Public health nursing care for adolescent mothers: Impact on infant health and selected maternal outcomes at 1 year postbirth

Deborah Koniak-Griffin, Nancy L.R. Anderson, Mary Lynn Brecht, Inese Verzemnieks, Janna Lesser, Sue Kim

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Purpose: To compare effects of an early intervention program (EIP) of intense home visitation by public health nurses (PHNs) with effects of traditional public health nursing care (TPHN) on infant health and selected maternal outcomes of adolescent mothers. Methods: EIP adolescents (N = 102) received preparation-for-motherhood classes and individual home visits (from pregnancy through 1 year postpartum) from PHNs employed in a county health department. Participants were predominantly Latina (64%) and African-American (11%) and from impoverished backgrounds. Infant health outcomes were determined based on medical record data; interviews and standardized questionnaires evaluated other program effects (e.g., maternal educational achievement and psychological status). Data were analyzed using Chi-square and repeated measures ANOVA. Results: Infants of EIP mothers experienced significantly fewer total days (n = 74) and actual episodes (n = 14) of hospitalization during the first year of life than those receiving TPHN (n = 154, n = 24, respectively). Similarly, positive program effects were found for immunization rates. There were no group differences in emergency room visits or repeat pregnancy rates. Alcohol, tobacco, and marijuana use significantly increased from pregnancy through 1 year postpartum in both groups but remained markedly lower than rates prior to pregnancy (lifetime rates). Conclusions: These findings demonstrate the positive effects of a PHN home visitation program on health outcomes for children of adolescent mothers. Days of infant hospitalization were substantially reduced and immunization rates increased during the first year of life for children of EIP mothers. Greater efforts need to be directed toward preventing repeat pregnancy and return to substance use following childbirth in at-risk adolescent mothers.

Original languageEnglish
Pages (from-to)44-54
Number of pages11
JournalJournal of Adolescent Health
Volume30
Issue number1
DOIs
Publication statusPublished - 2002 Jan 15

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Public Health Nursing
Nursing Care
Mothers
Delivery of Health Care
Public Health Nurses
Pregnancy Rate
Pregnancy
Postpartum Period
Immunization
Hospitalization
Educational Status
House Calls
Tobacco Use
Cannabis
Infant Health
Hispanic Americans
African Americans
Medical Records
Hospital Emergency Service
Analysis of Variance

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Koniak-Griffin, Deborah ; Anderson, Nancy L.R. ; Brecht, Mary Lynn ; Verzemnieks, Inese ; Lesser, Janna ; Kim, Sue. / Public health nursing care for adolescent mothers : Impact on infant health and selected maternal outcomes at 1 year postbirth. In: Journal of Adolescent Health. 2002 ; Vol. 30, No. 1. pp. 44-54.
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Public health nursing care for adolescent mothers : Impact on infant health and selected maternal outcomes at 1 year postbirth. / Koniak-Griffin, Deborah; Anderson, Nancy L.R.; Brecht, Mary Lynn; Verzemnieks, Inese; Lesser, Janna; Kim, Sue.

In: Journal of Adolescent Health, Vol. 30, No. 1, 15.01.2002, p. 44-54.

Research output: Contribution to journalArticle

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