A randomized trial of psychosocial support during high-risk pregnancies

José Villar, Ubaldo Farnot, Fernando Barros, Cesar Victora, Ana Langer, José M. Belizan

Research output: Contribution to journalArticlepeer-review

Abstract

Background. It is often suggested that psychological and social support and health education for women at high risk for delivering a low-birth-weight infant can improve the outcomes of pregnancy, but the evidence is inconclusive. We undertook this prospective trial to evaluate a program of home visits designed to provide psychosocial support during pregnancy. Methods. At four centers in Latin America, 2235 women at higher-than-average risk for delivering a low-birth-weight infant were recruited before the 20th week of pregnancy. The women were randomly assigned either to an intervention group (n = 1115) that received four to six home visits from a nurse or social worker in addition to routine prenatal care or to a control group (n = 1120) that received only routine prenatal care (with a mean of eight prenatal visits). The principal measures of outcome were low birth weight (

Original languageEnglish (US)
Pages (from-to)1266-1271
Number of pages6
JournalNew England Journal of Medicine
Volume327
Issue number18
StatePublished - Oct 29 1992
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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