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Pregnancy Outcomes in Patients Enrolled in the Healthy Beginnings Plus Program

Maranda Sullivan, Sara Lange, Amanda Young

    Nursing for Women'S Health
    |February 11, 2023
    PubMed

    Insights

    The Healthy Beginnings Plus Program (HB) did not significantly reduce preterm birth or low birth weight. However, HB participants had more prenatal visits and lower rates of gestational hypertension.

    Area of Science:

    • Perinatal health
    • Public health interventions
    • Maternal-child health

    Background:

    • Low socioeconomic status increases risks for adverse pregnancy outcomes like preterm birth (PTB) and low birth weight (LBW).
    • The Healthy Beginnings Plus Program (HB) in Pennsylvania offers enhanced psychosocial and obstetric resources to pregnant individuals with Medical Assistance.
    • This program aims to mitigate risks associated with adverse pregnancy outcomes.

    Purpose of the Study:

    • To evaluate the effectiveness of the Healthy Beginnings Plus Program (HB) on key pregnancy outcomes.
    • Assessing the impact of HB enrollment on rates of preterm birth and low birth weight neonates.
    • Investigating secondary outcomes including gestational diabetes, gestational hypertension, small-for-gestational-age neonates, and NICU admissions.

    Main Methods:

    • Retrospective cohort study including 12,299 singleton pregnancies from January 2007 to December 2018.
    • Comparison of three groups: HB-enrolled Medical Assistance, non-enrolled Medical Assistance, and privately insured individuals.
    • Primary outcomes: preterm birth (PTB) and low birth weight (LBW) rates. Secondary outcomes: gestational diabetes, gestational hypertension, small-for-gestational-age neonates, and NICU admission.

    Main Results:

    • No significant differences in PTB or LBW rates were observed between HB-enrolled and non-enrolled Medical Assistance groups.
    • HB participants showed a reduced likelihood of developing gestational hypertension compared to both non-enrolled Medical Assistance and privately insured groups.
    • Individuals enrolled in HB attended significantly more prenatal visits than those not enrolled (12.0 vs. 14.0, p < .01).

    Conclusions:

    • The Healthy Beginnings Plus Program did not demonstrate a significant impact on primary outcomes of preterm birth and low birth weight.
    • Enrollment in HB was associated with increased prenatal visit attendance and a lower incidence of gestational hypertension.
    • Further evaluation of similar programs is recommended to assess outcomes and identify potential areas for improvement.
    Abstract

    Keywords:
    Pennsylvaniaantenatal programslow birth weightlow socioeconomic statuspregnancy outcomesprenatal carepreterm birth

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