Extended prenatal and postnatal home visits in a vulnerable area in Sweden—a pilot study

Figures & data

Figure 1. Flow chart showing the extended prenatal and childhood home visits made in this study, the national child healthcare programme in Sweden and the extended childhood home visiting programme in the Stockholm study [17].

Table 1. Background characteristics of study and control families in a vulnerable area in Sweden.

	Study		Control		Region*		Stockholm
Year	2018–2019		2016–2018		2018		2013
	Medical records				Register		Article [17]
Data source	Number	(%)	Number	(%)	Number	(%)	Number	(%)
Total	30		55		19 268		99
Age, mean, range (year)
Mothers	34 (20–45)		25 (16–39)		31		26
Fathers	38 (20–55)		40 (20–59)		34		–
Parental origin
Sweden	15	(50)	40	(72)	–	(63)		(8)
Europe	0	–	2	(4)	–	(12)		(6)
Middle East	11	(36)	8	(14)	–	(9)		(15)
Africa	2	(7)	1	(2)	–	(7)		(55)
Asia	2	(7)	3	(5)	–	(6)		(11)
Other					–	(3)
Unknown	0		1	(2)				(4)
At least one smoking parent	19	(63)	13	(23)	–	(10)
Need of language interpreter	7	(23)	11	(20)		(3)
Earlier children in the family
0	23	(77)	48	(87)
1	3	(10)	4	(7)
>1	4	(13)	3	(5)

Note. *Region Västra Götaland 1.6 million inhabitants.

Figure 2. Panel A the proportion of children breastfeeding in the study and control groups at the first home visit, at age 6 months and after 6 months. Panel B The proportion of mothers in the study and control group participating in follow-up check-up to maternal healthcare about two months after delivery and that used contraceptives not including condoms.

Table 2. Postnatal characteristics of study and control families in a vulnerable area in Sweden.

	Study		Control		Region*		Stockholm
Year	2018–2019		2016–2018		2018		2013
		Medical records			Register		Article [17]
Data source	Number	(%)	Number	(%)	Number	(%)	Number	(%)
Total	30		55		19 268		99
Vaccination
Basic vaccinations^†	30	(100)	53	(96)	–	(97)		(94)
MMR‡	30	(100)	53	(96)	–	(97)		(80)
Unvaccinated	0		2	(4)	–	(2)
Breastfeeding
at first home visit	27	(90)	37	(67)	–		–
at 6 months	19	(63)	26	(47)	–	(62)	–	(69)
after 6 months	8	(27)	11	(20)	–	(28)	–	(49)
Completed home visits
1	0		2	(5)	–	(38)	0
2	0		51	(92)	–	(41)	6
3	2	(7)	–		–		7
4	10	(33)	–		–		8
5	18	(60)	–		–		30
6					–		47
Missed visitations at the CHC*
0	28	(93)	46	(84)	–		–
1	1	(3)	5	(9)	–		–
2	0		1	(2)	–		–
3	1	(3)	3	(5)	–		–

For comparison, figures from the whole of Region Västra Götaland and the Stockholm study are also reported.

Note. ^†Basic vaccinations: diphtheria, whooping cough, tetanus, polio, Hib, hepatitis B (3, 5, 12 months), pneumococcus (3, 5, 12 months).

^‡Measles, mumps, rubella (18 months), *Child Healthcare Service.

Table 3. Postnatal characteristics of mothers in study and control families in a vulnerable area in Sweden.

	Study		Control		Region
Year	2018–2019		2016–2018		2018
	Medical		Records		Register
Data source	Number	(%)	Number	(%)	Number	(%)
Total	30		55		19,268
Child healthcare centre
EPDS^†
Completed	27	(90)	36	(65)	–	(80)
Above cut-off level	2	(7)	4	(7)	–
Maternity care centre
Postnatal visits to midwife
Attended	27	(90)	44	(80)	–	(80)
Unknown	–		5	(9)	–
Contraceptive^‡
Use	15	(50)	19	(34)	–
Unknown	–		5	(9)	–

Note. ^†Edinburgh Postnatal Depression Scale.

^‡Not including condom.

Figures from the whole of Region Västra Götaland are also reported for comparison.

Marttila A, Lindberg L, Burström K, et al. Utökat hembesöksprogram för förstagångsföräldrar - samverkan mellan Rinkeby BVC och föräldrarådgivare inom Rinkeby-Kista socialtjänst [Extended home visit program for first-time parents - collaboration between Rinkeby CHC and parent counselor within Rinkeby-Kista social services]. Stockholm (Sweden): Center for Epidemiology and Community Medicine Karolinska Institutet; 2017. Swedish

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