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Related Experiment Videos

Evaluation of a program for prenatal care case management

J M Piper1, E F Mitchel, W A Ray

  • 1Vanderbilt University School of Medicine, Nashville, Tenn., USA.

Family Planning Perspectives
|March 1, 1996
PubMed
Summary

Project HUG, a prenatal care program, improved prenatal care utilization and reduced inadequate perinatal care. However, it did not significantly decrease preterm births or very low birth weight births.

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Health Services Research

Background:

  • Adequate prenatal care is crucial for positive birth outcomes.
  • Medicaid-enrolled women often face barriers to accessing consistent prenatal care.
  • Case-management programs aim to improve care utilization and reduce adverse birth events.

Purpose of the Study:

  • To evaluate the effectiveness of Project HUG, a prenatal care case-management program in Tennessee.
  • To determine if Project HUG improved prenatal care adequacy.
  • To assess the impact of Project HUG on preterm birth and very low birth weight rates.

Main Methods:

  • A cohort study of 66,051 Medicaid-enrolled women with births between July 1989 and December 1991.
  • Analysis of program participation (6% received HUG services) and its association with prenatal care utilization and birth outcomes.
  • Statistical analysis including odds ratios to compare outcomes between participants and non-participants.

Main Results:

  • HUG participants demonstrated improved utilization of prenatal care.
  • Significantly decreased odds of inadequate perinatal care (OR=0.71) were observed among HUG participants.
  • Significantly increased odds of obtaining prenatal vitamins within 120 days of LMP (OR=1.79).
  • Benefits of Project HUG appeared greater for Black women compared to White women.
  • No significant reduction in preterm births or very low birth weight births was found.

Conclusions:

  • Project HUG effectively improved prenatal care adequacy and utilization among Medicaid-enrolled women.
  • The program showed a greater positive impact on Black participants.
  • Despite improved care, Project HUG did not significantly reduce rates of preterm birth or very low birth weight.

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