
Volume: 105
Issue: 5
Pages: 1058-1065
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.105.5.1058
OpenAlex: W2066267123
Cited by: 128
References: 17
Citations by year: 2025: 4 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 8 · 2013: 6 · 2012: 8
FWCI: 14.08
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (publishedVersion)
PubMed (publishedVersion)
Funders: Kaiser Permanente
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords: postpartum follow-up, home visits, breastfeeding continuation, maternal depressive symptoms, maternal satisfaction
MeSH terms: Adult, Ambulatory Care, Costs and Cost Analysis, Female, Follow-Up Studies, Home Care Services, Humans, Length of Stay, Patient Discharge, Postnatal Care, Time Factors, Patient Satisfaction, Outcome Assessment, Health Care

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A Randomized Comparison of Home and Clinic Follow-Up Visits After Early Postpartum Hospital Discharge

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