PEDIATRICS Vol. 88 No. 3 September 1991, pp. 444-449
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Do Postpartum Nursery Visits by the Primary Care Provider Make a Difference?

Janet R. Serwint MD1, Modena H. Wilson MD1, Anne K. Duggan ScD1, E. David Mellits ScD2, Rosemary A. Baumgardner 2, and Catherine DeAngelis MD1

1 The Division of General Pediatrics at The Johns Hopkins Hospital Children's Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland
2 The Division of Biostatistics at The Johns Hopkins Hospital Children's Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland

A prospective, randomized, clinical trial was conducted to investigate whether a postpartum visit between a mother and her neonate's future primary care provider combined with telephone access would improve health care utilization, enhance identification of the provider as a source of advice, increase maternal knowledge of infant care, and decrease maternal anxiety and depression. Of 251 mother-neonate pairs, 122 were randomized to the control group and 129 to the intervention group. Outcome variables included health care utilization and results of maternal interviews. More mothers in the intervention group made a scheduled clinic visit in the first 30 days (P = .003), were more likely to seek some form of care at the clinic (P = .006), and tried to reach their physician by phone more often than the control group (P <.001). There were no differences between the groups' emergency room utilization, the percent who received immunizations by 90 days of age, maternal knowledge of infant care, maternal anxiety, or postpartum depression. The intervention succeeded in improving some measures of health care utilization and results suggest that the relationship between the mother and clinician was strengthened.

Key Words: parent-physician communication • pediatrician • well child care • postpartum visits • health supervision

Submitted on June 4, 1990
Accepted on September 26, 1990


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