There was no difference in the incidence of the composite adverse birth outcome between the groups
Visiting program: 26.9%
Adjusted between-group difference 0.5% (95% CI, −2.1 to 3.1)
Outcomes for the intervention group were not significantly better for any of the maternal and newborn health primary or secondary outcomes in the overall sample or in either of the prespecified subgroups
Implementation of a nurse home visiting program aimed at improving pregnancy outcomes among Medicaid-eligible patients, did not significantly reduce the incidence of the composite adverse birth outcome
Nurse home visits may not be able to overcome other considerations such as poverty, racism and environmental issues
The authors state
The weight of the evidence increasingly suggests that intensive nurse home visiting is not an effective intervention for reducing adverse birth outcomes
In this study setting, 53% of potentially eligible participants elected not to participate
Home-based services from medical professionals beginning early in pregnancy may be more attractive to pregnant people who are already well connected to other clinical services
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