Skip Navigation

Maternal Early Childhood Sustained Home-Visiting Program (MECSH)

Meets DHHS criteria for an evidenced based model

Last Updated: May 2013

Effects Shown in Research & Outcome Measure Details for Maternal Health Outcomes

Impact Studies Rated Moderate


Kemp, L., Harris, E., McMahon, C., Matthey, S., Vimpani, G., Anderson, T., Schmied, V., & Aslam, H. (2012). Benefits of psychosocial intervention and continuity of care by child and family health nurses in the pre- and postnatal period: Process evaluation. Journal of Advanced Nursing. DOI: 10.1111/jan.12052
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Assisted vaginal delivery No Effect Western Sydney Birth 199 mothers Unadjusted % = 2.8 Unadjusted % = 9.7 Difference (%) = -6.9 Not statistically significant, p > 0.05 Study-reported = 0.30 Primary
Caesarean section No Effect Western Sydney Birth 199 mothers Unadjusted % = 17.0 Unadjusted % = 21.5 Difference (%) = -4.5 Not statistically significant, p > 0.05 Study-reported = 0.13 Primary
Genitourinary infection in pregnancy No Effect Western Sydney Birth 203 mothers Unadjusted % = 19.4 Unadjusted % = 21.3 Difference (%) = -1.9 Not statistically significant, p > 0.05 Study-reported = 0.05 Primary
Gestational diabetes No Effect Western Sydney Birth 203 mothers Unadjusted % = 6.5 Unadjusted % = 12.6 Difference (%) = -6.1 Not statistically significant, p > 0.05 Study-reported = 0.20 Primary
Maternal general health, very good or excellent Favorable Western Sydney 4-6 weeks 141 mothers Unadjusted % = 51.3 Unadjusted % = 35.4 Difference (%) = 15.9 Statistically significant, p = 0.03 Study-reported = 0.44 Secondary
Pregnancy-induced hypertension No Effect Western Sydney Birth 203 mothers Unadjusted % = 0.0 Unadjusted % = 4.2 Difference (%) = -4.2 Not statistically significant, p > 0.05 Study-reported = 0.40 Primary
Unassisted vaginal delivery No Effect Western Sydney Birth 199 mothers Unadjusted % = 80.2 Unadjusted % = 68.8 Difference (%) = 11.4 Not statistically significant, p > 0.05 Study-reported = 0.25 Primary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Assisted vaginal delivery Percentage of mothers who had instrument-assisted vaginal deliveries Obstetric data record Not applicable Primary
Caesarean section Percentage of mothers who had caesarean deliveries Obstetric data record Not applicable Primary
Genitourinary infection in pregnancy Percentage of mothers who had a genitourinary infection during pregnancy Obstetric data record Not applicable Primary
Gestational diabetes Percentage of mothers who had gestational diabetes Obstetric data record Not applicable Primary
Maternal general health, very good or excellent Percentage of mothers who reported their health was very good or excellent at 4-6 weeks postpartum Parent/caregiver report Not applicable Secondary
Pregnancy-induced hypertension Percentage of mothers who had pregnancy-induced hypertension Obstetric data record Not applicable Primary
Unassisted vaginal delivery Percentage of mothers who had unassisted vaginal deliveries Obstetric data record Not applicable Primary

Kemp, L., Harris, E., McMahon, C., Matthey, S., Vimpani, G., Anderson, T., Schmied, V., Aslam, H., & Zapart, S. (2011). Child and family outcomes of a long-term nurse home visitation programme: A randomised controlled trial. Archives of Disease in Childhood, 96, 533-540.
Show Study Effects Details
Outcome Effect Sample Timing of Follow-Up Sample Size Program Group Comparison Group Mean Difference or Odds Ratio
Statistical Significance
Effect Size
Outcome Type
Family functioning No Effect Sydney sample 24 months 208 mothers Mean = 1.83 (SE = 0.03) Mean = 1.77 (SE = 0.04) MD = 0.06 Not Statistically significant, p = 0.21 Not available Secondary
Maternal depression No Effect Sydney sample 24 months 208 mothers Mean = 7.34 (SE = 0.34) Mean = 7.07 (SE = 0.37) MD = 0.30 Not Statistically significant, p = 0.55 Not available Secondary
Maternal experience of being a mother No Effect Sydney sample 12 months 138 mothers Mean = 30.05 (SE = 0.47) Mean = 29.83 (SE = 0.52) MD = 0.22 Not Statistically significant, p > 0.05 Not available Secondary
Maternal general health No Effect Sydney sample 24 months 208 mothers Mean = 2.42 (SE = 0.05) Mean = 2.50 (SE = 0.06) MD = -0.08 Not Statistically significant, p = 0.33 Not available Secondary
Maternal mental health No Effect Sydney sample 24 months 208 mothers Mean = 51.60 (SE = 0.48) Mean = 51.33 (SE = 0.51) MD = 0.28 Not Statistically significant, p = 0.69 Not available Secondary
Maternal physical health No Effect Sydney sample 24 months 208 mothers Mean = 48.34 (SE = 0.35) Mean = 48.23 (SE = 0.38) MD = 0.11 Not Statistically significant, p = 0.84 Not available Secondary
Maternal social support No Effect Sydney sample 24 months 208 mothers Mean = 20.11 (SE = 0.21) Mean = 20.45 (SE = 0.22) MD = -0.34 Not Statistically significant, p = 0.26 Not available Secondary
Mother never smoked No Effect Sydney sample 24 months 208 mothers 62% 68% OR = 1.30 Not Statistically significant, p = 0.38 HomVEE = 0.00 Secondary
Stressful life events No Effect Sydney sample 24 months 208 mothers Mean = 3.07 (SE = 0.24) Mean = 3.06 (SE = 0.26) MD = 0.01 Not Statistically significant, p = 0.98 Not available Secondary
Show Study Outcome Measure Summary
Outcome Description of Measure Data Collection Method Properties of the Outcome Measure Outcome Type
Family functioning McMaster Family Assessment Device Parent/caregiver report Not reported Secondary
Household always smoke free Whether household was always reported as smoke-free Parent/caregiver report Not applicable Secondary
Maternal depression Edinburgh Depression Scale (EDS) Parent/caregiver report Not reported Secondary
Maternal experience of being a mother Being a Mother Scale (Matthey, 2011), which assessed satisfaction with the role of motherhood Maternal self-report Not applicable Secondary
Maternal general health Not reported Parent/caregiver report Not reported Secondary
Maternal mental health 12-Item Short Form Health Survey (SF-12), Mental Component Summary Parent/caregiver report Not reported Secondary
Maternal physical health 12-Item Short Form Health Survey (SF-12), Physical Component Summary Parent/caregiver report Not reported Secondary
Maternal social support Not reported Parent/caregiver report Not reported Secondary
Mother never smoked Whether mother ever smoked Parent/caregiver report Not applicable Secondary
Stressful life events Number of stressful life evens in the previous year using the modified Life Events Inventory Parent/caregiver report Not reported Secondary
Top