Newborn Anticipatory Guidance Delivered at Office-based vs. Home Nurse Visits | OMICS International | Abstract
ISSN: 2161-0711

Journal of Community Medicine & Health Education
Open Access

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Research Article

Newborn Anticipatory Guidance Delivered at Office-based vs. Home Nurse Visits

Jessica S. Beiler1* Eric W. Schaefer2 Nancy Alleman3 Ian M. Paul1,2

1Department of Pediatrics, Penn State College of Medicine, 500 University Drive, Hershey, Pennsylvania, USA

2 Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania, USA

3 Visiting Nurse Association of Central Pennsylvania, Harrisburg, Pennsylvania, USA

*Corresponding Author:
Jessica S. Beiler
MPH Department of Pediatrics
SB35, Penn State College of Medicine
500 University Drive, Hershey, PA- 17033, USA
Fax: 717-531-0486
E-mail: [email protected]

Received date: May 30, 2013; Accepted date: August 16, 2013; Published date: August 19, 2013

Citation: Beiler JS, Schaefer EW, Alleman N, Paul IM (2013) Newborn Anticipatory Guidance Delivered at Office-based vs. Home Nurse Visits. J Community Med Health Educ 3:228. doi: 10.4172/2161-0711.1000228

Copyright: © 2013 Beiler JS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Objective: To compare anticipatory guidance delivery at primary care office and Home Nursing Visits (HNV) in the first week after birth. Methods: As part of a randomized, controlled trial comparing office-based care with a model where the initial outpatient encounter was a HNV, data were collected on visit content. During the study’s 2 week telephone interview, mothers were asked whether selected items from the textbook, Bright Futures, were covered at their initial postdischarge visit. Questions covered each of the first week anticipatory guidance categories: newborn sleep, newborn care, safety, and nutritional adequacy. Chi-squared tests were used to compare frequency of anticipatory guidance delivery between randomized groups. Results: Of the 1154 mothers enrolled, 1077 (93.3%) completed the telephone interview. Mothers in the HNV group were significantly more likely to report receiving information on anticipatory guidance topics: Infant Sleep Position (67.4% vs. 84.9%; p<.001), Umbilical Cord Care (72.8% vs.84.9%; p<.001), Fever/Temperature Taking (69.0% vs. 84.0%; p<.001), Car Seat Position (50.3% vs.64.5%; p<.001), and Feeding (82.2% vs.89.0; p<.002). Conclusions: In a comparison of two models of care after nursery discharge, significantly more mothers recalled receiving newborn anticipatory guidance at HNVs than those attending newborn office-based primary care visits.