Emily Ghilarducci, CNM, MSN. received her B.A. (human biology) in 1986 from Stanford University and her nurse-midwifery training from the Yale School of Nursing. She is currently practicing at General Hospital Medical Center's Prenatal Care Center in Everett, Washington
THE INFLUENCE OF POSTPARTUM HOME VISITS ON CLINIC ATTENDANCE
Article first published online: 6 JAN 2011
1993 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 38, Issue 3, pages 152–158, May-June 1993
How to Cite
Ghilarducci, E. and McCool, W. (1993), THE INFLUENCE OF POSTPARTUM HOME VISITS ON CLINIC ATTENDANCE. Journal of Nurse-Midwifery, 38: 152–158. doi: 10.1016/0091-2182(93)90039-J
- Issue published online: 6 JAN 2011
- Article first published online: 6 JAN 2011
This quasi-experimental study examined the influence of postpartum home visits on clinic attendance at six-week postpartum appointments. The sample of 82 subjects consisted of two groups from a nurse-midwifery service: 43 clients who gave birth in 1986 and did not receive home visits, and 39 clients who gave birth in 1989 and received one postpartum home visit by their nurse-midwife.
Twenty-five (58%) of the clients who did not receive home visits and 29 (74%) of the home-visited clients kept their six-week appointment; this difference was not significant. However, home-visited clients missed and were rescheduled for fewer six-week appointments than were those who did not receive home visits. After controlling for age and parity, this result remained significant. It is suggested that home visitation enhances a client's “connectedness” with the health care system and thus lessens the number of missed appointments for the six-week postpartum exam. Limitations of the study, implications for practice, and suggestions for future research are presented.