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Does Antenatal Care Integrate with Home Visits Effect Perinatal Outcomes? A Randomized Control Trial
Ayça Demir Yildirim1, Nevin Hotun Şahin2
1Faculty of Health Sciences, Department of Midwifery, Uskudar University, İstanbul, Turkey. ayca.demir@uskudar.edu.tr.
Maternal and Child Health Journal
|December 17, 2025
Summary
Integrating home visits with antenatal care significantly boosts perinatal knowledge and improves delivery outcomes. This approach enhances maternal readiness and informed decision-making during pregnancy and childbirth.
Area of Science:
- Obstetrics and Gynecology
- Maternal and Child Health
- Evidence-Based Midwifery
Background:
- Standard antenatal care (ANC) provides essential health checks but may not fully address all maternal needs.
- Home visits offer a complementary approach to ANC, potentially enhancing patient education and support.
- Improving perinatal knowledge is crucial for informed decision-making during pregnancy and childbirth.
Purpose of the Study:
- To evaluate if combining home visits with traditional ANC improves perinatal outcomes compared to standard ANC alone.
- To assess the impact of integrated home visits on pregnant women's perinatal knowledge levels.
Main Methods:
- A randomized controlled trial (RCT) involving 64 pregnant women in their first trimester.
- Intervention group received ANC integrated with home visits; control group received standard ANC.
- Perinatal knowledge assessed via questionnaire (pretest/posttest); secondary outcomes included delivery mode, postpartum depression, and breastfeeding self-efficacy.
Main Results:
- The integrated home visit group showed significantly greater improvements in perinatal knowledge scores.
- Women receiving integrated care had a higher rate of term deliveries and lower rates of preterm/early-term deliveries.
- No significant differences were observed in postpartum depression or breastfeeding self-efficacy between groups.
Conclusions:
- Structured home visits integrated into routine ANC significantly enhance perinatal knowledge and care quality.
- This intervention empowers mothers, leading to more informed decisions and better preparedness for childbirth.
- Home visit integration represents a valuable strategy for improving maternal and perinatal health outcomes.
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