RT Journal
A1 Rubin DM, O’Reilly AR, Luan X, Dai D, Localio A, Christian CW
T1 VAriation in pregnancy outcomes following statewide implementation of a prenatal home visitation program
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2011
FD March 1
VO 165
IS 3
SP 198
OP 204
DO 10.1001/archpediatrics.2010.221
UL http://dx.doi.org/10.1001/archpediatrics.2010.221
AB 
The Nurse-Family Partnership (NFP), a program of prenatal, infancy, and toddler home visitation by nurses for low-income mothers bearing their first children, is designed to improve the outcomes of pregnancy, children's health and development, and parents' economic self-sufficiency. The latter goal is accomplished by helping parents plan the timing of subsequent pregnancies through the first child's second birthday. Growing from its 1978 inception for 400 women in Elmira, New York,1 it has expanded throughout the United States and currently serves more than 20 000 families per year in 31 states.2 Its expansion is owing in large part to data from 3 randomized trials conducted in different locations revealing multiple benefits to the mother and child.1,3- 11 For the mother, a focus on family planning has resulted in a reduction in rapid-succession second pregnancies within the 2-year period following birth of the first child,1,3- 6 an outcome that can negatively affect outcomes for teenage mothers,12 let alone increase the risk for adverse perinatal outcomes.13 Long-term follow-ups of these trials have also found sustained benefit, including reduced welfare receipt9- 11 and reduced antisocial behavior among adolescents born to program recipients many years later.7- 8,14- 16