{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T05:23:46Z","timestamp":1772601826993,"version":"3.50.1"},"reference-count":36,"publisher":"American Academy of Pediatrics (AAP)","issue":"Supplement_2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,11,1]]},"abstract":"<jats:sec><jats:title>BACKGROUND AND OBJECTIVE:<\/jats:title><jats:p>Home visiting programs seek to improve care management for women at high risk for preterm birth (&amp;lt;37 weeks). Our objective was to evaluate the effect of home visiting dosage on preterm birth and small for gestational age (SGA) infants.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>Retrospective cohort study of women in southwest Ohio with a singleton pregnancy enrolled in home visiting before 26 weeks\u2019 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 \u22651 of 4 risk factors: unmarried, low income, &amp;lt;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.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>Among 441 participants enrolled by 26 weeks, 10.9% delivered preterm; 17.9% of infants were born SGA. Mean gestational age at enrollment was 18.9 weeks; mean number of prenatal home visits was 8.2. In multivariable regression, \u22658 completed visits by 26 weeks compared with \u22643 visits was associated with an odds ratio 0.38 for preterm birth (95% confidence interval: 0.16\u20130.87), while having \u226512 total home visits compared with \u22643 visits was significantly associated with a hazards ratio 0.32 for SGA (95% confidence interval: 0.15\u20130.68).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>Among at-risk, first time mothers enrolled prenatally in home visiting, higher dosage of intervention is associated with reduced likelihood of adverse pregnancy outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1542\/peds.2013-1021j","type":"journal-article","created":{"date-parts":[[2013,11,1]],"date-time":"2013-11-01T16:20:01Z","timestamp":1383322801000},"page":"S118-S125","source":"Crossref","is-referenced-by-count":27,"title":["Dosage Effect of Prenatal Home Visiting on Pregnancy Outcomes in At-Risk, First-Time Mothers"],"prefix":"10.1542","volume":"132","author":[{"given":"Neera K.","family":"Goyal","sequence":"first","affiliation":[{"name":"Divisions of Neonatology and Pulmonary Biology,"},{"name":"Hospital Medicine,"},{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric S.","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"},{"name":"Biomedical Informatics,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jareen K.","family":"Meinzen-Derr","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"},{"name":"Biostatistics and Epidemiology,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert S.","family":"Kahn","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"},{"name":"General Pediatrics, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jodie A.","family":"Short","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith B.","family":"Van Ginkel","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert T.","family":"Ammerman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"},{"name":"Behavioral Medicine and Clinical Psychology, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2013,11,1]]},"reference":[{"issue":"1","key":"2021120903452537200_B1","first-page":"1","article-title":"Births: final data for 2009.","volume":"60","author":"Martin","year":"2011","journal-title":"Natl Vital Stat Rep"},{"issue":"2","key":"2021120903452537200_B2","doi-asserted-by":"crossref","first-page":"470","DOI":"10.1007\/s10995-011-0748-2","article-title":"Spatial analysis of preterm birth demonstrates opportunities for targeted intervention.","volume":"16","author":"South","year":"2012","journal-title":"Matern Child Health J"},{"key":"2021120903452537200_B3","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1186\/1471-2458-8-316","article-title":"Area-level poverty and preterm birth risk: a population-based multilevel analysis.","volume":"8","author":"DeFranco","year":"2008","journal-title":"BMC Public Health"},{"key":"2021120903452537200_B4"},{"issue":"6","key":"2021120903452537200_B5","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1056\/NEJMra0904308","article-title":"The enigma of spontaneous preterm birth.","volume":"362","author":"Muglia","year":"2010","journal-title":"N Engl J Med"},{"issue":"5","key":"2021120903452537200_B6","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1111\/j.1467-8624.2004.00750.x","article-title":"Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children.","volume":"75","author":"Sweet","year":"2004","journal-title":"Child Dev"},{"issue":"8","key":"2021120903452537200_B7","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1001\/jama.1997.03550080054039","article-title":"Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial.","volume":"278","author":"Kitzman","year":"1997","journal-title":"JAMA"},{"issue":"3 pt 1","key":"2021120903452537200_B8","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1542\/peds.101.3.486","article-title":"The role of home-visitation programs in improving health outcomes for children and families.","volume":"101","author":"American Academy of Pediatrics. Council on Child and Adolescent Health","year":"1998","journal-title":"Pediatrics"},{"key":"2021120903452537200_B9","unstructured":"Maternal I, Early Childhood Home Visiting Program. Health Resources and Services Administration Web site. Available at: http:\/\/mchb.hrsa.gov\/programs\/homevisiting\/index.html. Accessed September 7, 2012"},{"issue":"3","key":"2021120903452537200_B10","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1111\/j.0737-1209.2004.021303.x","article-title":"Nurse home visits to maternal-child clients: a review of intervention research.","volume":"21","author":"McNaughton","year":"2004","journal-title":"Public Health Nurs"},{"issue":"2","key":"2021120903452537200_B11","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1111\/j.1552-6909.2011.01219.x","article-title":"A review of prenatal home-visiting effectiveness for improving birth outcomes.","volume":"40","author":"Issel","year":"2011","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"key":"2021120903452537200_B12","unstructured":"Bull J, McCormick G, Swann C, Mulvihill C. Ante- and post-natal home-visiting programmes: a review of reviews: evidence briefing summary. London: Health Development Agency; 2004. Available at: www.nice.org.uk\/nicemedia\/documents\/home_visiting_summary.pdf. Accessed October 11, 2012"},{"issue":"6","key":"2021120903452537200_B13","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1097\/01.chi.0000122730.72597.07","article-title":"Dose-response effect of mother-infant clinical home visiting on aggressive behavior problems in kindergarten.","volume":"43","author":"Lyons-Ruth","year":"2004","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"issue":"5","key":"2021120903452537200_B14","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1002\/imhj.20269","article-title":"A meta-analysis of home visiting programs: moderators of improvement in maternal behavior.","volume":"31","author":"Nievar","year":"2010","journal-title":"Infant Ment Health J"},{"issue":"5","key":"2021120903452537200_B15","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1007\/s10995-011-0840-7","article-title":"Developing a measure of prenatal case management dosage.","volume":"16","author":"Slaughter","year":"2012","journal-title":"Matern Child Health J"},{"issue":"1\u20132","key":"2021120903452537200_B16","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1300\/J005v34n01_05","article-title":"Development and implementation of a quality assurance infrastructure in a multisite home visitation program in Ohio and Kentucky.","volume":"34","author":"Ammerman","year":"2007","journal-title":"J Prev Intervent Community"},{"key":"2021120903452537200_B17","article-title":"Development of a linked perinatal data resource from state administrative and community-based program data [published online ahead of print February 10 2013].","volume-title":"Matern Child Health J","author":"Hall","year":"2013"},{"issue":"2","key":"2021120903452537200_B18","doi-asserted-by":"crossref","first-page":"233","DOI":"10.2105\/AJPH.88.2.233","article-title":"The preterm prediction study: the value of new vs standard risk factors in predicting early and all spontaneous preterm births.","volume":"88","author":"Goldenberg","year":"1998","journal-title":"Am J Public Health"},{"issue":"2","key":"2021120903452537200_B19","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/0029-7844(95)00386-X","article-title":"A United States national reference for fetal growth.","volume":"87","author":"Alexander","year":"1996","journal-title":"Obstet Gynecol"},{"issue":"6","key":"2021120903452537200_B20","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/j.annepidem.2007.01.035","article-title":"Comparison of gestational age classifications: date of last menstrual period vs. clinical estimate.","volume":"17","author":"Wingate","year":"2007","journal-title":"Ann Epidemiol"},{"key":"2021120903452537200_B21","unstructured":"American Community Survey. US Census Bureau Web site. Available at: www.census.gov\/acs\/www\/. Accessed November 12, 2012"},{"issue":"10","key":"2021120903452537200_B22","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.2105\/AJPH.93.10.1655","article-title":"Race\/ethnicity, gender, and monitoring socioeconomic gradients in health: a comparison of area-based socioeconomic measures\u2014the public health disparities geocoding project.","volume":"93","author":"Krieger","year":"2003","journal-title":"Am J Public Health"},{"key":"2021120903452537200_B23","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1007\/s11135-006-9018-6","article-title":"A caution regarding rules of thumb for variance inflation factors.","volume":"41","author":"O\u2019brien","year":"2007","journal-title":"Qual Quant"},{"issue":"13","key":"2021120903452537200_B24","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/1471-2393-11-13","article-title":"The effectiveness of antenatal care programmes to reduce infant mortality and preterm birth in socially disadvantaged and vulnerable women in high-income countries: a systematic review.","volume":"11","author":"Hollowell","year":"2011","journal-title":"BMC Pregnancy Childbirth"},{"issue":"6","key":"2021120903452537200_B25","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1542\/peds.2006-2411","article-title":"Intensive home visiting is associated with decreased risk of infant death.","volume":"119","author":"Donovan","year":"2007","journal-title":"Pediatrics"},{"issue":"3","key":"2021120903452537200_B26","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1111\/j.1365-3016.2005.00651.x","article-title":"Does participation in a nurse visitation programme reduce the frequency of adverse perinatal outcomes in first-time mothers?","volume":"19","author":"Carabin","year":"2005","journal-title":"Paediatr Perinat Epidemiol"},{"issue":"8","key":"2021120903452537200_B27","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/S0002-8223(97)00212-5","article-title":"Ability of the Higgins Nutrition Intervention Program to improve adolescent pregnancy outcome.","volume":"97","author":"Dubois","year":"1997","journal-title":"J Am Diet Assoc"},{"issue":"2","key":"2021120903452537200_B28","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.amepre.2008.09.029","article-title":"Reducing low birth weight through home visitation: a randomized controlled trial.","volume":"36","author":"Lee","year":"2009","journal-title":"Am J Prev Med"},{"issue":"3","key":"2021120903452537200_B29","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1080\/jmf.11.3.204.210","article-title":"Intensive interventional maternity care reduces infant morbidity and hospital costs.","volume":"11","author":"Reece","year":"2002","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"5","key":"2021120903452537200_B30","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/S0027-9684(15)31301-8","article-title":"The impact of nurse case management home visitation on birth outcomes in African-American women.","volume":"100","author":"Wells","year":"2008","journal-title":"J Natl Med Assoc"},{"issue":"1","key":"2021120903452537200_B31","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1542\/peds.77.1.16","article-title":"Improving the delivery of prenatal care and outcomes of pregnancy: a randomized trial of nurse home visitation.","volume":"77","author":"Olds","year":"1986","journal-title":"Pediatrics"},{"issue":"3","key":"2021120903452537200_B32","first-page":"CD000198","article-title":"Support during pregnancy for women at increased risk of low birthweight babies.","author":"Hodnett","year":"2003","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"2021120903452537200_B33","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/S0146-0005(05)80040-0","article-title":"Home visits during pregnancy: consequences on pregnancy outcome, use of health services, and women\u2019s situations.","volume":"19","author":"Blondel","year":"1995","journal-title":"Semin Perinatol"},{"issue":"1","key":"2021120903452537200_B34","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1097\/00005650-199401000-00006","article-title":"Bias in the coding of hospital discharge data and its implications for quality assessment.","volume":"32","author":"Romano","year":"1994","journal-title":"Med Care"},{"issue":"16","key":"2021120903452537200_B35","doi-asserted-by":"crossref","first-page":"2197","DOI":"10.1001\/jama.267.16.2197","article-title":"Comorbidities, complications, and coding bias. 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