Home visiting programs for pregnant women aiming to improve mother-infant relationship has received worldwide attention in the past 30 years. These programs are considered an important strategy to improve women's health during pregnancy, aside from improving child's birthing conditions and allowing parents access to tools which will nurture and properly stimulate their baby, thus promoting emotional and cognitive development. Objectives: The "Nurse home visitation program for pregnant youth" aims to promote infant´s healthy development, from pregnancy to the first months of life, in a high-risk population. Methods: Eighty young pregnant women aged between 14 and 21 years were randomly allocated to the intervention or to usual prenatal care program. The "Nurse home visitation program for pregnant youth" was developed based on Albert Bandura's theory of self-efficacy, on Urie Bronfenbrenner´s bioecological model, which recognizes the importance of individual and family inclusion in various contexts of social life, on John Bowlby and Mary Ainsworth evolutionary theories of attachment, which involves the care practitioner addressing issues such as environmental health, life course and parenting, bond between mother and infant, and infant´s social and cognitive development. Neuropsychomotor development will be assessed at 3, 6, 12 and 24 months using the Bayley Scale of Infant Development. Brain development will be assessed via electroencephalography at 6, 12 and 24 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
167
The visitation program was elaborated based in the following theoretical principles: a) Albert Bandura's self-efficacy theory; b) Urie Brofenbrenner's bioecological theory, which recognizes the importance of the insertion of individuals in families in varied contexts of life in society; c) John Bowlby and Mary Ainsworth's attachment theory. The basic premises of the intervention are health care, environmental health, life course development, development of parenting ability, relationship with friends and family, and social service support.
Faculdade de Medicina da Universidade de São Paulo
São Paulo, Brazil
Change in Neuropsychomotor Development During First Year of Life: Cognition
Complete child assessment with the Bayley Scale of Infant Development at 3, 6 and 12 months of age.
Time frame: From 3 to 12 months of age
Change in Neuropsychomotor Development During First Year of Life: Receptive Language
Child assessment with the Bayley Scale of Infant Development.
Time frame: From 3 to 12 months of age
Change in Neuropsychomotor Development During First Year of Life: Expressive Language
Child assessment with the Bayley Scale of Infant Development
Time frame: From 3 to 12 months of age
Change in Neuropsychomotor Development During First Year of Life: Fine Motor
Child assessment with the Bayley Scale of Infant Development, fine motor scale.
Time frame: From 3 to 12 months of age
Change in Neuropsychomotor Development During First Year of Life: Gross Motor
Child assessment with the Bayley Scale of Infant Development
Time frame: From 3 to 12 months of age
Change in Child Brain Maturation
Assessment of brain wave patterns (alpha, gamma and theta frequencies) via electroencephalography (EEG).
Time frame: At 6 and 12 months
Mother-child Attachment Biomarker
Assessment of event-related potential associated with child face recognition of the mother via electroencephalography (EEG).
Time frame: At 6 and 12 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.