Table 2.

Clinical Outcomes Among Mother-Newborn Pairs in Randomized Trial of Home Versus Clinic Visits After Early Postpartum Discharge, Kaiser Permanente, Sacramento, 1996–1997

Number (%) of Pairs With
Outcome Among Group Assigned to:
Relative
Risk*
95% Confidence
Interval*
P
Home Visits
n = 580
Clinic Visits
n = 583
Outcomes within 2 weeks
 Newborn urgent clinic visit155 (27)140 (24)1.11.91 –1.36.32
 Maternal urgent clinic visit78 (13)73 (13)1.07.80 –1.45.68
 Newborn rehospitalization18 (3)13 (2)1.39.69 –2.80.38
 Maternal rehospitalization4 (1)3 (1)1.34.30 –5.93.70
 Breastfeeding discontinuation§95 (18)111 (22).84.66 –1.07.10
 Maternal depressive symptoms126 (22)123 (22)1.02.82 –1.27.94
 Combined outcome measure322 (56)315 (55)1.02.92 –1.13.79
Outcomes after 2 weeks
 Maternal urgent clinic visit within 6 weeks163 (28)182 (31).90.75 –1.07.29
 Breastfeeding discontinuation at 12 weeks227 (45)239 (48).94.82 –1.07.28
  • * Ratio of risk in the home visit group relative to risk in the clinic visit group. The relative risks and 95% confidence intervals are from unadjusted analyses.

  • P values (except for maternal rehospitalization) are from logistic regression analyses adjusting for whether the mother had initiated prenatal care in the first trimester and had a high school degree. The odds ratios from these adjusted analyses were very similar to the relative risks shown in the table.

  • Urgent clinic visits and rehospitalization were measured during from 0 to 10 days postpartum. Breastfeeding discontinuation was measured at 14 days and maternal depressive symptoms were measured at the 2-week follow-up interview.

  • § Percentage was calculated among respondents who initiated breastfeeding, as defined by ever attempting give the baby breast milk. Among mothers who initiated breastfeeding, there were 521 in the home visit group and 512 in the clinic visit group at the 2-week interview, and 507 in the home visit group and 500 in the clinic visit group at the 12-week interview. Breastfeeding discontinuation at two weeks was defined as either 1) giving no breast milk, or 2) still breastfeeding, but giving more than 12 ounces of formula per day.

  • P value for analysis of maternal rehospitalization was unadjusted because the small number of events precluded adjustment. TheP value from a Fisher's Exact test is given.