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Liwei Chen, Amy H Crockett, Sarah Covington-Kolb, Emily Heberlein, Lu Zhang, Xiaoqian Sun
BACKGROUND: In the United States, preterm birth (PTB) before 37 weeks gestational age occurs at an unacceptably high rate, and large racial disparities persist. To date, medical and public health interventions have achieved limited success in reducing rates of PTB. Innovative changes in healthcare delivery are needed to improve pregnancy outcomes. One such model is CenteringPregnancy group prenatal care (GPNC), in which individual physical assessments are combined with facilitated group education and social support...
April 13, 2017: BMC Pregnancy and Childbirth
Jennifer N Felder, Elissa Epel, Jessica B Lewis, Shayna D Cunningham, Jonathan N Tobin, Sharon Schindler Rising, Melanie Thomas, Jeannette R Ickovics
OBJECTIVES: Depressive symptoms are associated with preterm birth among adults. Pregnant adolescents have high rates of depressive symptoms and low rates of treatment; however, few interventions have targeted this vulnerable group. Objectives are to: (a) examine impact of CenteringPregnancy® Plus group prenatal care on perinatal depressive symptoms compared to individual prenatal care; and (b) determine effects of depressive symptoms on gestational age and preterm birth among pregnant adolescents...
March 13, 2017: Journal of Consulting and Clinical Psychology
Liselotte Kweekel, Trudie Gerrits, Marlies Rijnders, Patrick Brown
BACKGROUND: CenteringPregnancy (CP) is a specific model of group-based prenatal care for women, implemented in 44 midwifery practices in The Netherlands since 2011. Women have evaluated CP positively, especially in terms of social support, and improvements have been made in birthweight and preterm-birth outcomes; however, there is limited understanding as to why. The purpose of this study was to examine the mechanisms that create trusting relationships within CP to better understand CP outcomes and effectiveness...
March 2017: Birth
Sung Y Chae, Mark H Chae, Sridevi Kandula, Robin O Winter
This prospective cohort study compared women participating in CenteringPregnancy® group prenatal care (N = 120) with those in standard individual care (N = 221) to determine if participation in Centering was associated with improvements in perceived social support and quality of life, with concomitant decreases in screens of postpartum depression and improvements in breastfeeding rates. Participants completed surveys at the onset of prenatal care, in the late third trimester and in the postpartum period...
December 17, 2016: Archives of Women's Mental Health
Carmen Strickland, Shannon Merrell, Julienne K Kirk
CenteringPregnancy is a group prenatal care model that engages pregnant women in their care, which results in promising health and system outcomes. This commentary will review this innovative care model with a focus on patient experience, population health outcomes, cost effectiveness, and provider experience.
November 2016: North Carolina Medical Journal
Birgit S van Zwicht, Matty R Crone, Jan M M van Lith, Marlies E B Rijnders
BACKGROUND: CenteringPregnancy (CP) is a multifaceted group based care-model integrated in routine prenatal care, combining health assessment, education, and support. CP has shown some positive results on perinatal outcomes. However, the effects are less obvious when limited to the results of randomized controlled trials: as there are few trials and there is a variation in reported outcomes. Furthermore, former research was mostly conducted in the United States of America and in specific (often high risk) populations...
November 15, 2016: BMC Pregnancy and Childbirth
Sarah Gareau, Ana Lòpez-De Fede, Brandon L Loudermilk, Tammy H Cummings, James W Hardin, Amy H Picklesimer, Elizabeth Crouch, Sarah Covington-Kolb
Objectives This study was undertaken to determine the cost savings of prevention of adverse birth outcomes for Medicaid women participating in the CenteringPregnancy group prenatal care program at a pilot program in South Carolina. Methods A retrospective five-year cohort study of Medicaid women was assessed for differences in birth outcomes among women involved in CenteringPregnancy group prenatal care (n = 1262) and those receiving individual prenatal care (n = 5066). The study outcomes examined were premature birth and the related outcomes of low birthweight (LBW) and neonatal intensive care unit (NICU) visits...
July 2016: Maternal and Child Health Journal
Rhianon Liu, Maria T Chao, Ariana Jostad-Laswell, Larissa G Duncan
We examined the birth experience of immigrant and minority women and how CenteringPregnancy (Centering), a model of group prenatal care and childbirth education, influenced that experience. In-depth interviews and surveys were conducted with a sample of racially diverse Centering participants about their birth experiences. Interview transcripts were analyzed thematically. Study participants (n = 34) were primarily low-income, Spanish-speaking immigrants with an average age of 29.7. On a scale from 1 (not satisfied) to 10 (very satisfied), women reported high satisfaction with birth (9...
April 2017: Journal of Immigrant and Minority Health
Maike K Kahr, Shannon Padgett, Cindy D Shope, Emily N Griffin, Susan S Xie, Pablo J Gonzalez, Judy Levison, Joan Mastrobattista, Adi R Abramovici, Thomas F Northrup, Angela L Stotts, Kjersti M Aagaard, Melissa A Suter
BACKGROUND: Studies reveal that electronic cigarette (e-cigarette) and hookah use are increasing among adolescents and young adults. However, the long-term health effects are unknown, especially with regards to pregnancy. Because of the increased use in women of reproductive age, and the unknown long-term health risks, our primary objectives were to determine the perceived risks of e-cigarette and hookah use in pregnancy, and learn common colloquial terms associated with e-cigarettes...
2015: BMC Public Health
Jeannette R Ickovics, Valerie Earnshaw, Jessica B Lewis, Trace S Kershaw, Urania Magriples, Emily Stasko, Sharon Schindler Rising, Andrea Cassells, Shayna Cunningham, Peter Bernstein, Jonathan N Tobin
OBJECTIVES: We compared an evidence-based model of group prenatal care to traditional individual prenatal care on birth, neonatal, and reproductive health outcomes. METHODS: We performed a multisite cluster randomized controlled trial in 14 health centers in New York City (2008-2012). We analyzed 1148 pregnant women aged 14 to 21 years, at less than 24 weeks of gestation, and not at high obstetrical risk. We assessed outcomes via medical records and surveys. RESULTS: In intention-to-treat analyses, women at intervention sites were significantly less likely to have infants small for gestational age (< 10th percentile; 11...
February 2016: American Journal of Public Health
Emily C Heberlein, Edward A Frongillo, Amy H Picklesimer, Sarah Covington-Kolb
OBJECTIVE: This study compared the effects of group to individual prenatal care in late pregnancy and early postpartum on (1) women's food security and (2) psychosocial outcomes among food-insecure women. METHODS AND RESULTS: We recruited 248 racially diverse, low-income, pregnant women receiving CenteringPregnancy™ group prenatal care (N = 124) or individual prenatal care (N = 124) to complete surveys in early pregnancy, late pregnancy, and early postpartum, with 84 % completing three surveys...
May 2016: Maternal and Child Health Journal
Gina Novick, Julie A Womack, Jessica Lewis, Emily C Stasko, Sharon S Rising, Lois S Sadler, Shayna C Cunningham, Jonathan N Tobin, Jeannette R Ickovics
Group prenatal care improves perinatal outcomes, but implementing this complex model places substantial demands on settings designed for individual care. To describe perceived barriers and facilitators to implementing and sustaining CenteringPregnancy Plus (CP+) group prenatal care, 24 in-depth interviews were conducted with 22 clinicians, staff, administrators, and study personnel in six of the 14 sites of a randomized trial of the model. All sites served low-income, minority women. Sites for the present evaluation were selected for variation in location, study arm, and initial implementation response...
December 2015: Research in Nursing & Health
Emily C Heberlein, Amy H Picklesimer, Deborah L Billings, Sarah Covington-Kolb, Naomi Farber, Edward A Frongillo
To compare the psychosocial outcomes of the CenteringPregnancy (CP) model of group prenatal care to individual prenatal care, we conducted a prospective cohort study of women who chose CP group (N = 124) or individual prenatal care (N = 124). Study participants completed the first survey at study recruitment (mean gestational age 12.5 weeks), with 89% completing the second survey (mean gestational age 32.7 weeks) and 84% completing the third survey (6 weeks' postpartum). Multiple linear regression models compared changes by prenatal care model in pregnancy-specific distress, prenatal planning-preparation and avoidance coping, perceived stress, affect and depressive symptoms, pregnancy-related empowerment, and postpartum maternal-infant attachment and maternal functioning...
April 2016: Archives of Women's Mental Health
Gylynthia Trotman, Gayatri Chhatre, Renuka Darolia, Eshetu Tefera, Lauren Damle, Veronica Gomez-Lobo
STUDY OBJECTIVE: To determine if the CenteringPregnancy model of prenatal care improves maternal health behaviors in adolescent pregnancy. DESIGN: We conducted a retrospective chart review comparing 150 pregnant adolescents who received prenatal care between 2008 to 2012 with CenteringPregnancy to those receiving care in traditional prenatal care models with either multiprovider or single-provider visits. Outcome measures included weight gain during pregnancy, compliance to prenatal care appointments, infant feeding method, postpartum follow up and contraceptive use postpartum...
October 2015: Journal of Pediatric and Adolescent Gynecology
Jill Alliman, Diana Jolles, Lisa Summers
No abstract text is available yet for this article.
May 2015: Journal of Midwifery & Women's Health
Mary Barger, Mary Ann Faucher, Patricia Aikins Murphy
No abstract text is available yet for this article.
March 2015: Journal of Midwifery & Women's Health
J Allen, S Kildea, H Stapleton
BACKGROUND: caseload midwifery and CenteringPregnancy™ (a form of group antenatal care) are two models of maternity care that are separately associated with better clinical outcomes, maternal satisfaction scores and positive experiences compared to standard care. One study reported exclusively on younger women׳s experiences of caseload midwifery; none described younger women׳s experiences of group antenatal care. We retrieved no studies on the experiences of women who received a combination of caseload midwifery and group antenatal care...
May 2015: Midwifery
Ellen L Tilden, Sally R Hersh, Cathy L Emeis, Sarah R Weinstein, Aaron B Caughey
The intent and delivery of prenatal care have evolved since its formal inception in the early 1900s. Group prenatal care offers an alternative care delivery model to the currently dominant prenatal care model. The group model has been associated with a number of improved perinatal outcomes including decreased preterm birth, higher birth weight, improved breast-feeding initiation and duration, decreased cesarean delivery, and greater patient satisfaction. This article outlines the tenets of CenteringPregnancy, the current dominant form of group prenatal care, reviews literature regarding perinatal outcomes related to group prenatal care, suggests future research agendas, and highlights relevant considerations when implementing this alternate model of prenatal health care delivery...
January 2014: Obstetrical & Gynecological Survey
Deb Risisky, Syed Masood Asghar, Madeline Chaffee, Nancy DeGennaro
A qualitative nonexperimental thematic analysis was conducted at a hospital-based midwifery practice to explore the views of participants in group prenatal care and its impact on pregnancy, birth, and postnatal care. Ten women and three support people, recruited through purposive sampling, shared their feedback on the program. The findings conveyed three broad themes: program experience, midwife relationship, and support. Women enjoyed the opportunity for in-depth learning, and peer-group support led to normalizing of pregnancy concerns...
2013: Journal of Perinatal Education
Neal F Devitt
Prenatal care is promoted as a means to a healthy pregnancy outcome. In the United States great resources have been spent to expand the availability of a program of prenatal care, but without evidence for its effectiveness in the general population. Despite greater access to prenatal care over the last several decades, there has been no improvement in obstetric outcomes, such as preterm delivery. The CenteringPregnancy program of group prenatal visits is a novel form of prenatal care that, according to several studies, has been said to improve satisfaction with prenatal visits and with pregnancy outcomes...
March 2013: Birth
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