Do postpartum nursery visits by the primary care provider make a difference?
A prospective, randomized, clinical trial was conducted to investigate whether a postpartum visit between a mother and her neonate's future primary care provider combined with telephone access would improve health care utilization, enhance identification of the provider as a source of advice, increase maternal knowledge of infant care, and decrease maternal anxiety and depression. Of 251 mother-neonate pairs, 122 were randomized to the control group and 129 to the intervention group. Outcome variables included health care utilization and results of maternal interviews. More mothers in the intervention group made a scheduled clinic visit in the first 30 days (P = .003), were more likely to seek some form of care at the clinic (P = .006), and tried to reach their physician by phone more often than the control group (P less than .001). There were no differences between the groups' emergency room utilization, the percent who received immunizations by 90 days of age, maternal knowledge of infant care, maternal anxiety, or postpartum depression. The intervention succeeded in improving some measures of health care utilization and results suggest that the relationship between the mother and clinician was strengthened.
Serwint
J R
JR
Division of General Pediatrics, Johns Hopkins Hospital Children's Center, Baltimore, MD 21205.
Wilson
M H
MH
Duggan
A K
AK
Mellits
E D
ED
Baumgardner
R A
RA
DeAngelis
C
C
D000328:Adult; D002662:Child Health Services / Q000706:statistics & numerical data*; D002675:Child, Preschool; D003142:Communication; D004522:Educational Status; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008423:Maternal Age; D009035:Mothers / Q000523:psychology*; D010298:Parity; D010353:Patient Education as Topic / Q000379:methods; D010817:Physician-Patient Relations; D049590:Postpartum Period / Q000523:psychology*; D011446:Prospective Studies