Allen GLondon: The Stationery Office; 2011

Arzymanow B, Manning JLondon: 2020 Health; 2013

Baggott RLondon: Macmillan Press; 2000

Barnes J, Ball M, Niven L Providing the family nurse partnership programme through interpreters in England. Health Soc Care Community. 2011; 19:(4)382-91

Belfast Health and Social Care Trust. 2013. (accessed 3 November 2014)

Best Beginnings. 2013. (accessed 3 November 2014)

Brook. 2011. (accessed 3 November 2014)

Browne KD, Jackson V Community intervention to prevent child maltreatment in England: evaluating the contribution of the family nurse partnership. J Public Health (Oxf). 2013; 35:(3)447-52

Cantwell R, Clutton-Brock T, Cooper G Saving Mothers' Lives: Reviewing maternal deaths to make motherhood safer: 2006-2008. The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. BJOG. 2011; 118:1-203

Chang T, Choi H, Richardson CR Implications of teen birth for overweight and obesity in adulthood. Am J Obstet Gynecol. 2013; 209:(2)110.e1-7

Chandra-Mouli V, McCarraher DR, Phillips SJ Contraception for adolescents in low and middle income countries: needs, barriers, and access. Repro Health. 2014; 11:(1)1-8

Cowley S, 2nd edn. In: Cowley S London: Elsevier; 2008

Davis AM, Gallagher K, Taylor M An in-home intervention to improve nutrition, physical activity, and knowledge among low-income teen mothers and their children: results from a pilot study. J Dev Behav Pediatr. 2013; 34:(8)609-15

London: DCSF Publications; 2009

London: DCSF Publications; 2010

London: DH; 2010

Belfast: DHSSPSNI; 2002

Belfast: DHSSPSNI; 2011

Department of Health, Social Services and Public Safety. 2013. (accessed 3 November 2014)

Duggan R, Adejumo O Adolescent clients' perceptions of maternity care in KwaZulu-Natal, South Africa. Women Birth. 2012; 25:(4)e62-7

Duncan S, Edwards R, Alexander CLondon: The Tufnell Press; 2010

Family Nurse Partnership. 2013. (accessed 4 November 2014)

Family Nurse Partnership. 2014. (accessed 4 November 2014) 2013. (accessed 4 November 2014)

Hodgkinson S, Beers L, Southammakosane C Addressing the mental health needs of pregnant and parenting adolescents. Pediatrics. 2014; 133:(1)114-22

Hurst SA Vulnerability in research and healthcare, describing the elephant in the room?. Bioethics. 2008; 22:(4)191-202

James S, Rall N, Strumpher J. Perceptions of pregnant teenagers with regard to the antenatal care clinic environment. Curationis. 2012; 35:(1)1-8

Kerrison J, Jones L, Holroyd E The art and science of caring for pregnant teenagers in southern Tasmania. Women and Birth. 2013;

Kitzman HJ, Olds DL, Cole RE Enduring effects of prenatal and infancy home visiting by nurses on children: follow-up of a randomized trial among children at age 12 years. Arch Pediatr Adolesc Med. 2010; 164:(5)412-8

Kuo K, Zhu TY, Raidoo S Partnering with public schools: a resident-driven reproductive health education initiative. J Pediatr Adolesc Gynecol. 2014; 27:(1)20-4

2013. (accessed 4 November 2014)

McIntosh E, Barlow J, Davis H Economic evaluation of an intensive home visiting programme for vulnerable families: a cost effectiveness analysis of a public health intervention. J Public Health (Oxf). 2009; 31:(3)423-33

McNeill J, Lynn F, Alderdice F Public health interventions in midwifery: a systematic review of systematic reviews. BMC Public Health. 2012; 12

Meaney MJ Epigenetics and the biological definition of gene x environment interactions. Child Dev. 2010; 81:(1)41-79

Mejdoubi J, van den Heijkant S, Struijf E Addressing risk factors for child abuse among high risk pregnant women: design of a randomised controlled trial of the nurse family partnership in Dutch preventive health care. BMC Public Health. 2011; 11

Mejdoubi J, van den Heijkant SC, van Leerdam FJ Effects of nurse home visitation on cigarette smoking, pregnancy outcomes and breastfeeding: a randomized controlled trial. Midwifery. 2013; 30:(6)688-95

Moriarty Daley A, Sadler LS, Dawn Reynolds H Tailoring clinical services to address the unique needs of adolescents from the pregnancy test to parenthood. Curr Probl Pediatr Adolesc Health Care. 2013; 43:(4)71-95

Naidoo J, Wills J, 3rd edn. London: Elsevier; 2009

Naidoo J, Wills J, 3rd edn. London: Elsevier; 2010

National Institute for Health and Care Excellence. 2010. (accessed 4 November 2014)

National Scientific Council on the Developing Child. 2010. (accessed 4 November 2014)

NHS Commissioning Board. 2012. (accessed 4 November 2014)

Northern Ireland Executive. 2010. (accessed 4 November 2014)

Nurse Family Partnership. 2011. (accessed 4 November 2014)

Olds DL, Robinson J, Pettitt L Effects of home visits by paraprofessionals and by nurses: age 4 follow-up results of a randomized trial. Pediatrics. 2004; 114:(6)1560-8

Olds DL, Kitzman H, Hanks C Effects of nurse home visiting on maternal and child functioning: age-9 follow-up of a randomized trial. Pediatrics. 2007; 120:(4)e832-45

Olds DL, Kitzman HJ, Cole RE Enduring effects of prenatal and infancy home visiting by nurses on maternal life course and government spending: follow-up of a randomized trial among children at age 12 years. Arch Pediatr Adolesc Med. 2010; 164:(5)419-24

Olds D, Donelan-McCall N, O'Brien R Improving the nurse–family partnership in community practice. Pediatrics. 2013; 32:S110-7

2012. (accessed 4 November 2014)

Owen-Jones E, Bekkers MJ, Butler CC The effectiveness and cost-effectiveness of the Family Nurse Partnership home visiting programme for first time teenage mothers in England: a protocol for the Building Blocks randomised controlled trial. BMC Pediatr. 2013; 13

Public Health Agency. 2011. (accessed 4 November 2014)

Public Health Agency. 2013. (accessed 4 November 2014)

Public Health England and Department of Health. 2013. (accessed 4 November 2014)

Robinson D, Miller L, Rickard CBrighton: Institute for Employment Studies; 2013

London: RCM; 2013

London: RCOG Press; 2007

Rudoe N, Thomson R, 2nd edn. In: Graham H (ed). Berkshire: Open University Press; 2009

Sandall J, Hatem M, Devane D Discussions of findings from a Cochrane review of midwife-led versus other models of care for childbearing women: continuity, normality and safety. Midwifery. 2009; 25:(1)8-13

Sanders J, Owen-Jones E, Robling M Evaluating the family nurse partnership in England: the Building Blocks trial. Pract Midwife. 2011; 14:(7)13-5

Sawyer MG, Barnes J, Frost L Nurse perceptions of family home-visiting programmes in Australia and England. J Paediatr Child Health. 2013; 49:(5)369-74

2012. (accessed 4 November 2014)

Szyf M Early life, the epigenome and human health. Acta Paediatr. 2009; 98:(7)1082-4

Trueland J Positive parenting. Nurs Stand. 2012; 26:(47)25-31

Trueland J The Rolls-Royce of family intervention. Nurs Stand. 2013; 27:(40)5-11

Wave Trust. 2011. (accessed 4 November 2014)

Williams K, Lago L, Lainchbury A Mothers' views of caseload midwifery and the value of continuity of care at an Australian regional hospital. 2010; 26:(6)615-21

Family Nurse Partnership: Meeting the needs of teenage mothers

02 December 2014
Volume 22 · Issue 12


Meeting the needs of young parents and their children more effectively will improve their life and long term health. This paper examines the Family Nurse Partnership as a public health initiative in supporting young women and improving the outcomes of themselves and their child(ren). It explores evidence of effectiveness, cost benefit and resource implications and discusses the role of the midwife within the context of public health initiatives and specifically to the delivery of the Family Nurse Partnership.

While it is acknowledged that not all teenage pregnancies are unplanned or result in a substandard or negative life-course for mother and/or child (Duncan et al, 2010), there is a substantial body of research illustrating poorer outcomes and health inequalities for teenage pregnancies (Cantwell et al, 2011; Browne and Jackson, 2013; Chang et al, 2013). It is more likely that the baby will be born prematurely; have a low birthweight; be admitted to hospital as a result of an accident or gastroenteritis; and have a 60% higher mortality rate than babies born to mothers aged 20–39 (Department for Children, Schools and Families (DCSF) and Department of Health (DH), 2009; Family Nurse Partnership (FNP), 2013). Compared to older mothers, teenage mothers are three times more likely to smoke throughout pregnancy; a third less likely to breastfeed and three times more likely to develop postnatal depression (DCSF and DH, 2009). Teenage mothers often report feeling stigmatised, isolated and embarrassed (Rudoe and Thomson, 2009), which may result in concealing their pregnancy, booking late and having poorer engagement and attendance with antenatal care (DCSF and DH, 2009). Lack of support, education, information and knowledge about pregnancy may also be a factor for these young people (Brook, 2011).

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