Effects of Nursing Case Management on High-Risk Pregnant Women’s Birth Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/153663
Type:
Presentation
Title:
Effects of Nursing Case Management on High-Risk Pregnant Women’s Birth Outcomes
Abstract:
Effects of Nursing Case Management on High-Risk Pregnant Women’s Birth Outcomes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:June, 2001
Author:VanOtterloo, Lucy
P.I. Institution Name:Orange County Perinatal Council
Objective: In spite of the emergence of case management as a health care model, little has been shown regarding its effects on the birth outcomes of high-risk perinatal women. The primary purpose of this study was to investigate the effects of nursing case management (NCM) on: (a) mean gestational age and mean infant birth weight and (b) the proportion of preterm delivery and infant low birth weight in high-risk perinatal women who received nursing case management and those women who did not. Design: Descriptive, comparative design. Population, Sample, Setting, Years: Convenience sample of 57 (control) and 73 (experimental) high-risk perinatal women meeting these criteria: 18 years and older, and history of preterm delivery, and/or cerclage. Women who received prenatal care at three HMO obstetric clinics from January to August 1993 (control) and September 1998 to December 1999 (experimental) were included. Intervention and Outcome Variables: The intervention included nursing case management for the experimental group and usual prenatal care for the control group. The main outcome measures were (a) mean gestational age (GA) and mean birth weight at delivery, and (b) proportion of PTD and low birth weight (LBW) infants. Methods: Medical records were reviewed and data were collected regarding subject demographics and clinical characteristics, gestational age at delivery and infant birth weight. Data analysis was done using the SPSS program 9.0 for descriptive statistics, t-tests, and chi square analysis. Findings: The mean GA (38.3 weeks, SD=2.03) and the mean infant birth weight (3272.92 grams, SD=582.05) of the experimental group were significantly higher (p=.017) than those in the control group. The proportion of PTD in the experimental group (9.59%) was significantly lower (28.07%) than in control group (p=.001). The proportion of LBW babies was also lower (10.96%) in the experimental group than in the control group (21.05%) (p=.001). Conclusions: The results indicate that NCM improves the birth outcomes of high-risk perinatal women. Implications: Further studies focusing on NCM’s cost-effectiveness will increase knowledge on its contribution to birth outcomes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
Jun-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffects of Nursing Case Management on High-Risk Pregnant Women’s Birth Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153663-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effects of Nursing Case Management on High-Risk Pregnant Women&rsquo;s Birth Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">June, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">VanOtterloo, Lucy</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Orange County Perinatal Council</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lvanotte@uci.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: In spite of the emergence of case management as a health care model, little has been shown regarding its effects on the birth outcomes of high-risk perinatal women. The primary purpose of this study was to investigate the effects of nursing case management (NCM) on: (a) mean gestational age and mean infant birth weight and (b) the proportion of preterm delivery and infant low birth weight in high-risk perinatal women who received nursing case management and those women who did not. Design: Descriptive, comparative design. Population, Sample, Setting, Years: Convenience sample of 57 (control) and 73 (experimental) high-risk perinatal women meeting these criteria: 18 years and older, and history of preterm delivery, and/or cerclage. Women who received prenatal care at three HMO obstetric clinics from January to August 1993 (control) and September 1998 to December 1999 (experimental) were included. Intervention and Outcome Variables: The intervention included nursing case management for the experimental group and usual prenatal care for the control group. The main outcome measures were (a) mean gestational age (GA) and mean birth weight at delivery, and (b) proportion of PTD and low birth weight (LBW) infants. Methods: Medical records were reviewed and data were collected regarding subject demographics and clinical characteristics, gestational age at delivery and infant birth weight. Data analysis was done using the SPSS program 9.0 for descriptive statistics, t-tests, and chi square analysis. Findings: The mean GA (38.3 weeks, SD=2.03) and the mean infant birth weight (3272.92 grams, SD=582.05) of the experimental group were significantly higher (p=.017) than those in the control group. The proportion of PTD in the experimental group (9.59%) was significantly lower (28.07%) than in control group (p=.001). The proportion of LBW babies was also lower (10.96%) in the experimental group than in the control group (21.05%) (p=.001). Conclusions: The results indicate that NCM improves the birth outcomes of high-risk perinatal women. Implications: Further studies focusing on NCM&rsquo;s cost-effectiveness will increase knowledge on its contribution to birth outcomes.</td></tr></table>en_GB
dc.date.available2011-10-26T12:25:39Z-
dc.date.issued2001-06en_GB
dc.date.accessioned2011-10-26T12:25:39Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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