The Effect of Prenatal Home Visiting for Adolescent Mothers on Maternal and Neonatal Outcomes: A Systematic Review and Meta-Analysis

Authors

1 hD Student of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical sciences, Tabriz, Iran.

2 Associate Professor, Social determinants of Health Research Center, Tabriz University of Medical sciences, Tabriz, Iran.

3 Associate Professor, Faculty of Nursing and Midwifery, Tabriz University of Medical sciences, Tabriz, Iran.

4 PhD Student of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical sciences, Tabriz, Iran.

5 PhD, Lecturer, Member of South Asia Infant Feeding Research Network (SAIFRN), School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Australia.

Abstract

Background: Adolescence pregnancy is high risk both for mother and child. This systematic review aimed to determine the effect of home visiting on maternal and neonatal outcomes in adolescent mothers.
Materials and Methods: This systematic review was performed by searching English databases including Cochran library, PubMed, Google scholar, Scopus, web of science, Embase, Ovid and Persian databases including SID, Magiran, and Barakat Knowledge Network System without time limitation. The search terms included "adolescent or teen pregnancy", "adolescent or teen mothers", "home visiting", "home visitation" and "home visit".
Results: According to databases search, 967 papers were found that among them 913 papers were not related. Among 54 related papers, 44 abstracts and 10 full texts were studied. At the end, 7 RCT included in this systematic review. The meta-analysis result done on 375 person indicated that mental health in the home visiting group was significantly better than the control group (routine care or cares except considered intervention) (standard mean difference: -0.33; 95%CI: -0.57 to -0.10; p=0.006, I2=0%). Also, meta-analysis done on 185 persons showed that there was no significant difference between two groups in terms of repeat pregnancy (odds ratio: 0.83; 95% CI: 0.33 to 2.03; p=0.67; I2=50%) and repeat birth (odds ratio: 0.90; 95%CI: 0.35 to 2.31; P= 0.820, I2=0%).
Conclusion: Results indicates that home visiting can improve mental health but does not have any effect on repeat pregnancy and repeat birth. Clinical trials with accurate methodology by controlling effect of number and duration of home visiting are recommended.

Keywords