Not exact matches
Make sure you find out what you need to do in your
antenatal visits if you would like to have a doula come in
with you
One compared volunteer counsellor support in
antenatal and postnatal period to usual care (Graffy 2004), one compared proactive
with reactive telephone support for mothers living in disadvantaged circumstances (Hoddinott 2012), one compared breastfeeding support and encouragement for mothers of preterm infants to usual care (Junior 2007), one compared home nurse
visits to usual care for «well» breastfeeding newborns and mothers (Paul 2012), one compared prenatal paediatric home
visits to usual care (Serwint 1996), and one compared support from a close female confidante to usual care (Winterburn 2003).
A randomised trial in Brazil that compared a hospital based protocol (similar to the baby friendly hospital initiative)
with another incorporating intensive home
visits, however, found that while the protocol achieved high rates of exclusive breast feeding in hospital, the rates fell rapidly thereafter.27 These findings were confirmed in the UK by the millennium cohort study, 5 and the authors recommended that the baby friendly hospital initiative as a strategy for promotion of breast feeding should be reassessed and that other strategies are required to support mothers in the UK to breast feed for the recommended duration.5 27 Although combined
antenatal education and postnatal support is ideal, this may be limited by economic or time resources.
At our hospital, this included optional
antenatal classes, which did address infant feeding, and postnatal
visits by a lactation consultant should any problems
with breast feeding arise.
Intervention 2: postnatal lactation support: in addition to routine care, women received 2 postnatal sessions
with a LC, 1 in hospital within the first 3 postnatal days (when they received the same printed guides on breastfeeding as the
antenatal education group) and 1 during the first routine postnatal
visit 1 to 2 weeks after the birth.
The importance of the content and quality of routine
antenatal care should not be lost to policymakers when decisions about numbers of
visits with the available resources are being made.»
These results are similar to those found in other sustained nurse home
visiting studies, 1 14 although the intervention impacted on a broader range of domains of the home environment for this subgroup of women than has been reported previously.1 An increasing body of evidence from both animal and human studies suggests that stress in pregnancy has significant impacts on developmental and behavioural outcomes for children.29 While the mental development of children of mothers who were not distressed antenatally in both the intervention and comparison groups was comparable
with the general population, children's development was particularly poor in the distressed subgroup in the absence of the MECSH intervention, suggesting that sustained nurse home
visiting may be particularly effective in ameliorating some adverse developmental impacts for children of mothers
with antenatal distress.
In all 16 studies, IPV was negatively associated
with initiation of
antenatal care, number of
visits or use of a skilled provider.
Secondary outcomes of interest include pregnancy and birth outcomes for Aboriginal mothers and babies in the study cohort, including: numbers of pregnant Aboriginal women who had their first
antenatal visit before 20 weeks gestation; number of pregnant Aboriginal women who were smoking during the second half of their pregnancy; numbers of Aboriginal infants who were born preterm (less than 37 weeks gestation),
with a low birth weight (less than 2500 g), small for gestational age and large for gestational age.
The number of
antenatal visits made by each woman has doubled,
with the number having less than four
visits falling from 65 % to 25 %.
Thirty - six (36) per cent of Indigenous women presented within the first trimester, compared
with 21 % at Nepean and 26 % at Blacktown Hospitals»
antenatal clinics; and women attended more
antenatal visits (an average of 10 at Daruk compared to 6 at Nepean and 9 at Blacktown).