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Chapter

PSYC 3690 Chapter Notes -Complications Of Pregnancy, Human Services, Random Assignment


Department
Psychology
Course Code
PSYC 3690
Professor
Benjamin Gottlieb

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Article #: 10
Title: The Prenatal/Early Infancy Project
Goals
- prevent a wide range of maternal and child health problems associated with poverty
- established to improve womenʼs prenatal health habits, infant caregiving skills, social
support, use of community services and educational and occupational achievements
and to help women reduce unwanted additional pregnancies and their reliance on
welfare
Who Benefits? (Target Audience)
- single, teenage and poor mothers and their children
Universal, Selective, or Indicated
- indicated each woman was screened and found to have one of the 3 risk factors,
women who were having their first child were also welcome to join
Primary, Secondary, Tertiary
- primary because they were trying to reduce incidence of health problems in the child
before birth
Risk and Protective Factors
- risk = being a teenager, unwed and poor
Measures of Data Collection (what is measured, # of times, and how)
- random assignment
- nurse home visitation from pregnancy to the first 2 years of life, visited evert 2 weeks
for 60-90 minutes, followed until age 4
Intervention Strategies?
- based on ecological model, meaning the programs need to be understood by their
context
- during the home visits, the nurses carried out three major activities: (a) parent
education about influences on fetal and infant development, (b) the involvement of
family members and friends in the pregnancy, birth and early care of the child and
support of the mother, (c) the linkage of family members with other formal health and
human services
- during the pregnancy, nurses focused on: (1) helping the women improve their diet
and monitor their weight gain, (2) help women eliminate the use of cigarettes, alcohol
and drugs, (3) teach parents to identify the signs of pregnancy complication, (4)
encourage regular rest, appropriate exercise and good personal hygiene related to
obstetrical health, (5) prepare parents for labour and delivery, (6) prepare parents for
early care of the newborn, (7) encourage appropriate use of the health care, and (8)
encourage mothers to make plans regarding subsequent pregnancies, returning to
school and finding employment
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