Goyal N K, Folger A T, Hall E S, Greenberg J M, Van Ginkel J B, Ammerman R T
Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
J Perinatol. 2017 Feb;37(2):144-149. doi: 10.1038/jp.2016.192. Epub 2016 Oct 13.
The objective of the study was to determine the association of home visiting with subsequent pregnancy outcomes.
Retrospective study of Ohio mothers delivering their first infant from 2007 to 2009. First, we compared mothers enrolled in home visiting with a matched eligible group. Second, we compared outcomes within home visiting based on program participation (low <25% of recommended home visits, moderate 25 to 75%, high 75 to 100% and very high >100%). Time to subsequent pregnancy within 18 months was evaluated using Cox proportional hazards regression; logistic regression tested the likelihood of subsequent preterm birth.
Of 1516 participants, 1460 were matched 1:1 to a comparison mother (n=2920). After multivariable adjustment, enrollment was associated with no difference in pregnancy spacing or subsequent preterm birth. Among those enrolled, moderate vs low participants had reduced risk of repeat pregnancy over 18 months (hazard ratio 0.68, P=0.003).
Increased pregnancy spacing is observed among women with at least moderate home visiting participation.
本研究的目的是确定家访与随后的妊娠结局之间的关联。
对2007年至2009年在俄亥俄州分娩第一胎的母亲进行回顾性研究。首先，我们将参加家访的母亲与匹配的符合条件的组进行比较。其次，我们根据项目参与情况（低<推荐家访次数的25%、中25%至75%、高75%至100%和非常高>100%）在家访范围内比较结局。使用Cox比例风险回归评估18个月内再次怀孕的时间；逻辑回归测试随后早产的可能性。
在1516名参与者中，1460名与对照母亲1:1匹配（n = 2920）。经过多变量调整后，登记与妊娠间隔或随后的早产无差异相关。在登记的人中，中度参与者与低度参与者相比，18个月内再次怀孕的风险降低（风险比0.68，P = 0.003）。
在家访参与至少为中度的女性中观察到妊娠间隔增加。
