The Prenatal/Early Infancy Project

Summary We describe a program of pregnancy and infancy nurse home visitation for families at social risk because of the mother's young age, single-parent status, or poverty. The program sought to prevent a number of maternal and child health problems that emerge early in the life cycle and that might be prevented with improvements in prenatal health habits, care of the child, and the psychosocial context of the family. The nurses carried out three major activities: (1) parent education regarding influences on fetal and infant development and regarding the mother's own education, employment, and family planning; (2) the involvement of family members and friends in the pregnancy, birth, and early care of the child; and (3) the linkage of family members with other health and human services. The nurses emphasized the importance of establishing a caring and supportive relationship with the mother and her family, building upon parents' strengths, promoting parental control over their life circumstances, and adapting the educational content of the program to the individual needs of the family.