An evaluation of a nurse-led Comprehensive Child Development Service in Hong Kong

Objective: The objectives of this study were to evaluate a nurse-led Comprehensive Child Development Service aimed at reducing depression and increasing satisfaction with care among a group of high-risk pregnant women. Background: Many studies have indicated that mental health problems, substance abuse, teenage pregnancy and poor social support for single mothers are associated with poor outcomes in fetal and child development. Pre-term delivery and low birth weight can be found in mothers engaging in substance abuse. The nurse-led Comprehensive Child Development Service includes an early identification and referral system for families in need that is geared towards providing better care and ensuring better health outcomes and positive life courses for children and families. Methods: A single group pre-test post-test design was used and participants – 74 pregnant women who presented with symptoms of low mood, had separated from their partners or had a history of illicit drug use – were recruited from an outpatient clinic in Hong Kong. Depression and satisfaction were measured by the Edinburgh Postnatal Depression Scale and a self-developed questionnaire respectively. Results: Participants reported a significant reduction in depression and a high level of satisfaction with the service. Conclusion: The study demonstrates that the Comprehensive Child Development Service has a positive impact on pregnant women.