PDF(Pubmed)
Abstract：
UNASSIGNED: Despite close to all-embracing access to child healthcare, health divides exist among children in Sweden. Home visits to families with new-born babies are a cost-effective way to identify and strengthen vulnerable families. An extended postnatal home visiting programme has been implemented in a disadvantaged suburb in Stockholm with positive results.
UNASSIGNED: Longitudinal, prospective study and register study from medical records.
UNASSIGNED: A vulnerable rural area in Sweden.
UNASSIGNED: A parent advisor from the social services and a midwife performed an extended home visiting programme during the end of pregnancy to mothers of children born between 1 May 2018 and 31 May 2019. During these children\'s first 15 months, three additional home visits were made by a parent advisor and a child healthcare nurse. The aim of the study is to evaluate the effect of the intervention on the health of the children and the mothers.
UNASSIGNED: All firstborn children at the study site (N = 30 study, N = 55 control group).
UNASSIGNED: The proportion participating in visits to the child and maternal healthcare services, children being breastfed and receiving childhood vaccinations.
UNASSIGNED: There were fewer absentees in the study group during routine check-up visits (93 vs. 84%). More mothers in the study group attended the check-up with the midwives (90 vs. 80%). More children in the study group were breastfed (90 vs. 67%) and received all vaccinations (100 vs. 96%).
UNASSIGNED: Supplementing the extended home visiting programme with a visit at the end of pregnancy seems to contribute to fewer absentees at routine visits for both mothers and children; furthermore, more children were breastfed and vaccinated compared with the control group.
Evaluation of four additional home visits to all firstborn children by parent advisors and healthcare professionals during the end-of-pregnancy period and early childhood in a vulnerable area showed the following benefits:More children in the study were breastfed and received all vaccinations compared with the control group.There were fewer absentees at the routine check-up visits to the child healthcare centre in the study compared with the control group.More mothers in the study group attended the check-up visits to the midwife 2 months after delivery compared with the controls.
UNASSIGNED: Longitudinal, prospective study and register study from medical records.
UNASSIGNED: A vulnerable rural area in Sweden.
UNASSIGNED: A parent advisor from the social services and a midwife performed an extended home visiting programme during the end of pregnancy to mothers of children born between 1 May 2018 and 31 May 2019. During these children\'s first 15 months, three additional home visits were made by a parent advisor and a child healthcare nurse. The aim of the study is to evaluate the effect of the intervention on the health of the children and the mothers.
UNASSIGNED: All firstborn children at the study site (N = 30 study, N = 55 control group).
UNASSIGNED: The proportion participating in visits to the child and maternal healthcare services, children being breastfed and receiving childhood vaccinations.
UNASSIGNED: There were fewer absentees in the study group during routine check-up visits (93 vs. 84%). More mothers in the study group attended the check-up with the midwives (90 vs. 80%). More children in the study group were breastfed (90 vs. 67%) and received all vaccinations (100 vs. 96%).
UNASSIGNED: Supplementing the extended home visiting programme with a visit at the end of pregnancy seems to contribute to fewer absentees at routine visits for both mothers and children; furthermore, more children were breastfed and vaccinated compared with the control group.
Evaluation of four additional home visits to all firstborn children by parent advisors and healthcare professionals during the end-of-pregnancy period and early childhood in a vulnerable area showed the following benefits:More children in the study were breastfed and received all vaccinations compared with the control group.There were fewer absentees at the routine check-up visits to the child healthcare centre in the study compared with the control group.More mothers in the study group attended the check-up visits to the midwife 2 months after delivery compared with the controls.
摘要：
■尽管几乎可以全面获得儿童医疗保健，瑞典儿童之间存在健康分歧。对有新生婴儿的家庭进行家访是确定和加强弱势家庭的一种具有成本效益的方法。在斯德哥尔摩一个处境不利的郊区实施了一项扩大的产后家庭访问计划，取得了积极成果。
■纵向，前瞻性研究和从医疗记录中登记研究。
■瑞典的一个脆弱的农村地区。
一名来自社会服务机构的家长顾问和一名助产士在怀孕结束期间对2018年5月1日至2019年5月31日出生的孩子的母亲进行了一次扩展的家庭访问计划。在这些孩子的头15个月里，一名家长顾问和一名儿童保健护士又进行了三次家访。该研究的目的是评估干预措施对儿童和母亲健康的影响。
■研究地点的所有长子（N=30研究，N=55对照组)。
■参与儿童和孕产妇保健服务访问的比例，母乳喂养和接受儿童疫苗接种的儿童。
■在常规检查访视期间，研究组缺席者较少（93例与84%）。研究组中更多的母亲参加了助产士的检查（90vs.80%)。研究组中更多的儿童接受母乳喂养（90vs.67%），并接受了所有疫苗接种（100vs.96%）。
在怀孕结束时进行探视以补充延长的家庭探视计划似乎有助于减少母亲和儿童例行探视的缺席者；此外，与对照组相比,母乳喂养和接种疫苗的儿童更多.
评估父母顾问和医疗保健专业人员在妊娠末期和脆弱地区的幼儿期对所有长子的四次额外家访显示出以下益处：与对照组相比，该研究中有更多的儿童接受了母乳喂养并接受了所有疫苗接种。与对照组相比，该研究中对儿童保健中心的例行检查缺席者较少。与对照组相比，研究组中更多的母亲在分娩后2个月参加了助产士的检查。
■纵向，前瞻性研究和从医疗记录中登记研究。
■瑞典的一个脆弱的农村地区。
一名来自社会服务机构的家长顾问和一名助产士在怀孕结束期间对2018年5月1日至2019年5月31日出生的孩子的母亲进行了一次扩展的家庭访问计划。在这些孩子的头15个月里，一名家长顾问和一名儿童保健护士又进行了三次家访。该研究的目的是评估干预措施对儿童和母亲健康的影响。
■研究地点的所有长子（N=30研究，N=55对照组)。
■参与儿童和孕产妇保健服务访问的比例，母乳喂养和接受儿童疫苗接种的儿童。
■在常规检查访视期间，研究组缺席者较少（93例与84%）。研究组中更多的母亲参加了助产士的检查（90vs.80%)。研究组中更多的儿童接受母乳喂养（90vs.67%），并接受了所有疫苗接种（100vs.96%）。
在怀孕结束时进行探视以补充延长的家庭探视计划似乎有助于减少母亲和儿童例行探视的缺席者；此外，与对照组相比,母乳喂养和接种疫苗的儿童更多.
评估父母顾问和医疗保健专业人员在妊娠末期和脆弱地区的幼儿期对所有长子的四次额外家访显示出以下益处：与对照组相比，该研究中有更多的儿童接受了母乳喂养并接受了所有疫苗接种。与对照组相比，该研究中对儿童保健中心的例行检查缺席者较少。与对照组相比，研究组中更多的母亲在分娩后2个月参加了助产士的检查。
