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  • Emily Ghilarducci CNM, MSN,

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    • 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

  • William McCool CNM, PhD

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    • William McCool, CNM, PhD. received his nurse-midwifery training at the Medical University of South Carolina. He is currently on faculty in the Nurse-Midwifery Program at Yale University in New Haven, Connecticut

℅ Prenatal Care Center, General Hospital Medical Center, PO Box 1147, Everett, WA 98206–1147.


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.