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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Dosage effect of prenatal home visiting on pregnancy outcomes in at-risk, first-time mothers
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Dosage effect of prenatal home visiting on pregnancy outcomes in at-risk, first-time mothers

机译：高危初次母亲产前家访对妊娠结局的剂量效应

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BACKGROUND AND OBJECTIVE: Home visiting programs seek to improve care management for women at high risk for preterm birth (,37 weeks). Our objective was to evaluate the effect of home visiting dosage on preterm birth and small for gestational age (SGA) infants. METHODS: Retrospective cohort study of women in southwest Ohio with a singleton pregnancy enrolled in home visiting before 26 weeks' gestation. Vital statistics and hospital discharge data were linked with home visiting data from 2007 to 2010 to ascertain birth outcomes. Eligibility for home visiting required $1 of 4 risk factors: unmarried, low income, ,18 years of age, or suboptimal prenatal care. Logistic regression tested the association of gestational age at enrollment and number of home visits before 26 weeks with preterm birth. Proportional hazards analysis tested the association of total number of home visits with SGA status. RESULTS: Among 441 participants enrolled by 26 weeks, 10.9% delivered preterm; 17.9% of infants were born SGA. Mean gestational age at.
机译：背景和目的：家庭访问计划旨在改善对早产高风险（37周）妇女的护理管理。我们的目标是评估家访剂量对早产儿和胎龄儿（SGA）婴儿的影响。方法：一项回顾性队列研究对俄亥俄州西南部单胎妊娠的妇女进行了妊娠26周前的家访。将生命统计数据和出院数据与2007年至2010年的家庭访问数据联系起来，以确定出生结局。符合条件的家庭访问需要4个风险因素中的1美元：未婚，低收入，18岁或未达到理想的产前保健。 Logistic回归测试了早孕26周前入院时的胎龄与家访次数之间的关系。比例危害分析测试了家庭访视总数与SGA状态之间的关联。结果：441名参与者参加了为期26周的研究，其中10.9％的人早产。 17.9％的婴儿出生于SGA。平均胎龄在。

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