Timing Newborn Follow up Care in Low Income First Time Minority Mothers

2.50
Hdl Handle:
http://hdl.handle.net/10755/602708
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Timing Newborn Follow up Care in Low Income First Time Minority Mothers
Author(s):
Hannan, Jean
Lead Author STTI Affiliation:
Pi Alpha
Author Details:
Jean Hannan, ARNP, jhann001@fiu.edu
Abstract:
Sessin presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Title: Newborn Follow up Care in Low Income First Time Minority Mothers Background: Due to shortened postpartum stays, the American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists recommend that all infants receive follow-up care within 48 hours post-hospital discharge to prevent infant morbidity and mortality. However, studies indicate that many do not receive newborn follow up visit within 2 days after discharge especially low income mothers (O’Donnell, Trachtman, Islam & Racine, 2013, Shakib, Buchi,  Smith, & Young, 2015; Pregnancy Risk Assessment Monitoring System, 2010). Receiving timely newborn follow up care is more difficult with the recent budget cuts to the healthcare system. For the 2015 House Budget, hospitals and health care systems are facing cuts approaching half a trillion dollars (Herman, 2014). These budget reductions are forcing hospitals to eliminate many health care services in the community, especially those in maternal child health (Abraham, 2011; Ferrara & Hunter, 2010; Kauffman, 2014). Objective: The purpose of this study with low income first time minority mothers was to examine the mean timing and barriers to receiving the first newborn follow up care. Method: This study is a secondary analysis of data from a randomized clinical trial that compared maternal health, infant health, and health care charges in two groups of mothers and newborns. Results: 85 mothers (45 Intervention, 40 Control) have been enrolled. Mothers’ ages range from 18-42 with a mean age of 25. The mothers’ race/ethnicity includes 38 Hispanic, 46 Black (19 African American, 28 English-speaking Haitians) and 1 White non-Hispanic. The majority ( n = 53; 64%) of the infants received late routine medical follow up visits post hospital discharge ( M = 8 days post hospital discharge) ranging from 4 days posthospital discharge to 40 days posthospital discharge. Intervention group had a mean of 9 days for their routine medical follow up visits posthospital discharge compared to controls of 8 days for their routine medical follow up visits posthospital discharge. The majority mothers (68%) in the intervention group reported not receiving insurance coverage (Medicaid or private) as the primary barrier to receiving newborn follow up care. Discussion: Study data provide a better understanding of the challenges encountered by first time mothers of full term infants and allow us to identify first time mothers who may need additional help in caring for their infant. With this understanding, healthcare providers can improve the care that first time mothers receive after they deliver their infant and to reduce infant morbidity, mortality subsequent health care costs. Author: Jean Hannan, PhD, ARNP Institution Affiliation: Florida International University Nicole Wertheim College of Nursing and Health Sciences Disclosures:  Funded by Funded by MBRS Score National Institute of Health; Eunice Kennedy Shriver National Institute of Child Health & Human Development, 1SC2HD076043-01
Keywords:
Newborn; Follow up care; Low income mothers
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15SC2.38
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleTiming Newborn Follow up Care in Low Income First Time Minority Mothersen
dc.contributor.authorHannan, Jeanen
dc.contributor.departmentPi Alphaen
dc.author.detailsJean Hannan, ARNP, jhann001@fiu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/602708en
dc.description.abstractSessin presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Title: Newborn Follow up Care in Low Income First Time Minority Mothers Background: Due to shortened postpartum stays, the American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists recommend that all infants receive follow-up care within 48 hours post-hospital discharge to prevent infant morbidity and mortality. However, studies indicate that many do not receive newborn follow up visit within 2 days after discharge especially low income mothers (O’Donnell, Trachtman, Islam & Racine, 2013, Shakib, Buchi,  Smith, & Young, 2015; Pregnancy Risk Assessment Monitoring System, 2010). Receiving timely newborn follow up care is more difficult with the recent budget cuts to the healthcare system. For the 2015 House Budget, hospitals and health care systems are facing cuts approaching half a trillion dollars (Herman, 2014). These budget reductions are forcing hospitals to eliminate many health care services in the community, especially those in maternal child health (Abraham, 2011; Ferrara & Hunter, 2010; Kauffman, 2014). Objective: The purpose of this study with low income first time minority mothers was to examine the mean timing and barriers to receiving the first newborn follow up care. Method: This study is a secondary analysis of data from a randomized clinical trial that compared maternal health, infant health, and health care charges in two groups of mothers and newborns. Results: 85 mothers (45 Intervention, 40 Control) have been enrolled. Mothers’ ages range from 18-42 with a mean age of 25. The mothers’ race/ethnicity includes 38 Hispanic, 46 Black (19 African American, 28 English-speaking Haitians) and 1 White non-Hispanic. The majority ( n = 53; 64%) of the infants received late routine medical follow up visits post hospital discharge ( M = 8 days post hospital discharge) ranging from 4 days posthospital discharge to 40 days posthospital discharge. Intervention group had a mean of 9 days for their routine medical follow up visits posthospital discharge compared to controls of 8 days for their routine medical follow up visits posthospital discharge. The majority mothers (68%) in the intervention group reported not receiving insurance coverage (Medicaid or private) as the primary barrier to receiving newborn follow up care. Discussion: Study data provide a better understanding of the challenges encountered by first time mothers of full term infants and allow us to identify first time mothers who may need additional help in caring for their infant. With this understanding, healthcare providers can improve the care that first time mothers receive after they deliver their infant and to reduce infant morbidity, mortality subsequent health care costs. Author: Jean Hannan, PhD, ARNP Institution Affiliation: Florida International University Nicole Wertheim College of Nursing and Health Sciences Disclosures:  Funded by Funded by MBRS Score National Institute of Health; Eunice Kennedy Shriver National Institute of Child Health & Human Development, 1SC2HD076043-01en
dc.subjectNewbornen
dc.subjectFollow up careen
dc.subjectLow income mothersen
dc.date.available2016-03-21T16:35:00Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:35:00Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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