A home-based case management program for women who previously had a low birth weight baby, a fetal demise or a baby with congenital anomalies, and who planned on having more children. The goal was to improve future pregnancy outcomes. Patients were recruited at the time of delivery of a qualifying infant, and received a comprehensive evaluation, and intensive, relationship-based home visitation services, focused on a variety of domains, including maternal role, follow-up of medical and reproductive health issues, contraception, and life course. Compared to women who declined the program, women who participated were more likely to follow through on postpartum care and birth control use, had a longer interconception period and their subsequent babies were heavier, less likely to be low birth weight and less likely to require a NICU stay.
Denver Health, The Colorado Trust, 2001
Evidence Rating: I